- CVS Health (Harrisburg, PA)
- …and every day. **May reside anywhere in the US** **Position Summary** The Health Service Manager -Policy Writer for Medicaid is a key member of the Medical ... Policy & Program Solutions Team. The Medicaid Medical Coding Policy Writer is an individual contributor...business needs and accomplish goals. This is a fully remote position. Eligible candidates may live anywhere in the… 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 ... support other projects as needed based on business need This position can be remote or hybrid depending on candidate location and commutable distance to a nearby… more
- UPMC (Pittsburgh, PA)
- …as a registered pharmacist (RPh), in the Commonwealth of Pennsylvania or eligibility for licensure by examination or reciprocity is required. This job provides ... have completed several stretch projects as outlined by their manager . The stretch projects, in addition to all new...of the designated line of business (Commercial, Exchange, Medicare, Medicaid , Exchange, and/or CHIP) from a pharmacy formulary and… more
- Cognizant (Harrisburg, PA)
- **Product Owner Health Sciences, Consulting Manager ** **About the Role:** As a Product Owner for Sales & Enrollment Platforms, you will make an impact by leading the ... features. * Drive improvements in digital quoting, application intake, eligibility verification, and member onboarding for individual, group, and… more
- CVS Health (Jersey Shore, PA)
- …heart, each and every day. **Position Summary** We are seeking a dedicated **Case Manager (RN)** to join our team, serving members in **New Jersey.** This role ... and follows a **Monday-Friday, 8:00 AM-5:00 PM EST** schedule. The Case Manager will develop, implement, and support health service strategies, policies, and… more
- Cognizant (Harrisburg, PA)
- …features. . Drive improvements in digital quoting, application intake, eligibility verification, and member onboarding for individual, group, and ... government-sponsored health plans (Medicare, Medicaid , ACA), ensuring compliance with CMS, ACA, and other...Based on this role's business requirements, this is a remote position open to qualified applicants in the United… more
- Centene Corporation (Harrisburg, PA)
- …a subsidiary of Centene Corporation and will oversee program initiatives for the Medicaid product line of business encompassing HEDIS, and CAHPS by utilizing cross ... CAHPS, Quality Improvement projects, programs highly preferred. + Knowledge of Medicaid , Medicare government programs preferred. Pay Range: $68,700.00 - $123,700.00… more
- Centene Corporation (Harrisburg, PA)
- …IS REMOTE /WORK FROM HOME SUPPORTING PENNSYLVANIA HEALTH & WELLNESS MEDICAID CHIP PROGRAM IMPLEMENTATION.** **QUALIFIED APPLICANTS MUST RESIDE IN THE STATE OF ... plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay...forms of incentives. Benefits may be subject to program eligibility . Centene is an equal opportunity employer that is… more
- Centene Corporation (Harrisburg, PA)
- …IS REMOTE /WORK FROM HOME SUPPORTING PENNSYLVANIA HEALTH & WELLNESS MEDICAID CHIP PROGRAM IMPLEMENTATION.** **QUALIFIED APPLICANTS MUST HOLD A COMPACT STATE RN ... plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay...forms of incentives. Benefits may be subject to program eligibility . Centene is an equal opportunity employer that is… more