- Elevance Health (Harrisburg, PA)
- **Audit & Reimbursement Senior -** ** Medicare Cost Report Audit** **Locations:** _This is a United States based, virtual position._ **National Government ... to transform federal health programs. The **Audit and Reimbursement Senior ** , will support our Medicare Administrative...strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
- Humana (Harrisburg, PA)
- …a part of our caring community and help us put health first** The Senior Vendor Management Professional works as liaison between vendors and organization. The ... Senior Vendor Management Professional work assignments involve...contractual issues and resolve discrepancies. Begins to influence department's strategy . Makes decisions on moderately complex to complex issues… more
- Humana (Harrisburg, PA)
- …a part of our caring community and help us put health first** The Senior Pharmacy Claims Professional adjudicates pharmacy claims and process pharmacy claims for ... payment. The Senior Pharmacy Claims Professional work assignments involve...and compliance and monitored regularly. Begin to influence department's strategy . Makes decisions on moderately complex to complex issues,… more
- Humana (Harrisburg, PA)
- …level by driving real impact and shaping the future of claims management? As a Senior Pharmacy Claims Professional , you will play a pivotal role in resolving ... lead on building solutions that make a difference! The Senior Pharmacy Claims Professional analyzes and answers...and building new processes. + Begins to influence department's strategy . + Makes decisions on moderately complex to complex… more
- Humana (Harrisburg, PA)
- …us put health first** Are you interested in leveraging technology and business strategy to deliver improved member experiences and health outcomes to Humana's 26 ... deliver a perfect member experience by bringing forth the alignment of business strategy to technology strategy , enabling the effective and efficient execution… more
- Deloitte (Pittsburgh, PA)
- …interested in working in a dynamic environment that offers opportunities for professional growth and new responsibilities? Are you interested in helping clients ... organizational performance. Work you'll do As a Government Health Actuary - Senior Consultant in Deloitte's Human Capital Actuarial and Insurance Solutions Practice,… more
- Humana (Harrisburg, PA)
- …a part of our caring community and help us put health first** The Senior IT Portfolio Management Professional collaborates with the business portfolio team to ... align the IT portfolio and demand. The Senior IT Portfolio Management Professional work assignments...organizes and prioritizes projects and programs based on IT Strategy , strategic roadmap, available and prioritized budgets, changes schedules… more
- Humana (Harrisburg, PA)
- …our caring community and help us put health first** Humana is seeking a Senior Enterprise Architect who is smart, curious and loves the challenge of solving problems ... across the organization at multiple levels. **Join Our Trailblazing Team as a Senior Enterprise Architect** At Humana, we're not just building systems; we're shaping… more
- Humana (Harrisburg, PA)
- …a part of our caring community and help us put health first** The Senior Financial Analytics Professional manages data to support and influence decisions on ... operations, strategic planning and specific business performance issues. The Senior Financial Analytics Professional work assignments involve moderately… more
- Elevance Health (Harrisburg, PA)
- …or related Medicare experience which includes previous experience at a Senior Auditor level in health care, public accounting, or a government agency; or ... Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare...strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
- Humana (Harrisburg, PA)
- …us put health first** The Associate VP, Technology Solutions devises an effective strategy for executing and delivering on IT business initiatives. The Associate VP, ... VP, Technology Solutions works across business and IT to define effective strategy for executing and delivering critical initiatives. The Associate VP, Technology… more
- CenterWell (Harrisburg, PA)
- …- Primary Care is responsible for winning back and re-engaging Medicare eligible patients through telephonic conversations. Proactively anticipates patients' needs ... with prospects and former patients. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas.… more
- Humana (Harrisburg, PA)
- …and unstructured data to insights at enterprise scale. * Architects and builds data lake strategy to house data in consistent framework and data model to be used for ... * Strong analytical and strategic thinking skills, with the ability to influence senior leaders across EIP. * Proven track record of successful collaboration in a… more
- Highmark Health (Harrisburg, PA)
- …The incumbent influences VBR integration into the overall Enterprise strategy through collaboration with Senior -level internal/external stakeholders. Ensures ... identify and proactively communicate market transformation concepts with provider and professional advocacy societies and key thought leaders. + Ensure integration… more
- Conviva (Harrisburg, PA)
- …training (learner feedback surveys) and from clinical leaders to pivot educational strategy and approach where needed. + The educator will create documentation ... minimum of one year experience as a CPC (Certified Professional Coder) certification through AHIMA or AAPC + A...with healthcare providers + Medical record review knowledge + Medicare Risk Adjustment knowledge + Extensive knowledge of coding… more
- Humana (Harrisburg, PA)
- …in class digital experiences for consumers and members and will also lead Senior Product Managers. You will collaborate with cross-functional teams to develop and ... and influences effectively across different levels of the organization. + Product Strategy : Collaborate with cross-functional teams to define the overall product … more
- Humana (Harrisburg, PA)
- …to ensure an integrated architecture across interdependent technologies. Works with senior executives to develop and drive segment or enterprise-wide functional ... Advises one or more areas, programs or functions and provides recommendations to senior executives on matters of significance, and as an advanced subject matter… more
- University of Pennsylvania (Philadelphia, PA)
- …and their families, generous retirement benefits, a wide variety of professional development opportunities, supportive work and family benefits, a wealth of ... are diverse in focus, currently encompassing - machine learning, Medicare Data, and geriatric oncology - and include both...as well as handling complex problems related to business strategy . + Flexibility and drive to meet project deadlines… more
- WTW (Philadelphia, PA)
- …and implement a strategic business plan ensuring alignment with the overall segment strategy . + Manage the month end close process to ensure business and operations ... planning and analysis. + Ability to understand commercial aspects of the Medicare insurance business and Benefits Accounts business so that the colleague can… more