- Centene Corporation (Pittsburgh, PA)
- …with company's policies and programs. Provide greater access to health insurance , by providing education and assistance to Medicare individuals. Distribute ... health screenings. Provide Facilitated Enrollment, help facilitate the continuance of health insurance , and offer assistance with recertification. + Identify… more
- AmeriHealth Caritas (Philadelphia, PA)
- …+ Strong proficiency in Microsoft Office and business applications. **Licensure:** + Active Insurance Producer License ( Health & Life) or ability to obtain ... **Role Overview:** The Medicare Broker Relations Manager drives broker channel growth...+ Manage and optimize independent broker partnerships to meet health plan enrollment objectives. + Identify, recruit, and onboard… more
- Highmark Health (Harrisburg, PA)
- …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... experience in managed care pharmacy + 2 years of clinical account management experience in Medicare as part of the 4 year managed care experience + 2 years of… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** Individual Medicare Advantage (iMA) Rapid Solutions owns the MA Pricing Model (web app ... annual pricing of Humana's largest segment of business, individual plan Medicare Advantage. The team consists of actuaries and business technology professionals… more
- Humana (Harrisburg, PA)
- …experiences **Preferred Qualifications** + Medical management experience, working with health insurance organizations, hospitals and other healthcare providers, ... part of our caring community and help us put health first** The Corporate Medical Director relies on medical...experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Possess analysis… more
- Penn Medicine (East Petersburg, PA)
- …provider in good standing with Medicare , Medicaid, and other federal and state health insurance programs, ie not excluded from participation in Medicare , ... nursing duties in support of the Corporate or Community Health and Wellness programs and activities. + Qualified individuals...Medicaid, or other federal or state health insurance programs + Excellent interpersonal skills + For Community… more
- Humana (Harrisburg, PA)
- …review organization, such as Medicare Advantage, Managed Medicaid, or Commercial health insurance . + Experience with national guidelines such as MCG(R) or ... products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , or other healthcare providers. + Utilization… more
- Penn Medicine (Lancaster, PA)
- …provider in good standing with Medicare , Medicaid, and other federal and state health insurance programs, ie not excluded from participation in Medicare , ... Medicare , Medicaid, and other federal and state health insurance programs ie not excluded from... Medicare or any other federal or state health insurance program. **Preferred Qualifications** + Three… more
- Humana (Harrisburg, PA)
- …review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance . + Experience with national guidelines such as MCG(R) or ... or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice… more
- Humana (Harrisburg, PA)
- …organization focused on continuously improving consumer experiences **Preferred Qualifications** + Health insurance experience + Medicare Advantage ... **Become a part of our caring community and help us put health first** The Actuarial Analyst 2, Pricing is responsible for setting pricing assumptions, submitting… more