- 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)
- …The Provider Contracting Executive initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements for an ... organization that provides health insurance. The Provider Contracting Executive works on problems of diverse scope and complexity ranging from moderate to… more
- Organon & Co. (Plymouth Meeting, PA)
- …type, including commercial, Medicare, and Medicaid . Serve as an expert on DRG hospital and provider reimbursement . + **Customer Engagement:** Provide ... professional to join our team as the Senior Specialist of Contract and Reimbursement Strategy. This role is essential in developing and implementing strategies that… more
- UPMC (Pittsburgh, PA)
- …the BU and solve problems and identify resources related to insurance coverage and reimbursement issues for all BU community based BU. + Create a culture of service ... external customers. + Serve on all committees as assigned. Provide leadership, oversight and direction for assigned special project...but not limited to, PSD, School of Medicine and hospital . Ensure that BU meets budget goals. Assist with… 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
- Somatus (Philadelphia, PA)
- …country living with chronic kidney disease to experience more days out of the hospital and healthier at home. It takes a village of passionate and tenacious ... of 3 weeks' Vacation (PTO) + Professional Development, CEU, and Tuition Reimbursement + Curated Wellness Benefits supporting teammates physical and mental well-being… more
- Humana (Harrisburg, PA)
- …for services rendered is complete, compliant and accurate to support optimal reimbursement . The Nurse Auditor 2 work assignments are varied and frequently require ... for services rendered is complete, compliant and accurate to support optimal reimbursement . Identifies the root cause analysis of audit findings and submits… more
- Olympus Corporation of the Americas (Center Valley, PA)
- …systems, health policy, including managed care organizations, IDN's, Medicare and Medicaid ; innovative reimbursement pathways, similar awareness of internal HTA ... execution of global & US region value-based market strategies integrating reimbursement , health economics, outcomes research and market access solutions across… more
- Fresenius Medical Center (Middletown, PA)
- …2,600+ dialysis centers, 350+ research sites across North America + Largest provider of renal care products and services in the nation, including state-of-the-art ... renal specialty laboratories + Up to $5,200 RN tuition reimbursement per calendar year + Benefits & PTO accrual...and dialysate flow (QD). + Evaluate intradialytic problems and provide intervention as prescribed by physician order or as… 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 (Pottstown, 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
- Genesis Healthcare (Montgomeryville, 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
- Penn State Health (Hershey, PA)
- …Center, Level 1 Regional Adult and Pediatric Trauma Center, and Tertiary Care Provider . As a four-time Magnet-designated hospital , Hershey Medical Center values ... Organ Procurement and Transplantation Network (OPTN), Centers for Medicare and Medicaid (CMS), and other regulatory agencies. **MINIMUM QUALIFICATION(S):** + Two (2)… more
- UPMC (Pittsburgh, PA)
- …health policy, which can include Medicare, Medicaid , commercial insurance and hospital and other provider -related policies preferred. + Knowledge of current ... landscape trends in health care and pharmaceutical reimbursement methodologies and quality measurement among commercial and governmental payers. + Exceptional… 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
- Geisinger (Danville, PA)
- …obtains information and completes required tasks to determine patient's eligibility for Medicaid and other federal, state, and local government or private sources as ... the department regarding Patient Financial Services. + Able to provide back-up support and coverage for any department as...accrue time quickly + Up to $5,000 in tuition reimbursement per calendar year + MyHealth Rewards wellness program… more
- Lake Erie College of Osteopathic Medicine (Erie, PA)
- …of Patient Care Services works with the Director of Patient Care Services to provide oversight of dental faculty and fourth year students in the clinic. Combining ... with an understanding of dealing with and processing Florida Medicaid and Medicare; + Possess a strong sense of...responsibility for protocols that will aid patients in the reimbursement of insurance claims; + Assist in the recruitment,… more
- Intermountain Health (Harrisburg, PA)
- …compliant application with charge/coding capture, charge editing, and audit and reimbursement practices. Researches and collaborates on regulation updates to ensure ... (3) years of direct related experience in revenue cycle operations Hospital Billing/Coding experience preferably with a large Health System preferred **Preferred**… more