• Health Plan Specialist

    UPMC (Pittsburgh, PA)
    UPMC Health Plan is hiring a licensed individual to function as a Health Plan Specialist to work onsite at UPMC Shadyside. This role will work standard ... daylight hours, Monday through Friday, onsite at Shadyside Hospital. The Health Plan Specialist will act as a connector, building a bridge for UPMC Health more
    UPMC (11/25/25)
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  • Credentials Analyst Health Plan

    UPMC (Pittsburgh, PA)
    UPMC Health Plan is hiring a full time Credentials Analyst. In this role you will ensure that the provider files comply with UPMC Health Plan credentials ... that are necessary to support the credentialing and recredentialing of UPMC Health Plan direct contracted providers and to provide support to the UPMC HP… more
    UPMC (12/08/25)
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  • Underwriter Senior, Geisinger Health

    Geisinger (Danville, PA)
    …+ Assists in preparing various management reports to analyze the financial risk for the health plan . Utilizes a high level of experience in Excel and reporting ... to deliver services, the expected marketability and competitiveness of health care services that will result in profitable enrollment....and it takes a diverse workforce to make better health easier for all. We are proud to be… more
    Geisinger (09/18/25)
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  • Systems Analyst Intermediate Sales and Marketing,…

    Geisinger (Danville, PA)
    …that assist in identifying sales opportunities that will produce net income for the health plan . + Develops and manages Sales training content, process maps and ... a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity… more
    Geisinger (10/31/25)
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  • Operational Correspondence Coordinator,…

    UPMC (Pittsburgh, PA)
    …we'd love to have you on our team. + Bachelor's degree or equivalent experience in health care / health insurance / marketing required. + 1 year experience with ... health care / health insurance products (inclusive of health insurance operations, member communication and/or marketing materials development). + Ability to… more
    UPMC (12/08/25)
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  • Manager Reimbursement Services (CPC, CRC,…

    Geisinger (Danville, PA)
    …people, processes, or projects (Required) Certification(s) and License(s) Registered Health Information Technician (RHIT) - American Health Information ... a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity… more
    Geisinger (10/31/25)
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  • Campaign Strategist - Health Plan

    UPMC (Pittsburgh, PA)
    …role, you'll collaborate with talented colleagues across marketing & communications, health & productivity, third-party affiliates, and other business lines to bring ... bold ideas to life. From acquisition and retention to education and engagement, you'll design campaigns that connect with members, employers, providers, and brokers in meaningful ways. Your work will help new members feel welcome, educate providers on benefit… more
    UPMC (12/06/25)
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  • Health Coach Consultant - Work at Home…

    CVS Health (Harrisburg, PA)
    … care decision-making. -Improves the quality of care. -Improves member satisfaction with their health care plan . -Facilitates appropriate use of health care ... At CVS Health , we're building a world of health...competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan ** (including matching… more
    CVS Health (12/09/25)
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  • Outpatient Behavioral Health Case Manager

    Geisinger (Kingston, PA)
    …clinical role to collaborate with patients, Primary Care Providers, community agencies, behavioral health , and other health plan departments to provide a ... with community based agencies to improve care, services and access for Health Plan membership. + Evaluates practices of self and colleagues against standards of… more
    Geisinger (10/12/25)
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  • Health Insurance Exchange Liaison

    Humana (Harrisburg, PA)
    …5 or more years of health industry experience. + 3 or more years of ACA/ Health Insurance Exchange Qualified Health Plan (QHP) or Qualified Dental Plan ... part of our caring community and help us put health first** The Health Insurance Exchange Liaison...primarily focused on Humana's obligations, as a Qualified Dental Plan (QDP) issuer, to meet all federal Affordable Care… more
    Humana (12/11/25)
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