Top 18 Medicaid specialist Jobs in Pennsylvania

Associate Actuary - Medicaid
Centene —Pennsylvania
- $87,700 - $157,800 a year
- Full-time
- Remote
- Research
- Mid-level
- Analysis skills
- Paid holidays
- Health insurance
11d
Provider Enrollment and Screening
Gainwell Technologies —Pennsylvania
- $95,100 - $135,800 a year
- Full-time
- Remote
- 5 years
- Analysis skills
- Travel
- Health insurance
- Tuition reimbursement
Accounts Receivable-Medicaid Specialist
Dubois Continuum of Care Community —DuBois, PA
- Full-time
- Office
- High school diploma or GED
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply
Medicaid Pending Associate
Quality Life Services —Butler, PA
- Full-time
- Microsoft Word
- Office
- High school diploma or GED
- Paid holidays
- Health insurance
Quick Apply
Payer Enrollment Specialist
METRO COMMUNITY HEALTH CENTER —Pittsburgh, PA
- Full-time
- Mid-level
- Continuous improvement
- Organizational skills
Quick Apply
CHOPPA Enrollment Coordinator
Children’s Hospital of Philadelphia —Philadelphia, PA
- $25.50 - $31.85 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Analysis skills
Quick Apply
Participant Enrollment Specialist
LIFE-NWPA —Oil City, PA
- Full-time
- Mid-level
- Ability to sit for extended periods
- Ability to stand for extended periods
- Paid training
- Mileage reimbursement
Quick Apply
Provider Enrollment Specialist
Deloitte —Mechanicsburg, PA
- Full-time
- Hybrid work
- HIPAA
- Office
- Residential
3d
Enrollment Specialist I -Temporary (On-site)
UPMC —Erie, PA
- $19.47 - $30.40 an hour
- Overtime
- Office
- Microsoft Office
- In-person
8d
Business Office Assistant (Medicaid Coordinator)
Aventura at Pembrooke —West Chester, PA
- Full-time
- Skilled nursing facility
- Customer service
- Mid-level
- Paid holidays
- Paid time off
Quick Apply
Enrollment and Marketing Associate
ELITE HOME HEALTH CARE INC. —Jenkintown, PA
- $18 - $25 an hour
- Full-time
- Office
- Case management
- Organizational skills
Quick Apply
Healthcare Benefits and Finance Advocate |
LECOM Health —Erie, PA
- Full-time
- Skilled nursing facility
- Microsoft Outlook
- Customer service
- AD&D insurance
- Paid holidays
Bilingual Public Benefit Specialist
Ensemble RCM LLC —Wyomissing, PA
- $18.65 - $20.50 an hour
- Full-time
- Spanish
- Hospital
- English
- Tuition reimbursement

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Billing/Collections Specialist
Belmont Behavioral Health System —Philadelphia, PA
Making telephone calls, writing letters, and/or sending faxes to patients, insurance carriers, and other responsible parties in the pursuit of getting a claim…
2h
Medical Biller - Remote
Orthos Inc —Pennsylvania
Our Billing Specialists are responsible for answering patient inquiries, reviewing outstanding or denied insurance claims, submitting insurance appeals, and…
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Pharmacy Benefit Verification Specialist
Onco360 —Columbus, OH
Run test claims at each licensed pharmacy site to obtain a valid claim response and determine optimal reimbursement, then document outcome of benefits review in…
From $24 an hour
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Business Office Assistant (Medicaid Coordinator)
Aventura at Oakwood Village —Springfield, OH
Bachelor’s degree in Accounting, Business Administration, or related field (preferred). Familiarity with state and federal regulations for skilled nursing…
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medicaid specialist jobs near pennsylvania

Associate Actuary - Medicaid

Centene -
Pennsylvania

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Job Details

Full-time
$87,700 - $157,800 a year
11 days ago

Benefits

Paid holidays
Health insurance
401(k)
Tuition reimbursement
Paid time off

Qualifications

Research

Full Job Description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Welcome! Applicants for this role have the flexibility to work remote from home anywhere in the Continental United States. To be considered for this role, candidates must have an ASA or FSA designation, a bachelor’s degree, and at least two years of actuarial experience.

Position Purpose: Conduct analysis, pricing and risk assessment to estimate financial outcomes. Manage health plan specific actuarial needs and produce actuarial reports to aid in developing corporate strategy.

Why this Associate Actuary role is appealing: This role is appealing because it offers the opportunity to make a meaningful impact on a growing team with evolving processes. The associate will gain hands-on experience developing Medicaid forecasts across multiple markets, build strong technical skills, and develop direct exposure to senior leadership and key stakeholders. It’s a unique chance to combine technical actuarial work with real business influence while helping shape how the team operates going forward.

In this Associate Actuary role, you will:

Serve as the main point of contact for actuarial related forecasting activities for assigned health plan(s)
Manage at least 1 health plan
Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes
Developing probability tables based on analysis of statistical data and other pertinent information
Research and analyze the impact from legislative changes
Assess cash reserves and liabilities enable payment of future benefits
Analyze various data reports, identify trends and gaps and recommend action
Determine the equitable basis for distributing money for insurance benefits
Create and update actuarial reports

Additional responsibilities will include:

Developing tools and reporting that improve insight into results.
Collaborate cross‑functionally by sharing knowledge, supporting joint initiatives, and building strong working relationships.

Education/Experience: Bachelor’s degree in related field or equivalent experience. 2+ years of actuarial experience.

License/Certification: Associate of the Society of Actuaries (ASA) (or equivalent international certification)

Preferred Qualifications / skills:

Advanced Excel skills – ability to work with large datasets, build and audit models, and perform efficient data analysis
Medicaid / forecasting experience – familiarity with healthcare cost drivers, PMPM trends, and financial projection processes
Strong communication skills – able to clearly explain data, drivers, and insights to actuarial, finance, and non-technical stakeholders

NOTE: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.

Pay Range: $87,700.00 - $157,800.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Apply Now

Refine Your Search

medicaid specialist jobs in pennsylvania

Associate Actuary - Medicaid

Provider Enrollment and Screening

Accounts Receivable-Medicaid Specialist

Medicaid Pending Associate

Payer Enrollment Specialist

CHOPPA Enrollment Coordinator

Participant Enrollment Specialist

Provider Enrollment Specialist

Enrollment Specialist I -Temporary (On-site)

Business Office Assistant (Medicaid Coordinator)

Enrollment and Marketing Associate

Healthcare Benefits and Finance Advocate |

Bilingual Public Benefit Specialist

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