- UPMC (Pittsburgh, PA)
- …for Medical Assistance! Additionally, CHC is also for individuals that qualify for Medicare , Medicaid, or require a nursing facility level of care. The CHC Service ... through other sources, including services provided under Medical Assistance , Medicare or private insurance and other community resources. + Actively coordinates… more
- Humana (Harrisburg, PA)
- …2+ years SQL experience, or equivalent skillset **Preferred Qualifications** + Medicare Advantage background + Creative, high degree of self-accountability + ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Prime Therapeutics (Harrisburg, PA)
- …processes, and participates in committee review meetings within the Commercial, Medicare , Medicaid, and Health Insurance Marketplace for the assigned department. ... interpret regulations into operational requirements **Preferred Qualifications** + 2 years Medicare Part D, Medicaid, and/or state or federal regulatory experience +… more
- Humana (Harrisburg, PA)
- …+ SAS and/or Databricks experience + Programming experience in SQL and VBA + Medicare Part D knowledge Travel: While this is a remote position, occasional travel to ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Humana (Harrisburg, PA)
- …focused on continuously improving consumer experiences **Preferred Qualifications** + Medicare Advantage experience + Strong Communication Skills + Ability to ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Evolent (Harrisburg, PA)
- …current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an "excluded person" by the ... Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . . No history of disciplinary or legal action by a state medical… more
- Cognizant (Harrisburg, PA)
- …and member onboarding for individual, group, and government-sponsored health plans ( Medicare , Medicaid, ACA), ensuring compliance with CMS, ACA, and other regulatory ... sales and enrollment processes for individual, group, and government-sponsored health plans ( Medicare , Medicaid, ACA). * Strong understanding of CMS, ACA, and other… more
- Cognizant (Harrisburg, PA)
- …and member onboarding for individual, group, and government-sponsored health plans ( Medicare , Medicaid, ACA), ensuring compliance with CMS, ACA, and other regulatory ... sales and enrollment processes for individual, group, and government-sponsored health plans ( Medicare , Medicaid, ACA). . Strong understanding of CMS, ACA, and other… more
- Aveanna Healthcare (Philadelphia, PA)
- …change at any time with or without notice. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all ... for medical or religious reasons as appropriate. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in… more
- Humana (Harrisburg, PA)
- …improving consumer experiences **Preferred Qualifications** + Health insurance experience + Medicare Advantage experience Travel: While this is a remote position, ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more