- 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
- NTT DATA North America (Pittsburgh, PA)
- …of an overall sourcing strategy. NTT DATA Services currently seeks a **Associate Eligibility Specialist** to join our team in **Pittsburgh, PA** . Associate ... Eligibility Specialist Location: 620 Epsilon Dr. Pittsburgh, PA (100%...position will work in accordance with the Center for Medicare/ Medicaid Services (CMS) guidelines to ensure regulatory compliance takes… more
- NTT DATA North America (Pittsburgh, PA)
- …of an overall sourcing strategy. NTT DATA Services currently seeks a **Associate Eligibility Specialist** to join our team in **Pittsburgh, PA** . Associate ... Eligibility Specialist Location: Pittsburgh, PA (100% onsite requirements) Pay...requests, ensuring compliance with the Center for Medicare & Medicaid Services (CMS) guidelines. **Key Responsibilities:** + Identify and… more
- CVS Health (Harrisburg, PA)
- …professionalism, and self-direction. + Demonstrate a willingness to learn about care management within Medicare and Medicaid managed care. + Familiarity with ... and every day. **Program Summary:** Join our Aetna care management team as we lead the way in providing...(DSNP) members, who are enrolled in both Medicare and Medicaid . As a member of the care team, you… 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
- CVS Health (Harrisburg, PA)
- …lost funds, and to comply with state regulations mandating fraud plans and reporting; Medicaid experience is preferred. Leads a team in the planning and execution of ... + A minimum 3 years of experience in a Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / Medicare / Commercial Compliance role… more
- Evolent (Harrisburg, PA)
- …Stay for the culture. **What You'll Be Doing:** The Specialist, Provider Data Management will be a dynamic role that will encompass overall support and maintenance ... : This role works closely with our Evolent partners to support data management , claims processing, and other activities that are within scope. You will work… more