• Lead Claims Analyst

    Public Consulting Group (Harrisburg, PA)
    …Project and Grants Management + Assessments and Feasibility Studies Analyzes claims for accuracy, provides client support, documents inquiries, supervises staff, ... process improvements. **Duties and Responsibilities** + Analyzes and reviews claims for accuracy, completeness and eligibility. + Provides leadership, supervision… more
    Public Consulting Group (01/23/25)
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  • Sr. Pricing Analyst - Pharmacy Network…

    Prime Therapeutics (Harrisburg, PA)
    …passion and drives every decision we make. **Job Posting Title** Sr. Pricing Analyst - Pharmacy Network - Remote **Job Description** The Senior Pricing Analyst ... of new or enhanced financial pricing strategies. This position will also lead highly complex financial pricing analyses, and provide consultation and analytic… more
    Prime Therapeutics (01/08/25)
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  • Analyst , Performance Suite Analytics

    Evolent (Harrisburg, PA)
    …positively contribute to Evolent's broader mission. **Collaboration Opportunities:** The Analyst , Performance Suite Analytics utilizes and develops analytic tools to ... and articulating our value.** **Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based on relevant… more
    Evolent (01/22/25)
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  • Pharmacy 340B Program Analyst - Full Time…

    WellSpan Health (York, PA)
    Pharmacy 340B Program Analyst - Full Time - Day Shift Location: WellSpan Health, York, PA Schedule: Full Time Schedule: Full Time 40-hours per week Monday - Friday ... qualified patients, drugs and locations. Monitors and audits state Medicaid claims to ensure compliance to prevent potential duplicate discount rebates. Evaluates… more
    WellSpan Health (01/22/25)
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  • Lead Product Marketing Manager

    Lumen (Harrisburg, PA)
    …connect the world and shape the future. **The Role** We are seeking a Lead Product Marketing Manager to drive the creation and delivery of unique market positioning ... to identify and develop valuable messaging that will drive engaging content. The Lead Product Marketing Manager is expected to be a content marketing expert across… more
    Lumen (01/23/25)
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  • SCA Appeals Rep I (US)

    Elevance Health (Harrisburg, PA)
    …appeals by external accreditation and regulatory requirements, internal policies, and claims events requiring adaptation of written response in clear, understandable ... and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize...and regulatory standards and requirements. + As such, the analyst will strictly follow department guidelines and tools to… more
    Elevance Health (01/11/25)
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