• 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 (12/26/24)
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  • Business Office Manager

    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
    Spring Creek Rehabilitation and Nursing Center (12/11/24)
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  • Clinical Service Specialist

    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
    Lancaster General Health (11/23/24)
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  • Specialist , Credentialing Operations…

    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
    Evolent (12/05/24)
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  • Multi-Specialty Portfolio Specialist

    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
    Sumitomo Pharma (11/12/24)
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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 (12/20/24)
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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 (11/06/24)
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  • Network Relations

    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 (11/06/24)
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  • Daytime Hospitalist - Lancaster General Hospital

    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 (12/10/24)
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  • Outpatient Pharmacist (3rd…

    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 (12/07/24)
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  • Practice Coding Coordinator (24 hours/week)

    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 (12/07/24)
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  • Practice Coding Coordinator (40 hours/week)

    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 (12/03/24)
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  • Family Medicine Physician - Twin Rose Family…

    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 (11/20/24)
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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 (10/01/24)
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  • Geriatrician

    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 (10/01/24)
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  • Senior Payment Integrity Analyst

    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
    HealthEdge Software Inc (12/18/24)
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