- Sedgwick (Harrisburg, PA)
- …**PRIMARY PURPOSE** **:** To manage claim caseload of basic to highly complex claims within granted authority level including related financial implications, ... such as subrogation, fraud evaluation or case management review to resolve claims . + Establishes and maintains effective relationship with internal and external… more
- Prime Therapeutics (Harrisburg, PA)
- …drives every decision we make. **Job Posting Title** Sr. Functional Bus Consultant (Compliance) - Remote **Job Description** The Senior Functional Business ... Consultant The Functional Business Consultant serves as...regulatory requirements, process improvement, advanced research, root cause analysis, complex issue research, documentation, advanced communications, client interaction, training,… more
- Norstella (Harrisburg, PA)
- Senior Analytic Consultant Company: MMIT Location: Remote, United States Date Posted: Aug 21, 2025 Employment Type: Full Time Job ID: R-1436 **Description** **About ... Japan, China and India. **The Role: RWD Senior Analytic Consultant ** We are currently seeking a high energy, motivated...unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be… more
- Sedgwick (Philadelphia, PA)
- …Insurance Data Consultant **PRIMARY PURPOSE** **OF THE ROLE** To develop complex reports and analyze company data including Corporate or client specific data; to ... in multiple field offices. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Develops comprehensive, complex and accurate information reports. + Creates complex data… more
- Evolent (Harrisburg, PA)
- …health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek ... for the culture. **What You'll Be Doing:** **Senior Analyst, Healthcare Analytics Consultant ** The Client Analytics team provides a unique opportunity to collaborate… more
- Manulife (PA)
- …further advance our underwriting expertise. We are seeking a Senior Underwriting consultant , Research & Development, with a history of making sound underwriting ... for targeted initiatives. + Analyze underwriting data through various studies and claims experience if applicable. + Prioritize project work, focusing on generating… more
- IQVIA (Wayne, PA)
- …position, you must reside in the same country where the job is located._ ** Consultant - Commercial Solutions & Insights Hub (CSIH), Analytics Pillar** IQVIA CSIH is ... pharmaceutical and biotechnology industry to meet the challenges of today's complex and evolving healthcare landscape. The Analytics department leverages the power… more
- Prime Therapeutics (Harrisburg, PA)
- …Evaluates the utilization and financial experience of customers and prospects + Performs claims re-pricing analyses of moderately complex external claims ... meeting established financial targets. The Underwriter will serve as a consultant on matters pertaining to both financial and operational performance guarantees,… more
- J&J Family of Companies (Horsham, PA)
- …Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less ... Janssen NA. This position will serve as an internal consultant to marketing and sales, and broader business partners:...Expertise in domain specific data sets for Immunology (medical claims , pharmacy claims , and sales data --… more
- CVS Health (Harrisburg, PA)
- …plan management strategies and solutions. + Participating in external client and consultant meetings. + Providing domain expertise across the full spectrum of ... highly custom in their approach to pharmacy benefit services - complex pricing arrangements, custom formularies, clinical programs, channel solutions, and integrated… more