- AmeriHealth Caritas (Philadelphia, PA)
- …Discover more about us at www.amerihealthcaritas.com . **Responsibilities:** Support Medicare by managing various workflows essential to effectively executing ... departments to understand, address, and complete complex projects related to growth and external partnerships. Develop and interpret reporting to support leadership… more
- CVS Health (Harrisburg, PA)
- …Summary** As a Manager, Business Analytics you will be part of the Medicare Grievance Team, responsible for managing business and system initiatives that focus on ... collaboration and coordination with Information Technology (IT) teams, MHK, Medicare Complaint leadership team, and other business partners/stakeholders. Responsible… more
- The Cigna Group (Philadelphia, PA)
- …operations accountabilities associated with all regulated lines of business including Medicare , Medicaid, and Marketplace (Exchange / Health Care Reform). The team ... will be to support the Grievance functions as it relates to the Medicare , Medicaid and Marketplace (Exchange / Healthcare Reform) initiatives to ensure member/client… more
- Humana (Harrisburg, PA)
- …of our caring community and help us put health first** The Actuarial Analyst 2, Pricing is responsible for setting pricing assumptions, submitting bids, filing and ... maintains pricing tools that price standard and custom benefits. The Actuarial Analyst 2, Pricing work assignments are varied and frequently require interpretation… more
- The Cigna Group (Philadelphia, PA)
- **Position Summary** The Lead Analyst will be a part of the Regulated Markets Network Quality team. This critical role coordinates client and pharmacy reporting and ... client contractual needs. This role is highly cross-functional, with the lead analyst working across multiple departments in the company (eg Supply Chain, Knowledge… more
- Evolent (Harrisburg, PA)
- …We value humility, intellectual curiosity, creativity, accountability, and a growth mindset as we solve complex business problems. **Collaboration Opportunities:** ... The Senior Analyst , Client Analytics role will be serving key internal...health plan billing and reimbursement structures associated with Commercial, Medicare , and Medicaid lines of business. Healthcare claims: specifically,… more
- Mathematica (Harrisburg, PA)
- …benefits of ESOP holdings that have increased in tandem with the company's growth and financial strength. You will also be part of an independent, employee-owned ... Health unit will eventually work with our largest client, Centers for Medicaid & Medicare Services (CMS). Most staff working on CMS contracts will be required to… more
- Elevance Health (Harrisburg, PA)
- …member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services ... and regulatory standards and requirements. + As such, the analyst will strictly follow department guidelines and tools to...strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are… more