- Spring Creek Rehabilitation and Nursing Center (Harrisburg, PA)
- Medicaid Specialist - Full Time - Monday-Friday Harrisburg, PA Spring Creek in Harrisburg is currently hiring for a full time Medicaid Specialist ! Spring ... Creek is opening a Medicaid Specialist position to support our current Business Office Manager....current Business Office Manager. Join our team as a Medicaid Specialist today! This is an excellent… more
- 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
- 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
- CVS Health (Harrisburg, PA)
- …relationships by assisting with or responding to complex issues regarding Medicaid policies and procedures, service, claims or compensation issues, and provider ... duties as assigned. **Required Qualifications** + 3+ years' experience in Medicaid Managed Care business segment environment servicing providers with exposure to… more
- HealthEdge Software Inc (Harrisburg, PA)
- **Overview** **Position Overview:** We are seeking a Senior Payment Integrity Specialist to play a key role in building and implementing proprietary healthcare edits ... and enterprise level. Our Reimbursement Transformation features Medicare and Medicaid content coupled with flexible contract configuration capabilities for… more