- 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
- Genesis Healthcare (Norristown, 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)
- …an informed and responsive approach to relationships with integrated delivery systems, hospital systems, physician groups, and other provider types. ; Working ... Fee Schedules, DRGs, EAPGs, Outlier Thresholds, and Chargemasters + Provider Network Optimization + Medicaid **Diversity, Equity,...you and your dependents on Day 1, 401(k) Tuition reimbursement and more. \#CO As a company, we support… more
- Cardinal Health (Harrisburg, PA)
- …understands the trends that affect current and future healthcare business models and reimbursement to make short and long term strategies. Will serve as an executive ... implements managed care contracting strategy including implementation of value-based reimbursement initiatives. Responsible for maintaining reimbursement strategy… more
- UPMC (Pittsburgh, PA)
- **Purpose:** Provide strategic decision-making, policy development, and policy implementation for the business unit. Work collaboratively with the physician leaders, ... + Oversee all contracts and lease agreements for BU. Provide direction and support to the BU management staff...may include, but not limited to, Physician Services and hospital . Ensure that BU meets budget goals. Assist with… more
- AmeriHealth Caritas (Philadelphia, PA)
- …+ Work with PBM to identify and resolve any operational issues. + Provide support and attend all pharmacy-related meetings and committees sponsored by the line ... participate on the plans' P&T Committee. + Generate necessary provider and member communications related to the pharmacy program....evaluate their effect on pharmacy contracts and services. + Provide on-site education and training for the line of… more
- Fresenius Medical Center (Middletown, PA)
- …blood flow (QB) and dialysate flow (QD). + Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. + Monitor ... vascular access during treatment including arterial and venous monitoring pressures provide appropriate intervention as needed document and report any unusual… more
- Humana (Harrisburg, PA)
- …to quality review the inpatient hospital claims for proper reimbursement , handle provider disputes in a result-oriented and metrics-driven environment. ... Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development & continued education. **Use your skills to… more
- LifePoint Health (Johnstown, PA)
- …what you can do. Conemaugh Memorial Medical Center is the largest healthcare provider in west central Pennsylvania, serving over a half-million patients each year. ... - mental, physical, and financial wellness assistance . Tuition Reimbursement /Assistance for qualified applicants . Professional Development and Growth Opportunities… more
- Genesis Healthcare (Bridgeville, PA)
- Overview ABOUT GENESIS As the nation's leading provider of healthcare services from short-term to long-term and a wide variety of living options and professional ... you comfortable working cross-functionally with departments like **Admissions, Clinical Reimbursement , and Social Services** to maintain accurate and compliant… more