• Senior Analyst, Quality Management

    CVS Health (Harrisburg, PA)
    …data analysis to strategize and achieve operational targets for NCQA HEDIS and Medicare Stars * Provide analysis support for PIP reports to regulators, ... data-driven insights, and enhance the delivery of healthcare services. Provides support in completing regulatory reporting requirements and contributes to the… more
    CVS Health (08/24/25)
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  • Senior Product Owner

    CenterWell (Harrisburg, PA)
    …Owner to lead the delivery of associate-facing contact center technologies that support Pharmacy and Medicare Part D operations. This enterprise-wide platform ... a related field. **Preferred Qualifications:** + Understanding of pharmacy operations and Medicare Part D. + Experience with contact center platforms and CRM… more
    CenterWell (08/23/25)
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  • Senior Software Development Engineer

    CVS Health (Harrisburg, PA)
    …will be responsible for designing, developing, testing and deploying full-stack solutions in support of Aetna's Medicare business. You will work closely with ... Ready to take your Application Development skills to the next level? Aetna Medicare Product Tools & Technology is seeking a Senior Software Development Engineer to… more
    CVS Health (09/02/25)
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  • Lead Director Network Platform Solutions

    CVS Health (Harrisburg, PA)
    …Network; Examples include ensuring data standards are synchronized across Medicaid and Medicare platforms, ensuring duals workflows are support across systems, ... experience in strategy and delivery leadership roles + 5+ years of Medicare /Medicaid and/or Duals experience + Proven success navigating large scale cross functional… more
    CVS Health (08/24/25)
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  • Government Product Sales Representative-…

    UPMC (Pittsburgh, PA)
    …is hiring temporary sales agents to assist with growing membership during the Medicare Annual Enrollment Period. The temporary sales agents will sell Medicare ... Needs plans by handling inbound calls and making outbound calls to Medicare beneficiaries, offering Medicare education, benefit reviews, plan recommendations,… more
    UPMC (07/10/25)
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  • Delaware Valley ACO Fellowship

    Humana (Harrisburg, PA)
    …(DVACO) is an accountable care organization that participates in the Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP), plus ... other commercial and Medicare Advantage value based programs. DVACO is a joint...Health System. Humana takes the lead in providing administrative support in various areas including HR. DVACO's MSSP participation… more
    Humana (07/30/25)
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  • Actuary -VBC Analytics (PCP Focused)

    CVS Health (Blue Bell, PA)
    …models and metrics as well as assists with target setting for PCP Focused Medicare Value Based Contracts (VBC). The role will use Actuarial modeling to understand ... the value created by our VBC Medicare collaboration models as well as any potential financial...presentations with actuarial data and report key findings to support key decision-making stakeholders + Effectively communicate, collaborate, and… more
    CVS Health (09/02/25)
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  • Direct Support Professional

    Aveanna Healthcare (New Castle, PA)
    Direct Support Professional ApplyRefer a FriendBack Job Details Requisition #: 207516 Location: New Castle, PA 16101 Category: Home Health Aide Salary: $16.00 - ... $18.00 per hour Position Details Direct Support Professional Position Overview Working in the home and/or...time with or without notice. As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
    Aveanna Healthcare (08/31/25)
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  • Direct Support Professional

    Aveanna Healthcare (Ellwood City, PA)
    Direct Support Professional ApplyRefer a FriendBack Job Details Requisition #: 204092 Location: Ellwood City, PA 16117 Category: Home Health Aide Salary: $18.00 - ... developing, it's because they haven't been given the proper support (yet). That's where we come in! We are...time with or without notice. As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
    Aveanna Healthcare (08/28/25)
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  • Bilingual Telephonic UM Coordinator

    Humana (Harrisburg, PA)
    …Telephonic UM Coordinator / UM Administration Coordinator 2 provides non-clinical support for the policies and procedures ensuring best and most appropriate ... Providers, Hospitals, Skilled Nursing Facilities and other vendors + Support the UM Nurses to process discharge orders and...+ Document all calls and requests. + Search for Medicare and Medicaid Guidelines. + Process all incoming fax/emails… more
    Humana (08/16/25)
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