• Medicaid Specialist

    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 (02/25/25)
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  • Regional Floating Medicaid Application…

    Genesis Healthcare (York, PA)
    …complexities of Medicaid eligibility? Then join us as a Regional Floating Medicaid Application Specialist . In an assigned geography, you will improve the ... quality of all revenue cycle management Medicaid Eligibility related functions, from patient pre-admission to discharge, to optimize revenue collection. Position… more
    Genesis Healthcare (03/14/25)
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  • Operations Specialist

    Aveanna Healthcare (Harrisburg, PA)
    Operations Specialist ApplyRefer a FriendBack Job Details Requisition #: 200713 Location: Harrisburg, PA 17110 Category: Business Operations Salary: $20.00 - $22.00 ... per hour Position Details Position Overview As an Operations Specialist , you will be an integral part of the team, contributing to the seamless functioning of… more
    Aveanna Healthcare (03/11/25)
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  • Operations Specialist

    Aveanna Healthcare (Reading, PA)
    Operations Specialist - Credentialing/Onboarding ApplyRefer a FriendBack Job Details Requisition #: 203042 Location: Reading, PA 19606 Category: Business Operations ... Salary: $17.00 - $20.00 per hour Position Details Position Overview The Operations Specialist is responsible for providing top level customer service to internal and… more
    Aveanna Healthcare (02/14/25)
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  • Clinical Service Specialist : 700 Lancaster…

    Penn Medicine (Manheim, PA)
    …day. Are you living your life's work? Job Title: Clinical Service Specialist Entity: Lancaster General Hospital Location: Manheim Outpatient Center - 700 Lancaster ... A health care provider in good standing with Medicare, Medicaid , and other federal and state health insurance programs,...insurance programs, ie not excluded from participation in Medicare, Medicaid or any other federal or state health insurance… more
    Penn Medicine (01/28/25)
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  • Value-Based Reimbursement Specialist

    Highmark Health (Harrisburg, PA)
    …goals including but not limited to Government Markets (STARS, ACA, CHIP, Medicaid DE) and Enterprise Quality, Safety, and Values (Health Outcomes Measures). Provide ... share models and will be implemented for the Organization's Medicare Advantage, Medicaid , ACA, and commercial populations with the goal of maximizing quality while… more
    Highmark Health (02/25/25)
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  • Hierarchical Condition Category (HCC) Coding…

    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
    Highmark Health (03/04/25)
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  • Clinical Informatics Specialist Registered…

    Penn Medicine (Lancaster, PA)
    …problem solving skills + A health care provider in good standing with Medicare, Medicaid , and other federal and state health insurance programs, ie not excluded from ... participation in Medicare, Medicaid or any other federal or state health insurance program. + Obtain and maintain an Epic certification and/or obtain within 1 year… more
    Penn Medicine (01/14/25)
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  • Manager Rebate Pharmacy Operations

    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
    Prime Therapeutics (02/05/25)
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  • Network Relations Manager (Ltss)

    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
    CVS Health (03/04/25)
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  • Outpatient Pharmacist (Full time, Nights)

    Penn Medicine (Lancaster, PA)
    …are placed in compartments for specified days of the week + Provides specialist health check services, such as measuring and fitting compression hosiery, monitoring ... A health care provider in good standing with Medicare, Medicaid , and other federal and state health insurance programs,...insurance programs, ie not excluded from participation in Medicare, Medicaid or any other federal or state health insurance… more
    Penn Medicine (02/22/25)
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  • Family Practice Physician - Sycamore Square

    Lancaster General Health (Lancaster, PA)
    …a Family Physician. + A health care provider in good standing with Medicare, Medicaid , and other federal and state health insurance programs, ie not excluded from ... participation in Medicare, Medicaid or any other federal or state health insurance...three (3) years clinical patient care experience as a specialist in Family Medicine. **Benefits At A Glance:** PENN… more
    Lancaster General Health (02/03/25)
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  • Outpatient Internal Medicine Physician

    Lancaster General Health (Lancaster, PA)
    …in clinical medicine. + A health care provider in good standing with Medicare, Medicaid , and other federal and state health insurance programs, ie not excluded from ... participation in Medicare, Medicaid or any other federal or state health insurance...three (3) years clinical patient care experience as a specialist . **COGNITIVE REQUIREMENTS** **ATTENTION/CONCENTRATION -** The following level of… more
    Lancaster General Health (01/01/25)
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  • Family Practice Physician

    Lancaster General Health (Lancaster, PA)
    …a Family Physician. + A health care provider in good standing with Medicare, Medicaid , and other federal and state health insurance programs, ie not excluded from ... participation in Medicare, Medicaid or any other federal or state health insurance...three (3) years clinical patient care experience as a specialist in Family Medicine. **COGNITIVE REQUIREMENTS** **ATTENTION/CONCENTRATION -** The… more
    Lancaster General Health (12/30/24)
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  • Referral Coordinator (40 hours/week on 1st Shift)

    Penn Medicine (Lititz, PA)
    …preparing medical records and providing appropriate clinical information to the specialist . Communicating appointment information and expectations with patients in a ... Basic medical terminology. + Knowledge of various insurance plans such as Medicaid , Medicare and Commercial insurances. + Ability to work efficiently and comfortably… more
    Penn Medicine (03/12/25)
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  • Field Medical Director, Interventional Cardiology…

    Evolent (Harrisburg, PA)
    …Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the ... or sanction by any state or federal health care program, including Medicare or Medicaid , and is not identified as an "excluded person" by the Office of Inspector… more
    Evolent (01/30/25)
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