- 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
- Fresenius Medical Center (Harrisburg, PA)
- …+ Educates on the availability of alternative insurance options (ie, Medicare, Medicaid , Medicare Supplement, State Renal programs and COBRA). + Ensures patients ... insurance options when insurance contracts are terminated. Responsibilities involving Medicare and Medicaid include but are not limited to: + Determining Medicare … more
- CVS Health (Harrisburg, PA)
- …or within a health plan. + Experience in all market segments (Medicare, Medicaid , Exchange andCommercial) + Expertise in Utilization Management , Formulary ... least 2 and up to 4 market segments for any particular client (Medicare, Medicaid , Exchange, and or Commercial). The Health Plan Clinical Advisor is responsible for… more
- UPMC (Pittsburgh, PA)
- …physical disabilities in the Commonwealth who are covered by Medicare and Medicaid . The CHC Assistant Service Coordinator assists in providing service coordination ... responsible for outreach activities to Assigned Enrollees in need of complex care management and LTSS CP supports, including but not limited to online research,… more
- Gentiva (Pittsburgh, PA)
- …+ Thorough knowledge of managed care principles, regulatory guidelines (ie, Medicare, Medicaid , JCAHO, ACHC, and human resource) management principles + Ability ... and facilities, durable medical equipment (DME) pickup, Medicare patient eligibility , obtaining authorization and reauthorization as needed, commercial insurance… more
- 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
- Aveanna Healthcare (Valencia, PA)
- …individual. Must be 18 or older. Ability to work flexible hours as needed. Eligibility for State Police Criminal Record Check and Child Abuse History Clearance. FBI ... calm and professional in stressful situations Attention to detail Time Management Strong commitment to excellence Effective problem-solving and conflict resolution… more
- Aveanna Healthcare (PA)
- …Employee Stock Purchase Plan with 15% discount + Employee Relief Fund *Benefit eligibility can vary and is dependent upon employment status and employment location ... Quick-thinking and astute decision-making skills. Attention to detail. Time Management Effective problem-solving and conflict resolution Excellent organization and… more
- UPMC (Pittsburgh, PA)
- …Medical Assistance! Additionally, CHC is also for individuals that qualify for Medicare, Medicaid , or require a nursing facility level of care. The CHC Service ... access to needed LTSS and Medical Assistance services, as well as non- Medicaid funded medical, social, housing, educational, and other services and supports.… more
- The Salvation Army (Reading, PA)
- …+ Provide explanation of all required documentation for appointments and program eligibility during intake interviews and/or case management sessions. Interview ... care coverage with low cost employee premiums, co-pays and deductibles + Eligibility for supplemental insurance plans including Short Term Disability, AFLAC and… more
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