• Stars Program Delivery Senior Professional - HEDIS…

    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
    Humana (09/03/25)
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  • Stars Program Delivery Lead - HEDIS Controlling…

    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
    Humana (09/03/25)
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  • Ld Dir, PBM Underwriting

    CVS Health (Harrisburg, PA)
    …and maintaining a deep understanding of PBM financial levers within Commercial, Medicaid , Medicare Part D, and Public Exchange lines of business. + Conduct ... Deep understanding of different lines of business (ex. fully insured, ASO, Medicaid , Medicare, Exchanges) to provide relevant recommendations and to influence client… more
    CVS Health (09/02/25)
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  • Regulatory & Accreditation Coordinator - Quality…

    Penn State Health (Lancaster, PA)
    …General, The State Board of Pharmacy and Centers for Medicare and Medicaid Services. The importance of having a Regulatory & Accreditation Program ... Program Coordinator-Quality, helps maintain compliance to Centers for Medicare and Medicaid Conditions of Performance and legal protection for providers such as… more
    Penn State Health (08/30/25)
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  • Women's Health Clinical Account Specialist…

    Organon & Co. (Plymouth Meeting, PA)
    …Assignment of Benefits (AOB) and 340B. Knowledge of Managed Care, State Medicaid , Managed Medicaid , Kaiser, Management Service Organizations, Group Purchasing ... Organizations, Independent Physician Associations, and procurement pathway in Public Segments. Also requires awareness of complexities of the Affordable Care Act (ACA), Family Planning waivers and grants, Federal and National policies, as well as religious… more
    Organon & Co. (08/29/25)
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  • Registered Nurse RN Vascular Access Team (Full…

    Penn Medicine (Lancaster, PA)
    …days of hire. + 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. + As outlined in unit based Plan for Provision of Care. We believe that… more
    Penn Medicine (08/29/25)
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  • Clinical Supervisor - RN Hybrid

    Aveanna Healthcare (York, PA)
    …all-inclusive and may evolve as organizational needs change. + As a Medicare/ Medicaid provider, employees must meet all required health and vaccination standards, ... applicable medical or religious exemptions. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all… more
    Aveanna Healthcare (08/29/25)
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  • Registered Nurse (RN), OR Women and Babies…

    Penn Medicine (Lancaster, PA)
    …days of hire. + 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. + As outline in unit based Plan for Provision of Care + Attention… more
    Penn Medicine (08/29/25)
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  • CHC Service Coordinator- Lawrence County

    UPMC (Pittsburgh, PA)
    …physical disabilities in the Commonwealth who are covered by Medicare and Medicaid . To provide service coordination services across the continuum of care through ... access to needed LTSS and Medical Assistance services, as well as non- Medicaid funded medical, social, housing, educational, and other services and supports.… more
    UPMC (08/29/25)
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  • Registered Nurse (RN) Cardiothoracic/Vascular…

    Penn Medicine (Lancaster, PA)
    …days of hire. + 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. + As outline in unit based Plan for Provision of Care. We believe that… more
    Penn Medicine (08/29/25)
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