• Hybrid Field Sales Manager

    CVS Health (Harrisburg, PA)
    …for highly motivated individual to lead a core team as a Hybrid Field Sales Medicare Manager. This position will be a part of a specialized team who will focus ... sales agents to achieve monthly sales goals using our competitive portfolio of Medicare Advantage & DSNP products within the assigned market. The manager will… more
    CVS Health (11/20/25)
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  • Medical Director - Nat'l IP UM Team

    Humana (Harrisburg, PA)
    …internal teaching conferences, and other reference sources. 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
    Humana (11/15/25)
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  • Counsel

    WTW (Philadelphia, PA)
    …plans; and (ii) assist retirees in enrolling in individual health products, such as Medicare Advantage, Medicare Supplement, Medicare Part D and other ... preferred candidate may also have knowledge of ERISA, state insurance laws, Medicare , and/or experience in the employee benefits or health insurance industries. The… more
    WTW (11/18/25)
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  • PCO Medical Director- UM - Full Time

    CenterWell (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
    CenterWell (11/06/25)
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  • Systems Analyst Intermediate Sales and Marketing,…

    Geisinger (Danville, PA)
    Job Summary Provides application support to the Commercial Sales and Medicare division including the Call Center staff. Provides reporting and data analysis, as ... appropriate, in order to support Commercial and Medicare Sales in addition to Sales and Marketing Management....the initial point of contact for the Commercial and Medicare Sales end user community by providing first-level support… more
    Geisinger (10/31/25)
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  • MDS Coordinator

    Heritage Ministries (Conneautville, PA)
    …responsible for the coordination and completion of necessary functions to assure Medicare and other payer's requirements are maintained in regards to clinical ... and documentation. The MDS Coordinator will act as a coordinator of MDS, Medicare , and Restorative Nursing functions. This individual will work in conjunction with… more
    Heritage Ministries (09/12/25)
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  • Encounter Data Management Lead

    Humana (Harrisburg, PA)
    …ensuring the accurate and timely submission of encounter data to Medicaid, Medicare , and DSNP states, while maintaining adherence to all regulatory requirements. The ... is responsible for ensuring the integrity and accuracy of Medicaid and Medicare encounter data across multiple trading partners. This role collaborates with Product… more
    Humana (11/26/25)
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  • Regional Ambulatory RN, Healthworks, Full-Time…

    Penn Medicine (Lancaster, PA)
    …year supervisory experience + A health care provider in good standing with Medicare , Medicaid, and other federal and state health insurance programs, ie not excluded ... from participation in Medicare , Medicaid or any other federal or state health...+ A health care provider in good standing with Medicare , Medicaid, and other federal and state health insurance… more
    Penn Medicine (11/19/25)
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  • Manager Product Management

    Highmark Health (Pittsburgh, PA)
    …feature set. Highlights of the ideal candidate experience: * Strong knowledge of Medicare Advantage and D-SNP insurance products * Understanding of Medicare ... lifecycle from start to finish * Experience developing and submitting Medicare Advantage bids * Experience managing vendor relationships for health-related services… more
    Highmark Health (11/18/25)
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  • Actuary, Risk and Compliance

    Humana (Harrisburg, PA)
    …submission of bids to support Humana's pricing and product development of Medicare Advantage and Prescription Drug Plans that positively impact the financial ... the bid filing + Participate in CMS audits and reviews related to Humana's Medicare bids. + Create and maintain process improvements to bid filings to continually… more
    Humana (11/18/25)
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