• Senior Analyst , Client Analytics

    Evolent (Harrisburg, PA)
    …**What You Will Be Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization trends, ... working seamlessly with diverse teams and stakeholders. + Familiarity with healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including… more
    Evolent (03/13/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Harrisburg, PA)
    …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be ... IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
    Humana (03/04/25)
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  • Analyst , Client Analytics

    Evolent (Harrisburg, PA)
    …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Analyst , Client Analytics** Integrate and analyze claims and enrollment data from ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...a health plan, consulting firm, hospital system or other healthcare -related experience-Preferred. + 1-5 years of experience using SQL… more
    Evolent (03/22/25)
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  • Lead Clinical & Population Health Analyst

    Highmark Health (Harrisburg, PA)
    …through analytics and reporting solutions aligned to the Quadruple Aim of Healthcare : lower per capita health care costs, improved outcomes from and quality ... patterns in varied and complex data; and articulates analytic findings, business implications, and recommendations to realize identified opportunities. This position… more
    Highmark Health (03/13/25)
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  • Clinical & Population Health Analyst

    Highmark Health (Harrisburg, PA)
    …insights which identify actionable opportunities aligned to the Quadruple Aim of Healthcare : lower per capita health care costs, improved outcomes from and quality ... in varied and complex data; and articulates analytic findings, business implications, and recommendations to realize identified opportunities. **ESSENTIAL… more
    Highmark Health (03/08/25)
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  • Senior Medical Stop Loss Underwriter

    Highmark Health (Harrisburg, PA)
    …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... lower level HMIG Underwriters. **ESSENTIAL RESPONSIBILITIES** + Responsible for a book of business of renewing accounts and writing new business at profitable… more
    Highmark Health (03/06/25)
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