- Adecco US, Inc. (Pittsburgh, PA)
- …+ Related experience of Center for Medicare /Medicaid Services (CMS) guidelines for Medicare Part D enrollment processes Click on **_apply now_** for ... instant consideration! Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and 401K plan. Our program provides employees the flexibility to choose the type of… more
- Prime Therapeutics (Harrisburg, PA)
- …variety of constituents **Preferred Qualifications** + Integrated health system or health plan experience + Medicare Part D and B experience + Call center or ... are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at ### or email… more
- Organon & Co. (Plymouth Meeting, PA)
- …and state government pricing programs, including Medicaid Drug Rebate Program (MDRP), 340B, Medicare Part B/ D , and the Veterans Affairs (VA)/Department of ... Pricing within the pharmaceutical industry. + Strong knowledge of Medicaid, 340B, Medicare Part B, and VA pricing rules and requirements. + Experience with GP… more
- World Insurance Associates, LLC. (Philadelphia, PA)
- …open items and deliver notes to client (includes compliance needs including 5500 filing, Medicare Part D Disclosures, Reporting, HIPAA, ERISA, COBRA) + ... Engage with clients to educate on market trends, carrier and vendors solutions, EB SME and World capabilities (not just day-to-day service) + Manage vendor/carrier performance and escalated service issues + Finalize and deliver Stewardship report and messaging… more
- WelbeHealth (Harrisburg, PA)
- …of capitation payment model, including ability to track and analyze revenue streams (eg Medicare , Medicaid, Part D ) along with PACE rates and regulatory ... + Assist with month-end close, quarterly financial reporting, financial audit, Medicare /Medicaid audits, and other PACE specific projects + Keep a… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us...as we prepare for the launch of Fully Integrated D -SNP (FIDE) plan in 2026. This individual will focus ... put health first** The MBA Intern - Illinois Medicaid ( Part -time, Fall 2025) will contribute as a team member while completing a full-time MBA program. The paid… more
- Penn Medicine (Lancaster, PA)
- …committee activities, etc Responsibilities: + Minimum Required Qualifications: + Pharm. D . and ASHP-accredited Pharmacy Practice Residency required or equivalent ... + A health care provider in good standing with Medicare , Medicaid, and other federal and state health insurance...or risk, or to tension as a regular, consistent part of the job. + Variety and change: Ability… more
- Guthrie (Sayre, PA)
- …standards of nursing care within the Diabetes Center, which is an integral part of the Endocrinology Department. Education, License & Cert: Must be a Certified ... organizations and School systems, Annual c. Diabetes Children's Day Camp d . Participation Committees promoting outreach: currently RPH AD Hoc outreach committee… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** Become a part of our caring community and help us put health first The Encounter Data ... PowerPoint) + Working knowledge of SQL + Familiarity with EDI X12 formats (837P/I/ D , 999, 277, 835, 270/271, 834) + Demonstrated ability to identify process gaps… more
- Humana (Harrisburg, PA)
- …or other pharmacy related field + Experience in Formulary strategy/development and CMS Part D guidance + Experience in analysis and problem-solving + Excellent ... **Become a part of our caring community and help us...methods to develop and influence formulary strategies for Humana's Medicare line of business. + Utilizes broad understanding of… more