- Prime Therapeutics (Harrisburg, PA)
- …client implementations + Supports all lines of business (commercial/HIM, Medicare and Medicaid ) + Other duties as assigned **Education & Experience** + Bachelor's ... within a highly regulated industry, including experience with Medicare, Medicaid , and the Affordable Care Act (ACA) + Must...study, such as Juris Doctor + Medicare Part D, Medicaid , and/or Affordable Care Act knowledge and experience **Physical… more
- Aveanna Healthcare (Ellwood City, PA)
- …any time with or without notice. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant ... or religious reasons as appropriate. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant… more
- Penn Medicine (Lancaster, PA)
- …nurse midwife. + A health care provider in good standing with Medicare, Medicaid , and other federal and state health insurance programs, ie not excluded from ... participation in Medicare, Medicaid or any other federal or state health insurance program. + Bilingual Spanish-speaking highly preferred. We believe that the best… more
- Humana (Harrisburg, PA)
- …clinical experience + Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products + Must be passionate about contributing to ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Organon & Co. (Plymouth Meeting, PA)
- …and healthcare provider reimbursements by payer type, including commercial, Medicare, and Medicaid . The role will also support the development of a contracting ... and healthcare provider reimbursements by payer type, including commercial, Medicare, and Medicaid . Serve as an expert on DRG hospital and provider reimbursement. +… more
- Humana (Harrisburg, PA)
- …delivering high plan quality as rated by the Centers for Medicare and Medicaid Services (CMS). The CMS Stars quality rating system evaluates Medicare Advantage and ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Aveanna Healthcare (Wallingford, PA)
- …time with or without notice. + As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant ... or religious reasons as appropriate. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant… more
- Centene Corporation (Harrisburg, PA)
- …a subsidiary of Centene Corporation and will oversee program initiatives for the Medicaid product line of business encompassing HEDIS, and CAHPS by utilizing cross ... CAHPS, Quality Improvement projects, programs highly preferred. + Knowledge of Medicaid , Medicare government programs preferred. Pay Range: $68,700.00 - $123,700.00… more
- Cognizant (Harrisburg, PA)
- …Fee schedules, Service groups, etc. . Understand and build solutions for Medicaid - QNXT Benefit configuration matrix. . Conduct requirements discovery sessions with ... for right configuration by working with Business team . Familiarity with Medicaid and Medicare programs are minimum requirements. **Salary and Other Compensation:**… more
- Aveanna Healthcare (Greensburg, PA)
- …any time with or without notice. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant ... or religious reasons as appropriate. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant… more
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