- 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
- 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
- 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
- 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
- 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
- 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