- UPMC (Pittsburgh, PA)
- …medical terminology are required, including an understanding of Blue Cross, Medicare , Medical Assistance and commercial insurance coverage for hospitalization ... for the staff when necessary. + Complete appropriate forms, consistent with insurance requirements and follows up on any incomplete or inaccessible information to… more
- Humana (Harrisburg, PA)
- …organizations in the country. The Healthcare Strategy team supports Humana's Insurance segment. This segment, Humana's largest, comprises the majority of the ... experience leveraging core consulting skills, to support delivering some of the Insurance segment's highest priority projects and initiatives, with an emphasis on … more
- Humana (Harrisburg, PA)
- …Principal coordinates, implements, and manages oversight of the company's Medicare /Medicaid Stars Program for aligned areas. The Stars Improvement Principal ... role is responsible for supporting the Stars strategy within Insurance Operations, serving as a subject matter expert for...years or more of CMS Stars program experience + Medicare Advantage experience + Previous leadership experience as a… more
- Penn Medicine (East Petersburg, PA)
- …good standing with Medicare , Medicaid, and other federal and state health insurance programs, ie not excluded from participation in Medicare , Medicaid, or ... other federal or state health insurance programs + Excellent interpersonal skills + For Community Health: One 1 to three 3 years of community public health nursing experience We believe that the best care for our patients starts with the best care for our… more
- Humana (Harrisburg, PA)
- …help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health, SNF, DME, dual Medicare ... teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to… more
- Humana (Harrisburg, PA)
- …help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health, SNF, DME, dual Medicare ... teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to… more
- Humana (Harrisburg, PA)
- …customers at the center of everything it does. Are you passionate about the Medicare population, looking for a role in management with the ability to directly impact ... self-driven individuals to join our team. Our Senior Manager, Medicare Sales, motivates and drives a team of ...be willing to relocate** + **Active Health & Life Insurance Licenses** + 2 or more years of sales… more
- Humana (Harrisburg, PA)
- …+ Insurance Strategy and Solutions + Clinical Operations + Medicare Divisional + Provider Experience + Medicaid **Location:** The summer internship program ... - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions… more
- CVS Health (Harrisburg, PA)
- …for highly motivated individual to lead a core team as a Hybrid Field Sales Medicare Manager. This position will be a part of a specialized team who will focus ... achieve monthly sales goals using our competitive portfolio of Medicare Advantage & DSNP products within the assigned market....+ Bilingual skills are preferred + Life & Health insurance license is a plus but not required to… more
- Heritage Ministries (Conneautville, PA)
- …responsible for the coordination and completion of necessary functions to assure Medicare and other payer's requirements are maintained in regards to clinical ... MDS Coordinator will act as a coordinator of MDS, Medicare , and Restorative Nursing functions. This individual will work...+ 401k + Employer contributed Medical, Dental, and vision insurance + Employer paid life insurance +… more