- Trinity Health (Philadelphia, PA)
- …supports the entire enrollment process, from initial referral to eligibility assessment, ensuring accurate documentation and seamless communication between ... of the enrollment process, including scheduling assessments and assisting with Medicaid applications. + Develop and maintain strong relationships with referral… more
- Humana (Harrisburg, PA)
- …Degree + Associate of Society of Actuaries (ASA) designation + Meets eligibility requirements for Humana's Actuarial Professional Development Program (APDP) + Member ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- CVS Health (Harrisburg, PA)
- …Database audits + Support audits out of QNXT and PRMS systems to support Medicaid SOC and SOX controls + Coordinate with applicable reporting areas as needed to ... 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
- WellSpan Health (Chambersburg, PA)
- …Utilization Management Committee + - (Inpatient Rehab only) Assess patients for eligibility and clinical needs for post-acute inpatient services: - Completes the ... for patient continuing stay on Inpatient Rehabilitation. + Inpatient Rehab only) Completes Medicaid late pick up calls. + (Inpatient Rehab only) Acts as liaison to… more
- Sumitomo Pharma (Harrisburg, PA)
- …various payers (commercial and government payers to include FFS and Managed Medicaid ) and remove reimbursement barriers to treatment + Build and maintain strong ... the opportunity for merit-based salary increases, short incentive plan participation, eligibility for our 401(k) plan, medical, dental, vision, life and disability… more
- Prime Therapeutics (Harrisburg, PA)
- …of the targeted population; for Medicare, is Centers for Medicare & Medicaid Services (CMS) compliance compliant + Utilize Prime's MTM process management system ... transferring calls to MTM staff or other department help lines + Document MTM eligibility and program status in the applicable software systems (ie, MSA Toolbox, RX… more
- CVS Health (Harrisburg, PA)
- …and engaging on multiple platforms - Demonstrated understanding of insurance, Medicaid , Medicare billing requirements - Evidence of strong crisis intervention skills ... 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 (Hershey, 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
- Lundbeck (State College, PA)
- …and effectively address payer access issues (IDNs, Medicare, Medicaid , Commercial) using Lundbeck resources. **Pharmaceutical Environment/Compliance** - Apply ... and proficiency for the role. Salary Pay Range $108,000 to $125,000 and eligibility for a sales incentive target of $39,000. Benefits for this position include… more
- Aveanna Healthcare (Norristown, PA)
- …Employee Stock Purchase Plan with 15% discount + Employee Relief Fund *Benefit eligibility can vary and is dependent upon employment status and employment location ... 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… more