- Deloitte (Pittsburgh, PA)
- …knowledge of the individual medical and small group markets + Experience with Medicare products, including Medicare Advantage or Medicare Supplement products ... for various enrollee types + Experience with reimbursement models - including value based care/ACO modeling + Knowledge of group insurance products including disability, long term care, etc. The wage range for this role takes into account the wide range of… more
- Prime Therapeutics (Harrisburg, PA)
- …Supports new client implementations + Supports all lines of business (commercial/HIM, Medicare and Medicaid) + Other duties as assigned **Education & Experience** + ... or within a highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) +...related area of study, such as Juris Doctor + Medicare Part D, Medicaid, and/or Affordable Care Act knowledge… more
- Aveanna Healthcare (Valencia, 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
- CVS Health (Harrisburg, PA)
- …financial integrity with sound pricing and risk management practices. The Medicare Actuarial Pricing team is responsible for anticipating and recognizing matters ... to the broader actuarial team. **A Brief Overview** Senior Analysts on the Medicare Actuarial team leverage strong technical skills to analyze data and pricing… more
- Aveanna Healthcare (West Chester, 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)
- …Intelligence Engineer position will be supporting BI work for our Medicare organizations. **Senior Business Intelligence Engineer** : + Develops and maintains ... 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)
- …reporting on progress, challenges, and achievements to management. + Partner with Medicare Risk Adjustment (MRA) and vendors to establish data feeds for STARs ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- WellSpan Health (Chambersburg, PA)
- …14. Strives to avoid creating duplicate medical record numbers. 15. Understands Medicare and Medical Assistance regulations as they apply to registration of ... health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and… more
- Elevance Health (Harrisburg, PA)
- …member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services ... to transform federal health programs. **Work Hours: Monday to Friday, 7:45 AM - 4:15 PM (Local Time)** The **SCA Customer Care Representative I** is responsible for handling or responding to customer service issues. **How you will make an impact:** + Responds… more
- Penn State Health (Hershey, PA)
- …up background Medicaid Hospital Insurance billing experience + Follow up background Medicare / Medicare HMO Hospital Insurance billing experience **WHY PENN STATE ... HEALTH?** Penn State Health offers exceptional opportunities to learn and grow, exposure to a wide patient population, and the ability to provide individualized, innovative, and specialized care to patients in the community. **Penn State Health offers an… more