• Insurance Strategy Consultant

    Humana (Harrisburg, PA)
    …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ​ **Equal ... Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information,… more
    Humana (08/29/25)
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  • Lead Data Scientist

    Humana (Harrisburg, PA)
    …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ​ **Equal ... Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information,… more
    Humana (08/29/25)
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  • Technology Program Lead

    Humana (Harrisburg, PA)
    …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ​ **Equal ... Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information,… more
    Humana (08/29/25)
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  • Payor Contract Analyst, Intermediate

    UPMC (Pittsburgh, PA)
    …professional payment methodologies including a general understanding of Medicare and PA Medicaid reimbursement. + Working knowledge of Microsoft Excel and Word. + ... Must have solid analytical skills. + Must have solid written and oral communication skills. + Must be an effective team player. **Licensure, Certifications, and Clearances:** + Act 34 **UPMC is an Equal Opportunity Employer/Disability/Veteran** more
    UPMC (08/29/25)
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  • Service Coordinator, Supervisor- Allegheny County…

    UPMC (Pittsburgh, PA)
    …with physical disabilities in the Commonwealth who are covered by Medicare and Medicaid . Provides service coordination services, according to the level of need. The ... Service Coordinator Supervisor will be responsible for the performance of the General Service Coordination duties as well as the specific duties as assigned to each level of service. **Responsibilities:** + Monitors and collects information related to staff… more
    UPMC (08/29/25)
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  • Analyst, Integration Quality

    Evolent (Harrisburg, PA)
    …landscape + Good knowledge US Healthcare - Payer side, Knowledge of Medicare, Medicaid , Commercial Plans and understanding on claims workflow, members, providers + A ... minimum of 1 years of experience in technical quality assurance and database testing, medical benefits, provider, enrollment, and / or claims data. + Demonstrable experience with Testing, Writing Test cases, Test Plans, and good understanding on what needs to… more
    Evolent (08/29/25)
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  • Patient and Family Representative - Patient…

    Penn State Health (Enola, 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 ... to ensure compliance with all regulatory requirements from the aforementioned bodies. **MINIMUM QUALIFICATION(S):** + Bachelor's Degree or equivalent experience (4 years). **PREFERRED QUALIFICATION(S):** + Minimum five (5) years of experience in a healthcare… more
    Penn State Health (08/29/25)
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  • Social Worker - HUP Social Needs Response Team-…

    Penn Medicine (Philadelphia, PA)
    …Connect patients with appropriate resources * Assist patients with completion of Medicaid applications * Assist with onboarding of SNRT student interns * Facilitate ... student education to advance understanding of SNRT goals and resource connection * Review student documentation in real time and provide feedback to students * Interact with students to provide ongoing support as students work out complex needs * Collaborate… more
    Penn Medicine (08/28/25)
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  • Home Health Registered Nurse RN Part Time Weekends

    Aveanna Healthcare (PA)
    …experience in a health care setting As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant ... jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. Notice for Job Applicants Residing in California (https://www.aveanna.com/CaliforniaPrivacyNotices.html) Apply more
    Aveanna Healthcare (08/28/25)
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  • Insurance Verification Representative - PGC…

    Surgery Care Affiliates (Philadelphia, PA)
    …counter payments/deductibles/copay/co-insurance. Knowledge of payer contracts including Medicare, Medicaid and other government contracts and guidelines and ... workmen's compensation fee schedule. + Contact the patient and communicate the center financial policy Qualifications + Bachelor's degree preferred but not required + Experience checking authorizations + Must be experienced with cpt codes + Detailed and able… more
    Surgery Care Affiliates (08/28/25)
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