- Centene Corporation (Harrisburg, PA)
- …As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose:** ... Quality Improvement projects, programs highly preferred. + Knowledge of Medicaid, Medicare government programs preferred. Pay Range: $68,700.00 - $123,700.00 per… more
- Geisinger (Danville, PA)
- …that accurate predictive modeling is done by line of business ( Medicare versus Commercial). + Recommends reimbursement opportunities by utilizing statistical ... typical elements considered necessary to successfully perform the job. #LI- REMOTE Position Details Education Bachelor's Degree- (Required), Bachelor's Degree-Business… more
- CenterWell (Harrisburg, PA)
- …one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the ... teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to… more
- CVS Health (Harrisburg, PA)
- …create a clinical operations plan. The Clinical Operations Advisor works with the Benefit Relationship Manager and client to facilitate gathering formulary and ... of business including Medicare , Medicaid, Exchange, and Commercial. This is a remote role, open to qualified candidates within the Central or Eastern time zones… more
- AmeriHealth Caritas (Harrisburg, PA)
- …Must be able to move freely within a community setting. **Our Comprehensive Benefits Package** Flexible work solutions include remote options, hybrid work ... **Responsibilities:** Under the supervision of the Manager , Community Outreach Programs, this position develops, promotes, and implements Community Health Choices… more
- AmeriHealth Caritas (West Chester, PA)
- …services. Discover more about us at; www.amerihealthcaritas.com . **Our Comprehensive Benefits Package** Flexible work solutions including remote options, hybrid ... developer role.;_** **Work Arrangement** + This is a 100% Remote position but you must live in EST or...user access policies and procedures + Provide input to manager on staff performance relating to technology but does… more
- CenterWell (Harrisburg, PA)
- …one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the ... in utilization management within Insurance industry a plus + Previous Medicare Advantage/ Medicare **Alert** Humana value's personal identity protection. Please… more
- CenterWell (Harrisburg, PA)
- …one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the ... the Tele Sales Agents who are responsible for converting Medicare eligible callers to patients. The Care Delivery Call...PHI / HIPAA information Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- Humana (Harrisburg, PA)
- …part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates ... with resources appropriate for the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2 work assignments are varied and frequently require… more
- WellSpan Health (York, PA)
- Full Time (80 Hours Biweekly) Hybrid Onsite/ Remote (more than 50% onsite) 8-430pm with on-call responsibilities Day Shift **General Summary** Responsible for ... current programs and policies. Assumes the responsibilities of the Clinical Manager as designated. **Duties and Responsibilities** **Essential Functions:** + Related… more