• VP Reimbursement, Provider & Network Programs

    Highmark Health (Pittsburgh, PA)
    …of reimbursement and network programs. Specifically, the incumbent will lead the strategy and creation of value-based reimbursement (VBR) & risk programs, as well ... as the overall provider inventive and payment strategy . The role also leads the strategy ...and market executives. + Oversee development of tools and analytics needed for identification, inclusion, and management of network… more
    Highmark Health (07/12/25)
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  • VP Risk Adjustment Accuracy Management

    Highmark Health (Blue Bell, PA)
    …returns in a fully compliant manner. Develop a Risk Management governance strategy for the Enterprise to appropriately manage CMS audit risk. **ESSENTIAL ... provider groups and the network as a whole 3. Analytics + Lead a team that develops and oversees...models to inform better business decisions 4. Operations and Data Submission + Manage an operations team responsible for… more
    Highmark Health (07/30/25)
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  • Clinical Transformation Director

    Highmark Health (Harrisburg, PA)
    …health system + Experience working in provider partnerships + Experience with data analytics and medical economics ​ **SKILLS** + Organizational skills ... leadership over the execution of the Population Health Performance strategy roadmap, support physician executives to identify ownership, development, and… more
    Highmark Health (08/21/25)
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  • Reimbursement Economics Analyst

    Highmark Health (Harrisburg, PA)
    …:** **JOB SUMMARY** This job supports Highmark Health's Value-Based Reimbursement, Strategy & Innovation Team. The incumbent works closely with management and ... team members, operations, actuary, provider relations, strategic integration and advanced analytics and reporting. The incumbent leads the development of VBR… more
    Highmark Health (06/25/25)
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  • Business Intelligence Lead

    Humana (Harrisburg, PA)
    …+ Works with Humana corporate, market, and network leadership to understand business strategy and data analysis needs; recommends solutions and technologies to ... as part of a wider program to drive company strategy + Serves as the data and...SQL; experience transforming data and enhancing relational data sets for reporting and analytics +… more
    Humana (09/09/25)
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  • Senior Applied Scientist (Pricing)

    Coinbase (Harrisburg, PA)
    …Notice for Job Candidates and Applicants Depending on your location, the General Data Protection Regulation (GDPR) and California Consumer Privacy Act (CCPA) may ... foster collaboration, connection, and alignment. Attendance is expected and fully supported. Data Science is an integral component of Coinbase's product and decision… more
    Coinbase (08/09/25)
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  • Sr. Manager, Technical Product Management

    CVS Health (Harrisburg, PA)
    …will generally work closely with the Business General Manager, Design, Engineering, and Data / Analytics forming the "Five in a Box" cross-discipline product team. ... Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are...responsible for owning and defining the product vision and strategy , the roadmap, feature delivery, and overall success of… more
    CVS Health (09/10/25)
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  • Senior Director, ADHD Brand Lead

    Otsuka America Pharmaceutical Inc. (Harrisburg, PA)
    …for HCP/PME/ Consumer /NPP marketing to oversee the development of the HCP/ Consumer strategy , promotional plans, campaigns and set the promotional direction ... and lead commercial team members responsible for creating and implementing brand strategy across HCP/PME/ Consumer /NPP marketing. We are looking for a passionate… more
    Otsuka America Pharmaceutical Inc. (08/26/25)
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  • UKG Productivity Senior Consultant

    Deloitte (Pittsburgh, PA)
    …client that go above and beyond their expectations? The Deloitte Consulting HR Strategy and Technology practice is a $650M+ offering, with over 2,000 consulting ... of change and join us on this transformative journey. The Team Our HR Strategy & Technology Offering is dedicated to developing leading global HR strategies and… more
    Deloitte (06/14/25)
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  • Associate Actuary

    Humana (Harrisburg, PA)
    Analytics /Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational ... requires an in-depth evaluation of variable factors. The Associate Actuary, Analytics /Forecasting ensures data integrity by developing and executing necessary… more
    Humana (09/05/25)
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