- Humana (Harrisburg, PA)
- …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support… more
- Geisinger (Danville, PA)
- …have a strong understanding of Medicare settlement processes, compliance requirements, and hospital reimbursement regulations. This role requires the ability to ... Summary We are seeking a detail-oriented professional with expertise in Medicare and Pennsylvania Medicaid cost reporting to join our team. The ideal candidate will… more
- Genesis Healthcare (Bethlehem, PA)
- …standards of care. *Manage the overall process and tracking of all Medicare/ Medicaid case-mix documents to assure appropriate reimbursement for services provided ... through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative,… more
- AmeriHealth Caritas (Newtown Square, PA)
- …cultivates market opportunities, implementing strategic initiatives to drive growth for Medicaid and other AmeriHealth Caritas products. Reporting to the Director ... to appropriate state and local government officials, C-level executives at hospital and health systems, ACOs, FQHCs, community behavioral health systems, public… more
- Humana (Harrisburg, PA)
- …- 5 years of experience in negotiating managed care contracts with physician, hospital and/or other provider contracts. + Proficiency in analyzing, understanding ... part of our caring community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes dental provider contracts… more
- WellSpan Health (Chambersburg, PA)
- …oxygen therapy, and surgical services, including robotic surgery. At WellSpan Chambersburg Hospital , we work together to provide our neighbors with important ... proactive identification and investigation of issues related to precertification, reimbursement , denials, insurance availability, etc., and promptly notifies physician.… more
- UPMC (Pittsburgh, PA)
- …+ Option to earn significant additional income + Generous CME allowance & PTO + Relocation reimbursement + Work at a busy community hospital + Live in a great ... hospital , as rated by Centers for Medicare and Medicaid services (CMS). + HeartCARE Center National Distinction of...+ UPMC is a $23 billion world-renowned health care provider and insurer + 92,000 employees, including 4,900 physicians… more
- Geisinger (Kingston, PA)
- …Providers, community agencies, behavioral health, and other health plan departments to provide a model of care to maximize member's health status. Integrates ... promoting quality and efficiency in the delivery of healthcare for the Medicaid , Medicare and Commercial populations. + Completes structured clinical assessments for… more
- Penn Medicine (Lancaster, PA)
- …Demonstrated ability to work as a member of a team. + Req A health care provider in good standing with Medicare, Medicaid , and other federal and state health ... coordination and communication of the discharge process. + Participates in reimbursement , certification and authorization related activities as directed. + Documents… more
- Gentiva (Shamokin Dam, PA)
- …hospice agency promptly if unable to complete F2F visits as scheduled. + May provide F2F coverage for multiple provider numbers with approval. **About You** ... physicians, interdisciplinary group (IDG) members, patients, caregivers, and families. + Provide clinical recommendations to the IDG based on F2F assessment… more