- Genesis Healthcare (Philadelphia, PA)
- … Medicaid Eligibility Advisor is the subject matter expert on Revenue Cycle Management Medicaid Eligibility and strives to improve the quality of all ... revenue cycle management Medicaid Eligibility related functions, from patient pre-admission to discharge, optimizing revenue collection. Position Highlights… more
- Genesis Healthcare (PA)
- …In an assigned geography, you will improve the quality of all revenue cycle management Medicaid Eligibility related functions, from patient pre-admission to ... serve. Responsibilities Do you have a knack for navigating the complexities of Medicaid eligibility ? Then join us as a Regional Floating Medicaid Application… more
- Sumitomo Pharma (Harrisburg, PA)
- …highly motivated, and experienced individual for the position of Sr. Manager, Medicaid Contract Administration. This position is responsible for managing the ... Medicaid rebate team in receiving, processing, validating, trouble-shooting ...in processing data submitted by customers and proactively advises management of issues. + Able to identify and recommend… more
- CVS Health (Harrisburg, PA)
- …we do it all with heart, each and every day. **Position Summary** The Medicaid Intake Business Operations team seeks an analyst with expertise in electronic claim ... This team ensures the quality and integrity of Intake processes for all Medicaid incoming claim transactions. In this position, you will provide initial support for… more
- Humana (Harrisburg, PA)
- …the Applied Behavioral Analysis Program, and Expanded Benefits Outreach The Care Management Support Assistant Intern will utilize Humana's Medicaid training and ... first? During the period of this unpaid internship, you will work with the Medicaid Clinical Services team to ensure interaction between the company and members are… more
- CVS Health (Harrisburg, PA)
- … Knowledge:** Experience or willingness to thoroughly learn the role of care management within Medicare and Medicaid managed care. + **Community Resources:** ... the requirements of the position **Preferred Qualifications** + Experience providing care management for Medicare and/or Medicaid members + Experience working… more
- Prime Therapeutics (Harrisburg, PA)
- …and drives every decision we make. **Job Posting Title** Medication Therapy Management (MTM) Technician **Job Description** The MTM Technician is responsible for ... of business to support the Centers for Medicare & Medicaid Services (CMS) Star and HEDIS quality measure programs,...measure programs, including but not limited to: Medication Therapy Management (MTM), Adherence, and Statin use in Persons with… more
- Humana (Harrisburg, PA)
- …Demonstration (ACD). This role supports the Autism Service Navigator (ASN) by verifying eligibility for the ACD and monitoring and supporting the family for 180 to ... Care Support Contractor receives the appropriate paperwork; processes faxes for ECHO eligibility or other paperwork pertaining to ACD requirements such as … more
- CVS Health (Harrisburg, PA)
- …external constituents in the coordination and administration of the utilization/benefit management function. Required Qualifications + Registered Nurse in state of ... of Nursing experience. Preferred Qualifications + Prior authorization utilization management /review experience preferred Outpatient Clinical experience. + Knowledge of… more
- CVS Health (Harrisburg, PA)
- …next role? Join Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager. In this role, you will manage negotiations, conduct high-level ... initiatives and settlement activities. * Assist with the design, development, management , and or implementation of strategic network configurations and integration… more
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