Medicare Jobs in Philadelphia

Job title: Patient Biller Job Location: 12401 Washington Boulevard, Whittier, CA 90602 Job Duration: 3 Months assignment (Possibility of extension) Pay Rate- $26/hr. on W2 Shift- 7:30am-4:00pm/8:00am-4:30pm/8:30am-5:00pm Job Description More...

Job Title: Risk Adjustment Data Analyst Job Location: Newark, NJ(Hybrid) Job Type: Full Time Job Summary: The Data Analyst leads the technology process for the end-to-end Risk Adjustment Processing System (RAPS) and Encounter Data Processing System (EDPS) data flow and works within k More...

Title: Data Analyst/Programmer V Location: Remote prefers EST Duration: 3 Months+ (likely extension or possible contract to hire, depending on merit and business need) ** Must be US Persons to be considered *** Position is remote and candidates can sit anywhere in the US. Prefers More...

Role: Peoplesoft Functional / Integration Tester Duration: Long Term Location:New York Mandatory Qualifications: Extensive PeopleSoft 8.x/9.x (v. 9.2 is plus) Functional testing experience in PeopleSoft HR ,NA Payroll(Garnishments) and Global Payroll/ Absence Management More...

Project Description: The Financial Information Services Agency and Office of Payroll Administration (FISA-OPA) has a vacancy for a Peoplesoft Functional/ Integration Tester to support ongoing production maintenance and system enhancements of the HR, Benefits and Payroll function More...

Technical Skills: - Generate pre-check register and authorization form for clients. - Verify approvals have been received. - Modify pre-check based on approvals received, ensuring the batch ties to the client approval. - Generate export file from claims system for check printing. - Ob More...

Job Summary The project manager is accountable for program managing the QNXT insourcing project. The project includes insourcing of QNXT and CCA application from a hosted data center to local data center. The project manager is accountable for execution and managing the program. The More...

One to three years PBM, Medicare, Medicaid, and/or Compliance experienceProgressive and focused work experience in continuous improvement initiatives, project management, and organizational development

Proficient in Basic Microsoft Office applicationsRequiredRequired 3- 5 years Medicaid/Medicare Medical rules and regulations; claim processing and proceduresRequired3YearsRequired knowledge of system applications including Microsoft Office (Excel, Access, Outlook, Word), Facets prefer More...

Training: 2-3 weeks in the office Post training schedule: Hybrid 3 days in an office located in Phoenix, AZ and 2 days work from home Job Description - Generate pre-check register and authorization form for clients Verify approvals have been received Modify pre-check based on appr More...

High School/GED CPhT certification preferred One to three years PBM, Medicare, Medicaid, and/or Compliance experience Progressive and focused work experience in continuous improvement initiatives, project management, and/or organizational developmentThe primary purpose of the job is t More...

Bachelors Degree Achieves outcomes with and through others. Can influence and interact with associates at all levels of the organization. Five to ten years experience managing teams and projects Five to seven years of progressively more responsible corporate communications experience More...

Bachelor's Degree 3 plus years of previous management experience with direct reports a plus 5 plus years formal Process Improvement experience ( using Lean, Six Sigma, Re-Engineering or equivalent 10 plus years healthcare payer or provider experience preferred Knowledge of managed car More...

Role: Claims Examiner Location: Phoenix, AZ (Hybrid) Type: Full time Summary: Under the direction of the Accounting Manager, the Claims Payment Specialist is primarily responsible for ensuring that claims are selected for payment according to client regulations and client process More...

BA or BS in communications, journalism, or related field. Proven success in writing professional web copy. Ability to work as a team with designers, programmers, and managers. Ability to work effectively and efficiently under tight deadlines. Ability to write compelling copy while mai More...

Title : IT Specialist - Expert Location : Menands, NY, 12204 Duration : 24 MONTHS Client : New York State Department of Health Requirements : 84 months experience in the area of:public health information Systems such as Medicaid or the Childs Health Insurance Program 84 month More...

Job Description: Claims Payment Specialist Summary: Under the direction of the Accounting Manager, the Claims Payment Specialist is primarily responsible for ensuring that claims are selected for payment according to client regulations and client processing rules. The position is resp More...

Title: Medical Claim Review Nurse Location: Remote Duration: 6 Months+ Job Description: Position is fully remote and candidates can be located anywhere in the US. Hours are flexible - Training will be approximately 3 weeks and candidates should plan on working 9AM-5PM MST for tra More...

Project Manager Location: Philadelphia ( Remote within a commutable distance) Contract with Possible CTH Our Client, an established Insurance provider on the east coast is looking for someone who brings a drive for excellence, team orientation and customer commitment; help them rei More...

This position serves as an internal and outward-facing, dedicated clinical resource responsible for quality measures supporting the pharmacy department in identifying Star/HEDIS measure needs and expect and developing and managing initiatives to achieve 5 stars. The position has More...