- Humana (Harrisburg, PA)
- …other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage and Medicaid requirements, and will understand how ... includes some experience in an inpatient environment and/or related to care of a Medicare or Medicaid type population + Current and ongoing Board Certification in an… more
- Humana (Philadelphia, PA)
- …on state requirements). **Preferred Qualifications** + **Active Life and Variable Annuity Insurance License** . + Prior experience **selling Medicare products** ... of everything it does. The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role, and candidates must live… more
- Centene Corporation (Pittsburgh, PA)
- …accordance with company's policies and programs. Provide greater access to health insurance , by providing education and assistance to Medicare individuals. ... Provide Facilitated Enrollment, help facilitate the continuance of health insurance , and offer assistance with recertification. + Identify prospective enrollees… more
- CVS Health (Harrisburg, PA)
- …all with heart, each and every day. **Position Summary** Located within the Medicare Stars Program Management team, in this individual contributor role you will ... years of work experience supporting business processes in the health or drug insurance industry. + 5+ years of work experience managing complex business projects… more
- AmeriHealth Caritas (Philadelphia, PA)
- **Role Overview:** The Medicare Broker Relations Manager drives broker channel growth and ensures sales success. This position is responsible for cultivating and ... brokers and general agencies, while ensuring full compliance with Centers for Medicare & Medicaid Services (CMS), state, and internal regulations. This highly… more
- Humana (Harrisburg, PA)
- …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 hydrated via ... annual pricing of Humana's largest segment of business, individual plan Medicare Advantage. The team consists of actuaries and business technology professionals… more
- Penn State Health (Hershey, PA)
- …and/or Revenue Cycle Insurance . + Follow up background Medicaid Hospital Insurance billing experience + Follow up background Medicare / Medicare HMO ... Parental Leave. + **_Be Secured_** with Retirement, Extended Illness Bank, Life Insurance , and Identity Theft Protection. + **_Be Rewarded_** with Competitive Pay,… more
- Humana (Harrisburg, PA)
- …clinical experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Possess analysis and interpretation ... **Preferred Qualifications** + Medical management experience, working with health insurance organizations, hospitals and other healthcare providers, patient interaction,… more
- Highmark Health (Harrisburg, PA)
- …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 ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of… more
- Highmark Health (Pittsburgh, PA)
- …required by policy/procedure. (25%) + For Outpatient Techs: Validates Medicaid, Medicare , or commercial insurance drug coverage and ensures adjudication ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of… more