- Spring Creek Rehabilitation and Nursing Center (Harrisburg, PA)
- …info, post cash, bill Medicaid , Medicare, Insurance, Private, etc. + Medicaid Planning Specialist : Collaborate with the facility business office to ensure ... the resident the application and approval status of all Medicaid Pending cases directly with the residents. + Provide...source information. + Work with the facility to obtain Medicaid , when necessary, by shepherding the process along. +… more
- Prime Therapeutics (Harrisburg, PA)
- …our passion and drives every decision we make. **Job Posting Title** Client Audit Specialist , Sr. - Remote **Job Description** The Client Audit Specialist Sr is ... regulatory, client, and/or functional audit expectations. The Client Audit Specialist Sr provides consultation and strategic advice regarding audit management… more
- Evolent (Harrisburg, PA)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Specialist , Credentialing Operations will be a dynamic role that will encompass determining ... to the Associate Director, Credentialing Operations. **Collaboration Opportunities:** The Specialist , Credentialing Operations team collaborates with the Provider Data… more
- Sumitomo Pharma (Harrisburg, PA)
- …motivated, and experienced individual for the position of **MSPEC** Portfolio Specialist . The successful candidate will be responsible for compliantly driving ... pharmaceutical environment. **Key Core Competencies** + Significant customer (PCP and specialist ) knowledge and understand the business channels and the business… more
- Highmark Health (Harrisburg, PA)
- …medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation ... Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health Information Technician (RHIT) **Preferred** + None… more
- Prime Therapeutics (Harrisburg, PA)
- …management. Enforces teamwork across all internal departments, as well as with Medicaid Clients, and an in-depth understanding of all rebate programs, trends, and ... state laws and standards of practice which govern the Medicaid Drug Rebate Program. + Ensures compliance with each...department are achieved. + Works with Quality and Training specialist to refine and improve any processes that effect… more
- Humana (Harrisburg, PA)
- …able to accommodate EST time zone** **Preferred Qualifications** + SFMC Email Specialist Certification + Experience working in an Agile framework + Experience ... leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- WellSpan Health (York, PA)
- …every 120 days in CAQH. - Runs reports and complete Medicare and Medicaid revalidations for WellSpan Medical Group (WSMG) & Hospital Based providers. - Maintains ... claims or credentialing experience. Preferred Licenses: + Certified Provider Credentialing Specialist Upon Hire Preferred Knowledge, Skills, and Abilities: + Ability… more