• Senior Coordinator , Medicare

    CVS Health (Harrisburg, PA)
    …eligibility verification and compliance with CMS (Centers for Medicare & Medicaid Services) requirements. The Senior Coordinator will support and help lead ... and every day. **Position Summary** CVS Health is seeking a Senior Coordinator , Medicare Eligibility & Compliance (Accounting) to join our dynamic Medicare more
    CVS Health (08/09/25)
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  • Assistant Service Coordinator - Must…

    UPMC (Pittsburgh, PA)
    …disabilities in the Commonwealth who are covered by Medicare and Medicaid . The CHC Assistant Service Coordinator assists in providing service coordination ... who serve the Participant (ie state agency or service coordinator assigned to case + Collect program data to...needed LTSS and Medical Assistance services, as well as non- Medicaid funded medical, social, housing, educational, and other services… more
    UPMC (08/08/25)
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  • Insurance Coordinator

    Fresenius Medical Center (Harrisburg, PA)
    …insurance options: + Educates on the availability of alternative insurance options (ie, Medicare , Medicaid , Medicare Supplement, State Renal programs and ... + Discusses insurance options when insurance contracts are terminated. Responsibilities involving Medicare and Medicaid include but are not limited to: +… more
    Fresenius Medical Center (08/02/25)
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  • Bilingual Telephonic UM Coordinator

    Humana (Harrisburg, PA)
    …Facilities and other vendors. + Document all calls and requests. + Search for Medicare and Medicaid Guidelines. + Process all incoming fax/emails request for ... help us put health first** The Bilingual Telephonic UM Coordinator / UM Administration Coordinator 2 provides...over 23 years. CarePlus strives to help people with Medicare , or both Medicare and Medicaid more
    Humana (08/16/25)
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  • Senior Coordinator Complaint & Appeals

    CVS Health (Harrisburg, PA)
    …encourage people with military experience. As a Complaints Tracking Module (CTM) Senior Coordinator , you will be part of the Medicare Complaints Tracking Module ... (CTM) Team, responsible for researching and resolving Medicare complaints received via the Centers for Medicaid and Medicare Services (CMS). In this role,… more
    CVS Health (08/13/25)
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  • Registered Nurse Regulatory & Accreditation…

    Penn State Health (Lancaster, PA)
    …Accreditation Program Coordinator -Quality, helps maintain compliance to Centers for Medicare and Medicaid Conditions of Performance and legal protection for ... primary purpose of the RN Regulatory & Accreditation Program Coordinator -Quality is to establish regulatory presence at the local...General, The State Board of Pharmacy and Centers for Medicare and Medicaid Services. The importance of… more
    Penn State Health (07/26/25)
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  • Data Coordinator , Government Audits…

    Penn Medicine (Bala Cynwyd, PA)
    …Comprehensive Error Rate Testing (CERT), Payment Error Rate Measurement (PERM), Medicaid Integrity Program (MIP) and/or Medicare Administrative Contractor (MAC) ... employees shape our future each day. Are you living your life's work? **Data Coordinator , Government Audits and Appeals** Job Summary: + The Data Coordinator ,… more
    Penn Medicine (08/07/25)
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  • CHC Service Coordinator Supervisor- Erie,…

    UPMC (Pittsburgh, PA)
    …and individuals with physical disabilities in the Commonwealth who are covered by Medicare and Medicaid . Provides service coordination services, according to the ... UPMC Health Plan is looking for Service Coordinator Supervisors to join the Community HealthChoices team...level of need. The Service Coordinator Supervisor will be responsible for the performance of… more
    UPMC (07/24/25)
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  • Service Coordinator - Southeast, PA (Hybrid…

    UPMC (Philadelphia, PA)
    …and individuals with physical disabilities in the Commonwealth who are covered by Medicare and Medicaid . To provide service coordination services across the ... access to needed LTSS and Medical Assistance services, as well as non- Medicaid funded medical, social, housing, educational, and other services and supports.… more
    UPMC (08/08/25)
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  • Clinical Reimbursement Coordinator , RN

    Genesis Healthcare (York, PA)
    …standards of care. *Manage the overall process and tracking of all Medicare / Medicaid case-mix documents to assure appropriate reimbursement for services provided ... while making a meaningful impact in the communities we serve. Responsibilities The MDS Coordinator - RN is responsible for the timely and accurate completion of the… more
    Genesis Healthcare (08/08/25)
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