- Mathematica (Harrisburg, PA)
- …https://www.mathematica.org/career-opportunities/benefits-at-a-glance. Mathematica is looking for a highly organized Medicaid Project Associate to contribute ... and support the work of projects in the Federal Medicaid practice. As a part of a project team, the Associate will be responsible for coordinating and… more
- Humana (Harrisburg, PA)
- …priority health plan and care delivery integration workstreams for the Virginia Medicaid contract, which is central to the company's strategic priority to deliver ... for our members and financial growth for our company. + Support the Medicaid Virginia market leadership team with specific Medicare operational impacts such as Open… more
- Wider Circle (Philadelphia, PA)
- Wider Circle is looking for a Community Health Engagement Associate in Philadelphia, PA to join our circle and play a vital role in running Connect for Life, our ... to apply!* Responsibilities You will lead the Wider Circle Medicaid program in your assigned area, using the Wider...speaking to groups of any size. + You have project management and/or event planning experience. + You prefer… more
- Humana (Harrisburg, PA)
- …a part of our caring community and help us put health first** The Medicaid Actuary role is responsible for providing actuarial support for multiple states in ... are the specific day to day responsibilities of the Medicaid Actuary role: + Frequent analysis of actual experience...of technical experience + 2 or more years of project leadership experience **Scheduled Weekly Hours** 40 **Pay Range**… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Senior Project Manager manages all aspects of a project , from start to finish, so that ... it is completed on time and within budget. The Senior Project Manager work assignments involve moderately complex to complex issues where the analysis of situations… more
- Humana (Harrisburg, PA)
- …of our caring community and help us put health first** The Associate Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... short, medium and long-term financial and competitive position. The Associate Actuary, Analytics/Forecasting work assignments involve moderately complex to complex… more
- Humana (Harrisburg, PA)
- …of our caring community and help us put health first** The Associate Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... short, medium and long-term financial and competitive position. The Associate Actuary, Analytics/Forecasting work assignments involve moderately complex to complex… more
- Humana (Harrisburg, PA)
- …part of our caring community and help us put health first** The Associate Director of Contractor Workforce Management will drive a best-in-class contractor workforce ... program. Reporting directly to the Associate Vice President of Source to Pay Operations you...multi-faceted and often ambiguous data + Ability to motivate project team members and stakeholders to meet established deadlines… more
- Humana (Harrisburg, PA)
- …help us put health first** Humana's Marketing Organization is seeking an Associate Director, Sales Enablement Technology to join the Retail Marketing team working ... support the end-to- end agent and market leader experience. As the Associate Director, Sales Enablement Technology, you will plan, recommend, implement, and optimize… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan is seeking a full-time Operations Analyst, Associate to support the Medicare HCC Department. This position will support operations in Allegheny and ... be willing to travel up to 2 hours. The Associate Operations Analyst oversees administrative, system processes, and special...EMR systems is a bonus. + Knowledge of Commercial, Medicaid , Medicare and Individual products preferred. + Competence in… more
- Humana (Harrisburg, PA)
- …Financial Communications expert to join our internal communication team. As the Associate Communications Lead, Finance, you will have the opportunity to step into ... business teams and company leadership + Present exceptional presentation, writing and project management skills with keen attention to detail across all tasks and… more
- Merck (North Wales, PA)
- …that help people around the globe. We are currently recruiting for an Associate Director, US Pharma Launch Products Payer Engagement Strategy. This new position will ... and promotional initiatives for US payer customer segments (health plan, PBM, Medicaid , Medicare, federal, pharmacy and hospital) to achieve market access goals +… more
- Humana (Harrisburg, PA)
- …anywhere in the US. In this role, you will support Humana's growing Medicaid line of business which provides insurance and care options predominately for low-income ... individuals and families and those who have disabilities. Since Medicaid marketing is regulated state by state, this role requires an understanding of applicable … more
- Highmark Health (Harrisburg, PA)
- …underlying systems that support the respective business platforms for the Medicaid Business Unit market served by Highmark. Performs configuration change management ... the most complex issues in order to understand capability needs, gather project specifications, create business cases and cost sheet analysis, translate high-level… more
- Humana (Harrisburg, PA)
- …of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ ... in a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. + Experience with national guidelines such… more
- Humana (Harrisburg, PA)
- …of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ ... in a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. + Experience with national guidelines such… more
- Humana (Harrisburg, PA)
- …of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ ... in a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. + Experience with national guidelines such… more
- UPMC (Pittsburgh, PA)
- …and administrative authority to provide health coverage for dually eligible ( Medicaid and Medicare) beneficiaries in an integrated and effective manner. This ... a highly collaborative role with Health Plan colleagues, especially with Medicare and Medicaid lines of business, key players in the provider network, and community… more
- Humana (Harrisburg, PA)
- …Leads projects of high sensitivity/confidentiality + Report out SLA performance and project delivery to key stakeholder groups and prepare remediation plans when ... leadership on a weekly basis. + Leads continuous improvement initiatives for project management and delivery. + Has overall responsibility for service issue… more
- Humana (Harrisburg, PA)
- …analytic solutions. The Stars program is the Centers for Medicare & Medicaid Services (CMS) five‐star quality rating system for measuring Medicare beneficiaries' ... improve the decision-making experience for stakeholders + 2 or more years of project leadership experience + Experience analyzing data to solve a wide variety of… more