• Lead Director, Project Program Management,…

    CVS Health (Harrisburg, PA)
    …**Required Qualifications** + Bring 10-15 years of experience in Marketing, Sales, and Insurance , with required Medicare expertise. + Offer 5-10 years of ... each and every day. **Position Summary** Drive growth for Medicare Advantage External Distribution Partnerships by setting strategic sales...experience in Medicare Advantage organizations. + Leverage 5+ years in … more
    CVS Health (10/05/25)
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  • Manager Mid-Market & Small Group Retiree Solutions

    Highmark Health (Camp Hill, PA)
    …management, with a proven track record of achieving and exceeding sales targets OR Medicare /Health Insurance industry. + Two years of experience in Management or ... authority. + As a seasoned Group Retiree market expert ( Medicare Advantage, Medicare Supplement, Part D, ...this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described… more
    Highmark Health (09/02/25)
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  • Director, Internal Audit - Insurance

    Humana (Harrisburg, PA)
    …assessment, and internal control frameworks. + Experience working within health insurance , preferably Medicare and/or Medicaid. + Excellent communication skills, ... paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 10-13-2025 **About us**… more
    Humana (10/01/25)
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  • CHC Service Coordinator- Erie, PA- Hybrid

    UPMC (Pittsburgh, PA)
    …identified needs through other sources, including services provided under Medical Assistance, Medicare or private insurance , and other community resources. + ... individuals with physical disabilities in the Commonwealth who are covered by Medicare and Medicaid. To provide service coordination services across the continuum of… more
    UPMC (09/25/25)
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  • Provider Appeals & Grievances Specialist (remote)

    Cognizant (Harrisburg, PA)
    …provider's office) Medicaid insurance customer service or claims processing Medicaid/ Medicare Insurance Customer Service with managed care plans or directly ... to further their abilities and knowledge of Medicaid medical insurance processes as they will be responsible for the...with CMS Billing and Coding-Medical Insurance Knowledge of Member/Provider Appeals and Grievances, processes, resolutions,… more
    Cognizant (10/07/25)
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  • Insurance Coordinator

    Fresenius Medical Center (Carlisle, PA)
    …coordinate insurance options: + Educates on the availability of alternative insurance options (ie, Medicare , Medicaid, Medicare Supplement, State Renal ... and annual indigent waivers. + Discusses insurance options when insurance contracts are terminated. Responsibilities involving Medicare and Medicaid include… more
    Fresenius Medical Center (09/18/25)
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  • Assistant Service Coordinator- Must be located…

    UPMC (Pittsburgh, PA)
    …identified needs through other sources, including services provided under Medical Assistance, Medicare or private insurance and other community resources. + ... individuals with physical disabilities in the Commonwealth who are covered by Medicare and Medicaid. The CHC Assistant Service Coordinator assists in providing… more
    UPMC (10/09/25)
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  • CHC Service Coordinator Nursing Facility-…

    UPMC (Pittsburgh, PA)
    …needs through other sources, including services provided under Medical Assistance , Medicare or private insurance and other community resources. + Actively ... for Medical Assistance! Additionally, CHC is also for individuals that qualify for Medicare , Medicaid, or require a nursing facility level of care. The CHC Service… more
    UPMC (09/25/25)
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  • RN / Registered Nurse Admissions - Hospice

    BrightSpring Health Services (York, PA)
    …comprehensive clinical assessments to determine eligibility for hospice based on Medicare / insurance guidelines + Coordinate the start of services (nursing, ... and timely documentation Benefits and Perks for You! + Medical, Dental, Vision insurance + Health Savings & Flexible Spending Accounts (up to $5,000 for childcare)… more
    BrightSpring Health Services (09/20/25)
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  • Research Specialist, ONC - (Coverage Analyst)

    UPMC (Pittsburgh, PA)
    …to determine what is billable to third-party payers, ensuring alignment with Medicare and other insurance coverage rules, and identifying study-related costs ... billable versus non-billable items and services. + Ensure compliance with Medicare 's Clinical Trial Policy and other payer regulations related to clinical… more
    UPMC (10/03/25)
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