- Highmark Health (Harrisburg, PA)
- …:** Job Description **JOB SUMMARY** This job is a mid-level actuarial analyst position. Participate in Highmark's Actuarial Executive Development Program and is ... functions which may include insurance premium and pricing development, claim trend analysis, experience studies, medical economics, profitability analysis, wellness… more
- Highmark Health (Harrisburg, PA)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… more
- Highmark Health (Pittsburgh, PA)
- …Degree **EXPERIENCE** **Required** + 3 - 5 years of experience in a Business Analyst or Business Process Analyst role or experience in a related operational ... area (eg claims , billing, customer service, etc.) **Preferred** + 1 -...from site-to-site Rarely Works primarily out-of-the office selling products/services ( sales employees) Never Physical work site required Yes Lifting:… more
- Highmark Health (Pittsburgh, PA)
- …Degree **EXPERIENCE** **Required** + 5 - 7 years of experience in a Business Analyst or Business Process Analyst role or experience in a related operational ... area (eg claims , billing, customer service, etc.) **Preferred** + 3 -...from site-to-site Rarely Works primarily out-of-the office selling products/services ( sales employees) Never Physical work site required Yes Lifting:… more
- Highmark Health (Pittsburgh, PA)
- …functions, which may include insurance premium and pricing development, claim trend analysis, experience studies, medical economics, profitability analysis, wellness ... studies, predictive modeling, provider efficiency, provider contracting analysis and claim reserving. **ESSENTIAL RESPONSIBILITIES** + Develop queries to obtain data… more
- Enviri Corporation (King Of Prussia, PA)
- …bond rights on customer projects and prepare and file notices, liens and bond claims as required. * Review new accounts for credit worthiness run Dun & Bradstreet ... and disputes by providing backup documentation and working with our facilities and sales teams to insure payment and initiate credit memo request when appropriate. *… more
- Highmark Health (Pittsburgh, PA)
- …for both internal and external audiences. Conduct, collect and analyze data from claim and/or medical record reviews to continually improve the care and service to ... and establishing collection protocols for provider settlements. + Work with sales and customer service to respond to questions/inquiries from customers/members… more
- Highmark Health (Harrisburg, PA)
- …**Required** + 3 - 5 years in a relevant operational area (eg customer service, claims , enrollment and billing, etc.) to include 1 - 3 years of technical application ... sites or from site-to-site Rarely Works primarily out-of-the office selling products/services ( sales employees) Never Physical work site required Yes Lifting: up to… more
- Highmark Health (Harrisburg, PA)
- …5 years with coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 3 years of project leadership ... or from site-to-site Occasionally Works primarily out-of-the office selling products/services ( sales employees) Never Physical work site required Yes Lifting: up to… more
- Philips (Malvern, PA)
- …as feature descriptions, value propositions, and cost materials. + Coordinate claim roadmap development by collaborating with cross-functional teams to prioritize ... claims based on market trends and regulatory requirements. Continuously...market entry. Provide strategic insights to regional marketing and sales teams to enhance their effectiveness. **You're the right… more