- Highmark Health (Harrisburg, PA)
- …is responsible for the following: + Prospects, promotes and sells Highmark Wholecare's Medicare Assured product + Consistently meets or exceeds monthly sales ... department sales goals + Develops and implements sales plan for assigned territory; identifies and networks with...assures applications are in compliance with CMS (Center for Medicare and Medicaid Services) regulations and company policies and… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Sales Support Representative 2 provides timely and effective sales administrative ... support to assist with the acquisition or retention of customers. The Sales Support Representative 2 performs varied activities and moderately complex… more
- Highmark Health (Camp Hill, PA)
- …strategies, Medication Therapy Management, utilization management, immunizations, specialty pharmacy, Medicare Stars, and Medicaid HEDIS to strategies designed to ... value based programs for both the commercial and government business (ACA, Medicare STARS, Medicaid HEDIS, risk revenue). + Function as the Organization's … more
- HealthEdge Software Inc (Harrisburg, PA)
- …products (from basic to advanced features/functionality), payment methodologies/policies ( Medicare , Medicaid, and commercial), payment integrity, and healthcare plan ... payment integrity, and enterprise level. Our Reimbursement Transformation features Medicare and Medicaid content coupled with flexible contract configuration… more
- Highmark Health (Harrisburg, PA)
- …with outside entities regularly to learn of community needs. + Collaborate with Medicare Sales team to identify enrollment opportunities. + Other duties as ... health education presentations as required. + Serve as a representative in the community. Attend meetings and events with...+ Build an understanding of SDOH, Managed Care issues, Medicare , Medicaid, Dual Special Needs and delivery of those… more
- Highmark Health (Harrisburg, PA)
- …(STAR/HEDIS). The incumbent may participate as a regional representative on key operational /product/medical management/reimbursement projects/initiatives that ... Word. + Knowledge of required compliance with Centers of Medicaid and Medicare services (CMS) laws and regulations, policies and guidelines regarding Medicare… more
- Cardinal Health (Harrisburg, PA)
- …needs of the patient and/or program * Resolve patient's questions and any representative for the patient's concerns regarding status of their request for assistance ... the client * Serve as a liaison between client sales force and applicable party * Mediate situations in...Patient Support Service experience, preferred * Clear knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers… more
- Cardinal Health (Harrisburg, PA)
- …preferred * Patient Support Service experience, preferred * Clear knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers' policies and guidelines ... member (when applicable) * Resolve patient's questions and any representative for the patient's concerns regarding status of their...the client * Serve as a liaison between client sales force and applicable party * Mediate situations in… more
- HealthEdge Software Inc (Harrisburg, PA)
- …payment integrity, and enterprise level. Our Reimbursement Transformation features Medicare and Medicaid content coupled with flexible contract configuration ... Collaborate closely with cross-functional teams, including engineering, design, marketing, and sales , to develop and launch products. + User Experience:Build UI… more
- Cardinal Health (Harrisburg, PA)
- …needs of the patient and/or program + Resolve patient's questions and any representative for the patient's concerns regarding status of their request for assistance ... the client + Serve as a liaison between client sales force and applicable party + Mediate situations in...Patient Support Service experience, preferred + Clear knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers… more