• SVP Government Business Segment President

    Highmark Health (Pittsburgh, PA)
    …+ 7 years of Government Markets Segment Experience + 10years of experience in health insurance senior management Preferred + Master's Degree + 10 ... **QUALIFICATIONS** Required + Bachelor's degree + 15 years of health care management leadership with full P&L...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996… more
    Highmark Health (01/07/26)
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  • Clinical Quality and Regulatory Specialist

    Highmark Health (Pittsburgh, PA)
    …products + 3 or more years' experience working in the health care/ health insurance industry + Quality Management System certification Knowledge, Skills ... up. Manages the oversight, development and maintenance of case management policies and procedures related to ensure accreditation and...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996… more
    Highmark Health (11/15/25)
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  • Wellness Coach

    Highmark Health (Harrisburg, PA)
    …an environment that focuses on a wellness model or program delivery (ie health plan/ insurance , disease or condition management or inpatient/outpatient acute ... health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996… more
    Highmark Health (01/14/26)
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  • Senior Decision Support Consultant

    Highmark Health (Harrisburg, PA)
    …and governmental agencies. These studies and projects may involve all aspects of the health insurance business and care management processes and may be ... performance + Researches, manipulates, and prepares data related to Health Management programs that document program activities...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996… more
    Highmark Health (11/14/25)
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  • Account Manager (Self-Funded)

    CVS Health (PA)
    …with team members on client installation. **Required Qualifications** - 2-5 years of health insurance industry and account management experience. - ... At CVS Health , we're building a world of health...required 10-25%. **Preferred Qualifications** - Strong critical thinking, time management , and organizational skills. - Resides in southeastern United… more
    CVS Health (01/16/26)
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  • Senior Account Manager, Employee Benefits

    World Insurance Associates, LLC. (Philadelphia, PA)
    …experience in the insurance industry. + Active Life/ Health insurance license required. + Strong Project Management skills, comfortable leading client ... industry trends and internal and external third-party products/solutions, beyond traditional insurance products. + Strong negotiation and relationship management … more
    World Insurance Associates, LLC. (10/28/25)
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  • Medical Director, Medical Management

    Highmark Health (Harrisburg, PA)
    …Patient care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed ... all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the… more
    Highmark Health (11/21/25)
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  • Network Management Manager - Provider…

    Health Care Service Corporation (Philadelphia, PA)
    …HEDIS and/or CMS STARs experience + Solid understanding of health insurance , customer messaging/design and project management + Expert level of Excel ... for our clients. This person is responsible for the management , mentoring and training of a team responsible for...employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan,… more
    Health Care Service Corporation (01/17/26)
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  • Account Executive, Meritain Health

    CVS Health (PA)
    …new products and services. **Required Qualifications** - 2 years' experience in Account Management within the Health Insurance Industry - Complex ... negotiations within Sales & Service - Client Management administration, support, reporting - Self-funded/stop loss products -...loss products - Strategy development - Cross-sell functionality - Health & Life Insurance License or must… more
    CVS Health (01/16/26)
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  • Account Executive, Meritain Health

    CVS Health (PA)
    …services. **Required Qualifications** - 3 to 5 years experience in Sales & Account Management within the Health Insurance Industry - Complex negotiations ... reporting - Self-funded/stop loss products - Strategy development - Cross-sell functionality - Health and Life Insurance License - Travel required 25% within the… more
    CVS Health (01/16/26)
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