- Humana (Harrisburg, PA)
- …a part of our caring community and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer ... Business and System Support team responsible for administering complex Medicare provider reimbursement methodologies. The business needs of the team continue to… more
- Prime Therapeutics (Harrisburg, PA)
- …every decision we make. **Job Posting Title** VP Government Programs - Medicare & Managed Medicaid (REMOTE) **Job Description** The Vice President Government ... Programs - Medicare & Managed Medicaid is responsible for the development,...of strategic plans that advance Prime's position in the Medicare space. This position has accountability for the … more
- CVS Health (Blue Bell, PA)
- …in this role will serve as the subject matter expert for Aetna's Medicare Advantage Special Needs Plans (SNP) business. Includes Dual Eligible, HIDE/FIDE Integrated, ... The SNP population presents a huge growth opportunity for Medicare Advantage plans, and Aetna is aggressively expanding into...into a growth story early, work closely with executive Medicare business leaders to drive strategic decisions, and shape… more
- CVS Health (Harrisburg, PA)
- …talent! We have an exciting opportunity available for highly motivated individuals as Medicare Sales Specialist. The position will be a part of a specialized team ... who will focus on educating existing Medicare members on available plan offerings to help meet...Work defined campaigns that are designed to assist Aetna Medicare members holistically find the appropriate Aetna Medicare… more
- Humana (Harrisburg, PA)
- …other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage and Medicaid requirements, and will understand how ... includes some experience in an inpatient environment and/or related to care of a Medicare or Medicaid type population + Current and ongoing Board Certification in an… more
- Humana (Harrisburg, PA)
- …teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to ... includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age). + Current and ongoing Board… more
- UPMC (Pittsburgh, PA)
- Purpose: Reporting to the CMO of Government Products, the AVP, Medicare Medical Services serves as one of the strategic and tactical leaders who works with providers ... requirements for the Government products, with a focus on Medicare , including Special Needs Products for UPMC Health Plans....Plans. The AVP works closely with the President of Medicare product and Population Health functional business units to… more
- Humana (Philadelphia, PA)
- …of everything it does. The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role, and candidates must live ... community. As part of a collaborative team of 8-12 Medicare Sales Agents, you'll work under the guidance of...**Deliver** : Build trust and educate individuals on Humana's Medicare Advantage plans and additional offerings like Life, Dental,… more
- CVS Health (Harrisburg, PA)
- …all with heart, each and every day. **Position Summary** Located within the Medicare Stars Program Management team, in this individual contributor role you will ... and clinical teams. + 5+ years of work experience supporting Medicare or Healthcare/Pharmacy Quality business processes. **Preferred Qualifications** + 2+ years… more
- Centene Corporation (Pittsburgh, PA)
- …access to health insurance, by providing education and assistance to Medicare individuals. Distribute health education materials and arrange for health screenings. ... prospective enrollees and determine eligibility for participation in the Advantage Medicare product + Understand and apply all policies and procedures pertaining… more