• Medicaid Provider Hospital Reimbursement…

    Humana (Harrisburg, PA)
    …a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence ... Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing … more
    Humana (07/29/25)
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  • Sr. Manager, Medicaid Contract…

    Sumitomo Pharma (Harrisburg, PA)
    …highly motivated, and experienced individual for the position of Sr. Manager, Medicaid Contract Administration. This position is responsible for managing the ... Medicaid rebate team in receiving, processing, validating, trouble-shooting Medicaid claims and dispute resolution with state agencies. This position requires a… more
    Sumitomo Pharma (07/09/25)
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  • SVP and President Medicaid Business

    Highmark Health (Pittsburgh, PA)
    …**Job Description :** **JOB SUMMARY** The Senior Vice President (SVP) of Medicaid is responsible for the overall strategic direction, financial performance, and ... operational execution of Highmark's Medicaid & D-SNP business. This executive leadership role requires...executive leadership role requires a deep understanding of the Medicaid landscape, including managed care principles, state and federal… more
    Highmark Health (07/08/25)
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  • Strategy Advancement Advisor ( Medicaid )

    Humana (Harrisburg, PA)
    …Humana Healthy Horizons and prepares markets for upcoming bids for state Medicaid managed care programs. The Strategy Advancement Advisor works with Business ... state and local levels. The Strategy Advancement Advisor works closely with Medicaid Business Development and Proposal leaders to identify and determine strategies… more
    Humana (07/25/25)
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  • National Medicaid Revenue Cycle Advisor

    Genesis Healthcare (Philadelphia, PA)
    …a meaningful impact in the communities we serve. Responsibilities The National Medicaid Eligibility Advisor is the subject matter expert on Revenue Cycle Management ... Medicaid Eligibility and strives to improve the quality of...to improve the quality of all revenue cycle management Medicaid Eligibility related functions, from patient pre-admission to discharge,… more
    Genesis Healthcare (06/25/25)
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  • Medicaid Application Specialist- Floating

    Genesis Healthcare (PA)
    …we serve. Responsibilities Do you have a knack for navigating the complexities of Medicaid eligibility? Then join us as a Regional Floating Medicaid Application ... geography, you will improve the quality of all revenue cycle management Medicaid Eligibility related functions, from patient pre-admission to discharge, to optimize… more
    Genesis Healthcare (06/04/25)
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  • Associate Actuary - Medicaid Trend

    Humana (Harrisburg, PA)
    …first** We are seeking a highly motivated Associate Actuary to join our Medicaid trend analytics team. Evaluates economic, financial, and market trends to forecast ... requires an in-depth evaluation of variable factors. The Associate Actuary, Medicaid Trend focuses on developing, monitoring, and communicating cost trend drivers,… more
    Humana (07/25/25)
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  • Medicaid Lead, Technology Solutions

    Humana (Harrisburg, PA)
    …of our caring community and help us put health first** The Medicaid Lead, Technology Solutions builds strategic partnerships and manages relationships between IT ... strategy. **This State Technology Lead role will cover the Michigan Medicaid /DSNP product lines along with one additional state.** **Responsibilities** **Market… more
    Humana (07/15/25)
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  • Senior Product Owner ( Medicaid )

    Humana (Harrisburg, PA)
    …our caring community and help us put health first** The Senior Product Owner ( Medicaid ) is responsible for conveying product vision and roadmap to an Agile delivery ... in-depth evaluation of variable factors. The Senior Product Owner ( Medicaid ) maximizes the value of products created by Agile...+ Experience in Encounter Data Submissions. + Experience in Medicare/ Medicaid products. + CAS + X12 + SQL **Additional… more
    Humana (07/30/25)
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  • MBA Intern - Illinois Medicaid (Part-time,…

    Humana (Harrisburg, PA)
    …caring community and help us put health first** The MBA Intern - Illinois Medicaid (Part-time, Fall 2025) will contribute as a team member while completing a ... Experience in consulting and healthcare industry, preferably in Medicare and/or Medicaid + Professional experience in finance, clinical quality, innovation, social… more
    Humana (08/02/25)
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