- Oracle (Harrisburg, PA)
- …clients' to track compliance with the requirements of the Centers for Medicare & Medicaid Services (CMS) and The Joint Commission (TJC). The compliance rate of the ... reporting to government agencies.** **Required Qualifications:** + **U.S. Citizenship and eligibility for a Federal Security Clearance (flexible)** + **6-10 years of… more
- CVS Health (Harrisburg, PA)
- …review findings. + Must be able to articulate findings to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, state regulators, etc. ... retiree medical access and many other benefits depending on eligibility . For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the… more
- Robert Half Office Team (Fullerton, PA)
- …and records for compliance purposes. + Monitor participant service plans and eligibility requirements for home and community-based programs. + Serve as a liaison ... with the ability to work with diverse populations. + Knowledge of Medicaid waiver programs, managed care organizations, and enrollment processes preferred. + Highly… more
- Aveanna Healthcare (Breinigsville, PA)
- …with a 15% discount. + Access to an Employee Relief Fund. Benefits eligibility may vary based on employment status and location. Position Overview:The Home Health ... at any time without prior notice. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant… more
- CVS Health (Harrisburg, PA)
- …teams to analyze data, implement interventions, and monitor outcomes for Medicaid programs (STAR, CHIP, STAR Kids). Additional responsibilities include provider ... retiree medical access and many other benefits depending on eligibility . For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the… more
- CVS Health (Harrisburg, PA)
- …three primary provider portal solutions: Availity Commercial/Medicare Portal, Availity Medicaid Portal, and DentalXchange Dental Portal. This role partners with ... retiree medical access and many other benefits depending on eligibility . For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the… more
- Penn State Health (Harrisburg, 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 ... not to be misconstrued as encompassing all duties performed within the position. Eligibility for shift differential pay based on the terms outlined in company policy… more
- Aveanna Healthcare (Bala Cynwyd, PA)
- …Notice for Job Applicants, Contractors, and Employees Residing in California *Benefit eligibility is dependent on employment status 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… more
- Cardinal Health (Harrisburg, PA)
- …and properly resolves by follow-up & disposition. + Verifies patient eligibility with secondary insurance company when necessary. + Bills supplemental insurances ... including all Medicaid states on paper and online. + Mails all paper claims. + Acts as a subject matter expert in claims processing. + Manages billing queue as… more
- Centene Corporation (Harrisburg, PA)
- …POSITION IS REMOTE/WORK FROM HOME SUPPORTING PENNSYLVANIA HEALTH & WELLNESS MEDICAID CHIP PROGRAM IMPLEMENTATION.** **QUALIFIED APPLICANTS MUST RESIDE IN THE STATE ... also include additional forms of incentives. Benefits may be subject to program eligibility . Centene is an equal opportunity employer that is committed to diversity,… more