- Humana (Harrisburg, PA)
- …review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance . + Experience with national guidelines such as MCG(R) or ... part of our caring community and help us put health first** The Medical Director relies on medical background...and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will… more
- WTW (Philadelphia, PA)
- … laws, Medicare , and/or experience in the employee benefits or health insurance industries. The candidate must be comfortable working directly with ... prior in-house experience a plus but not required. + Employee benefits, Medicare , health insurance , ERISA and/or regulatory background preferred. + Strong… more
- Humana (Harrisburg, PA)
- …+ Experience working in coding languages such as SAS and SQL + Prior Medicare Advantage or health insurance background + Additional skills developing ... part of our caring community and help us put health first** The Associate Actuary, Analytics/Forecasting analyzes and forecasts...role provides a unique opportunity to get hands on Medicare Advantage experience in a rapidly growing area outside… more
- Humana (Harrisburg, PA)
- …or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice ... materials, internal teaching conferences, and other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage… more
- CVS Health (Harrisburg, PA)
- …MAPD/DSNP product offerings + Ability to pass, on an annual basis: + American Health Insurance Plans (AHIP) + Continued Education (CE's) + Product Certification ... an exciting opportunity available for highly motivated individuals as Medicare Sales Specialist. The position will be a part...1 to 2 years demonstrated sales experience + Active Health insurance license or willingness to obtain… more
- CenterWell (Harrisburg, PA)
- …+ Utilizationmanagement experience in a medical management review organization, such as Medicare Advantage,managedMedicaid, or Commercial health insurance . + ... or other medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice… more
- Humana (Harrisburg, PA)
- **Become 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 ... Pricer Business and System Support team responsible for administering complex Medicare provider reimbursement methodologies. The business needs of the team continue… more
- CVS Health (Harrisburg, PA)
- …**Required Qualifications** + 5+ years of work experience supporting business processes in the health or drug insurance industry. + 5+ years of work experience ... At CVS Health , we're building a world of health...each and every day. **Position Summary** Located within the Medicare Stars Program Management team, this individual contributor role… more
- Prime Therapeutics (Harrisburg, PA)
- …accreditation processes, and participates in committee review meetings within the Commercial, Medicare , Medicaid, and Health Insurance Marketplace for the ... and/or operations management experience related to, or within Pharmacy Benefit Management (PBM) or health insurance Must be eligible to work in the United States… more
- Humana (Philadelphia, PA)
- …more!** **Use your skills to make an impact** **Required Qualifications** + **Active Health Insurance License** or ability to obtain. **Bilingual** **in English ... on state requirements). **Preferred Qualifications** + **Active Life and Variable Annuity Insurance License** . + Prior experience **selling Medicare products**… more