- Sedgwick (Erie, PA)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Team Lead - Consumer **PRIMARY PURPOSE:** To supervise the operation ... activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on ...Excellent negotiation skills * Ability to work in a team environment * Ability to meet or exceed Performance… more
- Highmark Health (Pittsburgh, PA)
- …the incumbent will work as part of a technical, cross functional analytics team , solving complex data problems and delivering insights to enable analytics strategy. ... aspect of our organization - patient data, member data, claims information, communications, strategic vendors, and more - to...Ability to work independently and as part of a team + Experience with data science and machine learning… more
- CROSSMARK (Erie, PA)
- …as needed. * Assist Supervisor by always providing leadership and knowledge to the team . * Possesses the aptitude and ability to gain adequate knowledge of the ... and ability to proactively intercept, engage, interact, and sell product to the consumer in a positive manner. * Able to assist/perform all job responsibilities… more
- CROSSMARK (Monroeville, PA)
- …as needed. * Assist Supervisor by always providing leadership and knowledge to the team . * Possesses the aptitude and ability to gain adequate knowledge of the ... and ability to proactively intercept, engage, interact, and sell product to the consumer in a positive manner. * Able to assist/perform all job responsibilities… more
- HealthEdge Software Inc (Harrisburg, PA)
- …**REQUIRED HOURS: Full-time.** **REQUIRED DUTIES:** + Develop the product roadmap for claims value stream and lead high-level epic planning for current ... the commercialization and organization enablement of features that the team creates. + Lead and define high-level...customers and internal stakeholders. + Work closely with UX team to build and validate the overall consumer… more
- Highmark Health (Harrisburg, PA)
- …the strategic implementation of new or transitioned accounts while managing a team of professionals. The scope of responsibility may include; Administrative Services ... (ASO); TPA services with an expanded BCI/HNAS offering and management of claims funding and cash management. While identifying and driving process improvements… more
- Kepro (PA)
- …expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an ... - making this a great time to join our team of passionate individuals dedicated to being a vital...a flexible workforce, ready to meet varying client and consumer needs. + Be prepared to undertake other tasks… more
- Deloitte (Philadelphia, PA)
- …follow-on business development efforts with existing engagements and client referrals. + Lead team in development of quantitative and/or qualitative analysis ... Oversee multiple engagements each with its own multi-disciplinary, international team + Develop enduring customer relationships through client engagement...(eg, claims data analysis, market research data) to drive meaningful… more
- Highmark Health (Pittsburgh, PA)
- …requirements and balance them successfully. + Ability to directly and successfully lead , mentor and develop a talented team of high-performing individuals ... and ASO medical products across all geographies and customer segments, this team is responsible for the strategy, design and implementation of medical products… more
- ICON Clinical Research (Blue Bell, PA)
- …clinical development. Symphony Health, part of the ICON plc family, is a team of curious thinkers and intellectual problem solvers driving the healthcare data ... Health is seeking a dedicated individual to join our Promotional Effectiveness team who can help us deliver exceptional customer experiences within our growing… more
- JPMorgan Chase (Philadelphia, PA)
- …solutions for clients with complex challenges. Job responsibilities + Supports the team in configuring and modifying the firm's existing products and solutions, ... and analyzes relevant client and market data to support the Solutions team in delivering impactful solutions + Prepare and deliver technical presentations and… more
- Humana (Harrisburg, PA)
- …This is a remote position reporting to Grievance and Appeals Director or MD Team Lead **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below ... The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director reviews cases of diverse… more