- Highmark Health (Meadville, PA)
- **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** This position is eligible for a $5,000 sign on bonus for a 1-year commitment ... required by policy/procedure. (25%) + For Outpatient Techs: Validates Medicaid, Medicare , or commercial insurance drug coverage and ensures adjudication is complete… more
- Redeemer Health Home Care & Hospice (Philadelphia, PA)
- OVERVIEW Joining Redeemer Health means becoming part of an inclusive, supportive team where your professional growth is valued. Our strength comes from bringing ... meeting daily/weekly productivity and reasonable quality work expectations. Collaborates with Health System departments to achieve the key performance metric targets… more
- CVS Health (Harrisburg, PA)
- At CVS Health , we're building a world of health...day. **Position Summary** : This is a work at home opportunity for candidates located in any state. At ... and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we… more
- CVS Health (Harrisburg, PA)
- …Medicare sales experience + 2-5 years selling Medicare products though in- home and community activities + Active Health License & CMS Required ... At CVS Health , we're building a world of health...sales leadership talent! We have an exciting work from home opportunity available for highly motivated individual to lead… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Delaware Valley ACO (DVACO) is an accountable care organization that participates in the ... Centers for Medicare and Medicaid Services' Medicare Shared Savings...venture among three stakeholders: Humana (majority owner), Main Line Health System, and Jefferson Health System. Humana… more
- CVS Health (Harrisburg, PA)
- …metrics, implementing process improvements as needed. + Ensure compliance with all Medicare regulations and CVS Health policies. + Collaborate with ... At CVS Health , we're building a world of health...Clinical Reimbursement Specialists, ensuring accurate and timely qualification of Medicare patients and Medicare appeals. This role… more
- CVS Health (Pittsburgh, PA)
- …experience of selling multiple Medicare products (ie, Medicare Advantage, Medicare Supplement)_ + _Life & Health insurance license is not required to ... At CVS Health , we're building a world of health...and retain through the use of the Aetna IVL Medicare product portfolio.This role will deploy an operating model… more
- Geisinger (Williamsport, PA)
- …in the Medicare line of business. + Delivers sales presentations to Medicare eligible audiences in both group and home settings. + Presents managed ... the assigned region. Job Duties Cultivates new sales of Medicare Advantage HMO and PPO plans, and Medicare...in a group setting as well as in a home setting. Presents the managed care concept to employer… more
- Humana (Harrisburg, PA)
- …focusing on quality management, utilization management, case management, discharge planning and/or home health or post acute services such as inpatient ... Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. +… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** CMS Programs Quality Strategy Lead will support Humana through successful participation in ... CMS/CMMI (Centers for Medicare and Medicaid Innovation) Multi-Payor and Accountable Care Initiatives....Medical Benefits + Dental Benefits + Vision Benefits + Health Savings Accounts + Flex Spending Accounts + Life… more