- 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
- Lancaster General Health (Lancaster, PA)
- …Podiatry practice. Clincial and clerical role **Job Description** **Title: Clinical Service Specialist ** **Location: LGH** **0.5 FTE, Part time, 20 hours per week ... 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
- 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
- Prime Therapeutics (Harrisburg, PA)
- …our passion and drives every decision we make. **Job Posting Title** Client Audit Specialist , Sr. - Remote **Job Description** As a member of the Client Audit ... Management (CAM) team, the Client Audit Specialist , Sr is accountable for managing regulatory and/or client-initiated audits. This role maintains a thorough… 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
- 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 (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 . **Benefits At A Glance:** PENN MEDICINE LANCASTER GENERAL… more
- 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 (Lancaster, PA)
- …in Internal 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...least three years clinical patient care experience as a specialist in Hospital Medicine. **COGNITIVE REQUIREMENTS** **ATTENTION/CONCENTRATION** **-** The… more
- 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 (Lancaster, PA)
- …diploma or equivalent (GED). + Certification as a Certified Coding Specialist -Physician (CCS-P) through AHIMA (American Health Information Association), or certified ... 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
- Lancaster General Health (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
- Lancaster General Health (Lancaster, PA)
- …diploma or equivalent (GED). + Certification as a Certified Coding Specialist -Physician (CCS-P) through AHIMA (American Health Information Association), or certified ... 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
- 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
- Prime Therapeutics (Harrisburg, PA)
- …The Sr Health Plan Account Manager serves as a line of business specialist for their assigned account/s and provides information, analyses, and consulting to the ... in the market. **Responsibilities** + Serve as a line of business specialist responsible for managing client relationships within assigned health plan/s; effectively… more
- Centene Corporation (Harrisburg, PA)
- …FROM HOME WITH 75% TRAVEL IN YORK AND SURROUNDING COUNTIES TO SUPPORT LTSS MEDICAID PARTICIPANTS IN NURSING FACILITIES.** **TRAVEL WILL BE WITHIN 1 - 1/2 HOURS ... ongoing long-term care plans/service plans and works to identify providers, specialist , and/or community resources needed for long-term care + Coordinates as… more