- Humana (Harrisburg, PA)
- …Qualifications** + Education: BSN or Bachelor's degree in a related field + Health Plan experience + Previous Medicare/ Medicaid Experience a plus + Call ... part of our caring community and help us put health first** The Utilization Management Registered Nurse 2 utilizes...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Senior Strategy Advancement Professional provides data-based strategic direction to ... interviews and working sessions with leaders within Medicare and Medicaid and across the broader organization + Conducting industry,...us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** Humana is seeking MBA Interns to join for Summer 2026! Humana's MBA Summer Internship Program ... + Corporate Strategy & Transformation Office + Medicare & Medicaid Market Operations + Provider Relations & Network Performance...us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** CenterWell Senior Primary Care (PCO) is a growing provider organization that currently ... management (related to billing, coding, collections for Medicare and Medicaid claims) + Experience with Auditing and monitoring of...us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and… more
- UPMC (Pittsburgh, PA)
- …applicable regulatory agencies or accrediting bodies (ie JCAHO, PA Department of Health , Medicaid ). + Work closely with Clinical, Administration and Information ... physician productivity meetings. + Assist in establishing and implementing policy related to BU including, but not limited to,...agencies or accrediting bodies (ie JCAHO, PA Department of Health , Medicaid ). + Manages day to day… more
- Penn Medicine (Lancaster, PA)
- …experience. + A health care provider in good standing with Medicare, Medicaid , and other federal and state health insurance programs, ie not excluded ... employees and takes appropriate disciplinary action for infractions of policy . + Reviews patient records to assure that the...from participation in Medicare, Medicaid or any other federal or state … more
- Commonwealth of Pennsylvania (PA)
- …management; health economics; health education; health insurance studies; health leadership; health policy ; health sciences; health ... judgment to ensure that individuals are receiving medically necessary behavioral health services and providers are appropriately being compensated? Do you enjoy… more
- Organon & Co. (Plymouth Meeting, PA)
- …in ensuring compliance with federal and state government pricing programs, including Medicaid Drug Rebate Program (MDRP), 340B, Medicare Part B/D, and the Veterans ... in calculating, validating, and reporting government pricing metrics and support audits, policy updates, and strategic initiatives related to GP. The role reports to… more
- Penn Medicine (Lancaster, PA)
- …experience. + A health care provider in good standing with Medicare, Medicaid , and other federal and state health insurance programs, ie not excluded ... employees and takes appropriate disciplinary action for infractions of policy . + Reviews patient records to assure that the...from participation in Medicare, Medicaid or any other federal or state … more
- Penn Medicine (Lancaster, PA)
- …preferred. + A health care provider in good standing with Medicare, Medicaid , and other federal and state health insurance programs, ie not excluded ... practice standards and procedures for education, staff development and policy manuals. + Assists pharmacy education and training; prepares...from participation in Medicare, Medicaid or any other federal or state … more