- 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
- Humana (Harrisburg, PA)
- …part of our caring community and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the ... of the team as it expands to accommodate the increased responsibilities. The Provider Hospital Reimbursement Analyst r will be primarily responsible… 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
- Humana (Harrisburg, PA)
- …coding auditor to review inpatient hospital claims for proper reimbursement , handle provider disputes in a result-oriented and metrics-driven environment. ... Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims… more
- UPMC (Harrisburg, PA)
- …services. UPMC Harrisburg received a five-star rating from the Centers for Medicare and Medicaid Services Overall Hospital Quality Star Ratings for 2024, one of ... is a leader in providing life-changing medicine. Let us provide you with a life-changing career! Job Opportunity: +...hours, 80 hours, or 120 hours. * Professional dues reimbursement * Reimbursement of Pennsylvania license renewal… more
- UPMC (Harrisburg, PA)
- …services. UPMC Harrisburg received a five-star rating from the Centers for Medicare and Medicaid Services Overall Hospital Quality Star Ratings for 2024, one of ... Osteopathic in Harrisburg, PA!** We are an acute care hospital licensed for 177 beds. World-class cancer care from...is a leader in providing life-changing medicine. Let us provide you with a life-changing career, including a competitive… more
- UPMC (Harrisburg, PA)
- …services. UPMC Harrisburg received a five-star rating from the Centers for Medicare and Medicaid Services Overall Hospital Quality Star Ratings for 2024, one of ... is a leader in providing life-changing medicine. Let us provide you with a life-changing career! Job Opportunity: +...hours, 80 hours, or 120 hours. * Professional dues reimbursement * Reimbursement of Pennsylvania license renewal… more
- UPMC (Carlisle, PA)
- …services. UPMC Harrisburg received a five-star rating from the Centers for Medicare and Medicaid Services Overall Hospital Quality Star Ratings for 2024, one of ... is a leader in providing life-changing medicine. Let us provide you with a life-changing career, including student loan...hours, 80 hours, or 120 hours. + Professional dues reimbursement + Reimbursement of Pennsylvania license renewal… more
- UPMC (Mechanicsburg, PA)
- …services. UPMC Harrisburg received a five-star rating from the Centers for Medicare and Medicaid Services Overall Hospital Quality Star Ratings for 2024, one of ... is a leader in providing life-changing medicine. Let us provide you with a life-changing career, including student loan...hours, 80 hours, or 120 hours. + Professional dues reimbursement + Reimbursement of Pennsylvania license renewal… more
- UPMC (Harrisburg, PA)
- …services. UPMC Harrisburg received a five-star rating from the Centers for Medicare and Medicaid Services Overall Hospital Quality Star Ratings for 2024, one of ... is a leader in providing life-changing medicine. Let us provide you with a life-changing career, including student loan...hours, 80 hours, or 120 hours. + Professional dues reimbursement + Reimbursement of Pennsylvania license renewal… more
- Centene Corporation (Harrisburg, PA)
- …clinical programs to be initiated + Monitor prior authorization requests + Provide clinical support to internal departments and address clinical related questions + ... and implement programs designed to impact DUR for both Medicaid and Medicare + Develop, implement, and maintain policies...MS) in pharmacy. 2+ years of mail order, retail, hospital or managed care pharmacy experience or 1+ years… more