• Medicaid Eligibility Manager - remote

    Cognizant (Harrisburg, PA)
    …quality, productivity, screening, and approvals and any other critical metrics per contract with clients. This leader will manage teams that connect uninsured ... among patients, hospitals, and government agencies to ensure eligibility for Medicaid , social security, county indigent, or other types of healthcare funding.… more
    Cognizant (05/29/25)
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  • Senior Director Clinical Account Management…

    Prime Therapeutics (Harrisburg, PA)
    …our passion and drives every decision we make. **Job Posting Title** Senior Director Clinical Account Management - Remote **Job Description** The Sr Director ... with the client in order to maximize client satisfaction, contract renewals and the adoption of new or expanded...experience in healthcare or pharmacy benefit management, preferably in Medicaid . + 5 years of leadership / people management… more
    Prime Therapeutics (04/09/25)
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  • Director of Revenue Cycle Management

    Devereux Advanced Behavioral Health (West Chester, PA)
    …understands various business operations related to revenue cycle management, contract management, revenue verification, financial performance and sustainability? If ... answered YES, then consider joining our Devereux Advanced Behavioral Health team as a Director of Revenue Cycle Management Every day as a ** Director of Revenue… more
    Devereux Advanced Behavioral Health (05/23/25)
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  • National Account Director - Market Access

    IQVIA (Philadelphia, PA)
    …deliver medical breakthroughs in the real world. PURPOSE The National Account Director is responsible for managing all aspects of national and regional accounts, ... Execute the effective launch of new drugs in Managed Care accounts, PBMs, Medicaid PBMs, and State Government Accounts by introducing product lines to accounts with… more
    IQVIA (05/31/25)
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  • Director , Research Finance and Compliance

    St. Luke's University Health Network (Allentown, PA)
    …serve, regardless of a patient's ability to pay for health care. The Director , Research Finance and Compliance provides strategic and operational leadership for the ... Analysis (CA), cost analysis, and internal/sponsor budgets, including facilitation of contract and budget negotiations within study start-up timelines and the… more
    St. Luke's University Health Network (04/29/25)
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  • Manager Rebate Pharmacy Operations

    Prime Therapeutics (Harrisburg, PA)
    …the Medicaid Drug Rebate Program. + Ensures compliance with each State Medicaid contract . + Maintains rebate records in accordance with all applicable state ... teamwork across all internal departments, as well as with Medicaid Clients, and an in-depth understanding of all rebate...auditors for yearly SOC-1 audit. + Works directly with Director to fulfill OIG and CMS audit requests. +… more
    Prime Therapeutics (05/07/25)
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  • Medical Accounts Receivable Specialist

    Robert Half Accountemps (Scranton, PA)
    …timely submission of medical claims to insurance providers, including Medicare and Medicaid . The ideal candidate will be organized, detail-oriented, and committed to ... plans accordingly Identify and communicate payment trends to Supervisor & /or Director Revenue Cycle, related to payers, CPT codes, diagnosis codes, etc. Research… more
    Robert Half Accountemps (05/14/25)
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