- Highmark Health (Pittsburgh, PA)
- …may have budgetary responsibility and authority. + Lead the day-to-day execution of Strategic Risk Adjustment Program engagements taking ownership of the ... end-to-end management, delivery and support to new and existing Risk Adjustment Programs. The incumbent will deliver... strategic objectives relative to new and existing Risk Adjustment Programs. Supports other key objectives… more
- PNC (Pittsburgh, PA)
- …our Model Risk Management team at PNC. The position reports to the Senior Validation Manager for Market Risk and Counterparty Risk Models and is part of ... the company's success. As a Quantitative Analytics/Modeling Expert within PNC's Model Risk Management organization, you can be based in Pittsburgh, PA; Tysons… more
- Deloitte (Philadelphia, PA)
- …product strategy + Reimbursement models - including value-based care/ACO modeling + Risk adjustment mechanisms + Familiarity with group insurance products ... role ends on 2/5/25. Work you'll do As a Deloitte Consulting Health Actuary Manager in the Insurance practice of Deloitte's Human Capital group, you will assist… more
- Netflix (United, PA)
- …of complex initiatives. + Coordination across many independent tracks of work. + Risk identification and mitigation. + Can balance strategic and tactical efforts ... any time. We are looking for a Technical Program Manager with strong coordination and collaboration skills to partner...Leadership to drive, execute, track and deliver high impact strategic programs in the Live space. An ideal candidate… more
- Penn State Health (Hershey, PA)
- …and coordination with contracted payors, tracking and trending of KPIs, and ensuring accurate risk adjustment . The Program Manager will need to provide ... Based Care - Operations. We are seeking an experienced and detail-oriented Program Manager for Disease Burden Capture. The Program Manager will lead initiatives… more
- RELX INC (Philadelphia, PA)
- Account Manager , Clinical Solutions Do you enjoy building successful customer relationships? Would you like to deliver a sales strategy that creates growth? About ... and financial outcomes. About the Role As an Account Manager , you will partner with your accounts, calling on...influencers at assigned customer accounts which may include major strategic customers . Achieving and increasing revenue targets per… more
- Deloitte (Pittsburgh, PA)
- …with Medicaid waivers (ie, 1115, 1915 b/c, 1332) + 1+ years experience with risk adjustment mechanisms + 1+ years experience with Provider reimbursement streams ... October 31, 2024. Work you'll do As a Deloitte Consulting Health Actuary Manager in Deloitte's GPS Human Capital Actuarial and Insurance Solutions Practice, you will… more
- Walmart (Philadelphia, PA)
- …equipment needs; identifying equipment to increase efficiency; directing temperature adjustment ; analyzing systems and load requirements to determine setback modes ... mindset; fosters an environment that supports learning, innovation, and intelligent risk -taking; and exhibits resilience in the face of setbacks. Digital… more
- CVS Health (Blue Bell, PA)
- …considering the changing landscape of the ACA and overall business objectives * Contribute to risk adjustment and risk score analysis to enhance pricing & ... ACA regions, including pricing, financial results, and guidance on strategic decisions: * Guide development of key pricing assumptions,...forecasting expectations regarding risk adjustment , including collaborating with business partners… more
- Amazon (Breinigsville, PA)
- …committed to the safety and wellbeing of our people. WHS sets the strategic direction to provide resources, best practices, and safe environments to proactively ... position, you will work closely with the WHS Site Manager , WHS Specialist, and occasionally the Injury Prevention Specialist...medical providers as needed, and learn about OSHA regulations, risk , and analysis. The OMR will function as a… more