- 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)
- …The Provider Contracting Executive initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements. The Provider ... diverse scope and complexity ranging from moderate to substantial. The Provider Contracting Executive communicates contract terms, payment structures, and … more
- Genesis Healthcare (York, 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
- 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
- Gentiva (York, 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
- 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
- Gentiva (York, PA)
- …designated teams and functions as an interdisciplinary (IDG) team member to provide care and liaise between physician, patient/family and hospice team. + Performs ... minimum of one (1) year experience as an RN, either in acute care hospital , oncology, long-term care, hospice or home health. + In instances where state-specific… 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 (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
- 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
- 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
- Penn State Health (Lancaster, PA)
- …compliments, complaints and grievances as defined by the Centers for Medicare and Medicaid Services (CMS) and as regulated by the Department of Health (DOH), and ... and grow, exposure to a wide patient population, and the ability to provide individualized, innovative, and specialized care to patients in the community. **Penn… more