- Lyric (Newtown Square, PA)
- …and other immigration support are not available for this position. The Senior Manager , Clinical Content Maintenance will serve as a strategic partner to our clients, ... Content Analysts. In this intricate role, the Senior Clinical Manager will combine their deep knowledge of CPT, HCPCS,...coding and claims edit logic (including NCCI, LCDs, State Medicaid , MUEs, Lyric edits and payer medical policies) +… more
- CVS Health (Harrisburg, PA)
- …all with heart, each and every day. **Position Summary** + Lead a team of Medicaid Provider Data Services Analysts responsible for loading and maintaining ... Medicaid Provider data within Aetna QNXT. + Team...Medicaid Provider data within Aetna QNXT. + Team...or Network operations. + 1+ years of experience in Medicaid provider operations. + At least 1… more
- Humana (Harrisburg, PA)
- …Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing ... be primarily responsible for implementation, maintenance and support of Medicaid provider reimbursement for hospitals and facilities....EAPG + 2+ years of experience with Optum Rate Manager + 2+ years of experience with Optum WebStrat… more
- Prime Therapeutics (Harrisburg, PA)
- …our passion and drives every decision we make. **Job Posting Title** North Carolina Medicaid Account Manager - Remote Raleigh, NC **Job Description** The Senior ... Account Manager is responsible for providing complex level support for...for providing complex level support for the North Carolina Medicaid business by driving communications, client-facing initiatives, and product… more
- Humana (Harrisburg, PA)
- …providers, with full accountability from strategy to execution. The Lead Product & Strategy Manager - Provider Practice Management role is a critical member of ... first** We are looking for a dynamic Lead Product Manager to develop clinical solutions for our members and...-friendly insights. + Lead the design and refinement of provider -facing data views (dashboards, insights, performance summaries)… more
- CVS Health (Harrisburg, PA)
- …the process for identifying, evaluating, and completing contracting with Specialty and Medicaid provider partners. . Developing relationships with leaders of ... chronic kidney, oncology, polychronic/complex care, and emerging specialty types) or Medicaid provider organizations to design and execute on strategies… more
- Genesis Healthcare (King Of Prussia, PA)
- …through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, ... a meaningful impact in the communities we serve. Responsibilities The Business Office Manager "BOM" must be familiar with company policies and procedures related to… more
- Penn Medicine (Lancaster, PA)
- …related clinical field. + One 1 year of leadership experience. + A health care provider in good standing with Medicare, Medicaid , and other federal and state ... Position Summary: + Under the direction of the Nurse Manager , the Assistant Nurse Manager assesses, plans,...of clinical nursing needs of patients. + Collects objective data with regard to the clinical performance, attitude and… more
- Penn Medicine (Lancaster, PA)
- …AHA Basic Life Support, required within 30 days of hire. + A health care provider in good standing with Medicare, Medicaid , and other federal and state health ... **Position Summary:** + Under the direction of the Nurse Manager , the Assistant Nurse Manager assesses, plans,...of clinical nursing needs of patients. + Collects objective data with regard to the clinical performance, attitude and… more
- Geisinger (Kingston, PA)
- …team to ensure coordination of services. + Works closely with assigned primary care provider site and functions as a case manager for patients with behavioral ... Providers, community agencies, behavioral health, and other health plan departments to provide a model of care to maximize member's health status. Integrates… more
