- Humana (Harrisburg, PA)
- …thinking capable of providing frameworks to maximize available resources to achieve growth The Medicaid Senior Insurance Product Manager plays a critical ... the needs of Humana's customers while aligning with its business objectives. The ** Medicaid Senior Insurance Product Manager** plays a critical role in… more
- CVS Health (Blue Bell, PA)
- …actuarial team supporting CVS Health and Aetna's exciting and growing Medicaid business. Support CVS Health's financial integrity with sound reserving and ... risk management practices as well as product designs that meet customer needs and pricing that...be leading Actuarial market support for the Southeast region's Medicaid contracts (KY, LA, OHRISE, WV, & VA). Within… more
- UPMC (Pittsburgh, PA)
- …you'd like to do, UPMC has a place for you._ **UPMC Health Plan's Medicaid /Government Product actuarial team is seeking an Actuarial Analyst III to support ... and outpatient sites, and a more than 4 million-member Insurance Services Division, we all have one mission: to...on corporate projects. Receives assistance from either management or senior positions when necessary. The Medicaid actuarial… more
- Humana (Harrisburg, PA)
- …and help us put health first** Humana's Marketing Organization is looking for a Senior Product Marketer that has prior experience focused on Medicare, ... Medicaid and/or DSNP Members around Health and Well-being initiatives...parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About us** Humana Inc.… more
- Humana (Harrisburg, PA)
- …us put health first** Humana's Corporate Marketing organization is looking for a Senior Product Owner that is Salesforce Marketing Cloud Email Specialist ... just may be the role for you! As the Senior Product Owner, you will support Humana's...parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About us** Humana Inc.… more
- CenterWell (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The senior product manager will play critical role in defining and executing Integrated ... models, patient 360 and AI based solutions that enhances omni channel patient experiences. The Senior Product Manager Leads all phases of the product life… more
- HealthEdge Software Inc (Harrisburg, PA)
- **Overview** **Position** **Overview:** As a Senior Product Manager, within theclaimsvalue stream forHealthRulesPayor, you will have ownership of system ... add significant value to our customers. Working directly with customers, other product owners, agile engineering teams, and internal functions you will create… more
- AmeriHealth Caritas (Newtown Square, PA)
- …legal, regulatory, and compliance issues, to mitigate risks associated with the company's Medicaid product lines + Identifying business and legal risks and ... ensure compliance with related requirements + Dealing with state Medicaid and insurance departments/regulators + Drafting and...negotiating provider and vendor contracts that support the company's Medicaid product lines + Keeping up to… more
- The Cigna Group (Philadelphia, PA)
- The System Contract Senior Manager will have oversight of a region of facility network and will be responsible for its contract performance. This Senior Manager ... of negotiators to manage all rate renewals and contract maintenance activities. This Senior Manager will collaborate with the other Regional Senior Manager to… more
- Deloitte (Pittsburgh, PA)
- …Actuary - Senior Consultant in Deloitte's Human Capital Actuarial and Insurance Solutions Practice, you will assist Deloitte Managers, Senior Managers, and ... health plan/ insurance company experience + 1 years' experience with Medicaid managed care capitation rate development and/or fee-for-service rate development +… more
- Humana (Harrisburg, PA)
- …this position will play a pivotal role in advancing the team's analytical product portfolio and delivering technical enhancements to core products for Stars. Main ... analytic solutions. The Stars program is the Centers for Medicare & Medicaid Services (CMS) five‐star quality rating system for measuring Medicare beneficiaries'… more
- Humana (Harrisburg, PA)
- …utilize to reduce administrative cost and improve the customer's experience. The Senior Business Intelligence Engineer position will be supporting BI work for our ... Medicare organizations. The ** Senior Business Intelligence Engineer** : + Develops and maintains...interactive reports using Power BI, Qlik, Tableau and/or similar product + Intermediate skills in Power Apps and Power… more
- Humana (Harrisburg, PA)
- …Contract Requires US Citizenship for this Position. Job Description Summary The Senior Database Administrator is a key player in managing and maintaining both ... team. + Interact with internal customers including Developers, Data Engineers, Product Owners, etc., providing consultation on database changes, best practices, and… more
- CVS Health (Harrisburg, PA)
- …to various internal departments (eg, specialty pharmacy services, clinical product development, Enterprise Analytics, Compliance, Legal, Accreditation) and clients. ... (PA) and/or medical necessity appeals for commercial clients, governmental (Medicare/ Medicaid ) programs and individual client requested coverage determinations or… more
- Highmark Health (Pittsburgh, PA)
- …activities essential to Government Market Growth in support of Medicaid membership and margin goals. Strategy Partners provide analytical/strategic-thinking and ... intelligence, market trend analysis); 3) develop formal recommendations to Senior Levels leadership; 4) create document components (go-to-market or operational… more
- Humana (Harrisburg, PA)
- …delivery experience and technical expertise across multiple platforms and will have senior level leadership experience in a complex corporate environment. They will ... technology strategy and execution for the rationalization of the Insurance IT portfolio of systems. + Partner closely with... IT portfolio of systems. + Partner closely with product owners and product managers, strategy teams,… more
- Humana (Harrisburg, PA)
- …opportunity to shape the future of our technology landscape. Reporting to senior leadership, you will build architecture and designs to develop innovative solutions ... and enhance customer experiences. **Primary Responsibilities:** + **Collaborate with Product Managers and Product Owners:** Understand business...related field + 8 or more experience as a senior developer or architecture in large IT projects +… more
- AmeriHealth Caritas (Newtown Square, PA)
- …address the changing needs of the participants. + Identify State and/or product -specific priorities and determine the appropriate strategic approach that will drive ... Administration or related field + 5 plus years operational experience in Medicaid /Medicare/LTSS + 10 or more years experience of: + Progressive responsibility in… more
- Humana (Harrisburg, PA)
- …Leadership Professional is responsible for all aspects of software or hardware product delivery and performance. The Lead Technology Leadership Professional works on ... volume production release. Performs various engineering tests to verify and validate product designs. Supports product evaluation and qualification on leading… more
- Humana (Harrisburg, PA)
- …Market President for the Northeast Region. Reporting to the East Division Senior Vice President, the Regional Market President manages the development, operations, ... Region; drives financial and operational performance; and coordinates activities of senior managers and their respective functions. The Regional President represents… more