- CVS Health (Harrisburg, PA)
- …end to end financial optimization and pricing activities across Caremark's PBM Health Plan clients ensuring timeliness, accuracy, and consultative value of ... the firm from its retail/PBM competitors, and attract and retain health plan lives. + Working independently in a fast-paced environment and handling… more
- UPMC (Pittsburgh, PA)
- The UPMC Health Plan Member Services Team is currently hiring Health Care Customer Service, Associates to be advocates for our members and to proudly wear ... the badge of UPMC Health Plan . With a close-knit work environment and a dedicated culture of service excellence, our Member Services Team educates and guides our… more
- Deloitte (Pittsburgh, PA)
- …pharmacies and patients. + Prepare self-insured financial projections and support health plan management, including financial reporting, premium rate setting, ... performance guarantees, and renewals. + Analyze claims utilization data and assess health plan performance against strategy. + Act as an extension of the HR… more
- Deloitte (Philadelphia, PA)
- …a model to value the impact of health care reform on an health plan client-Review trend forecasting and predictive modeling tools-Assist clients to define ... health care liabilities-Communicate ROI for medical management and other health plan initiatives to senior level clients and Deloitte leadership-Prepare and… more
- CVS Health (Harrisburg, PA)
- …experience supporting the Healthcare Industry + Previous Account Management experience with a Health plan carrier + Must be able to attend onsite client ... At CVS Health , we're building a world of health...+ Executes tactical components of the account team's business plan for each customer. + Responsible for managing (Relationship… more
- Deloitte (Pittsburgh, PA)
- …health care reform modeling for health plans + Prepare SQL models to price health plan benefit changes + Review MA and Part D bid submissions for accuracy ... + Create models to calculate ROI for medical management and other health plan initiatives + Prepare IBNR modeling spreadsheets for audit reviews + Provide… more
- Geisinger (Scranton, PA)
- …Supply Chain Efforts + Recruitment + Facilities Planning (where relevant) + Population Health ( Health Plan Efforts) Clinical responsibilities would include ... ensure that space design aligns with current and projected clinical use Population Health ( Health Plan ) efforts include (and are not limited to): + Working… more
- CVS Health (Harrisburg, PA)
- …level experience in Self-Funding, in addition to working with client/broker on their Health Plan strategy, interpreting and delivering the clients Annual Plan ... At CVS Health , we're building a world of health...client for renewal by explaining cost drivers of benefit plan , offers solutions to reduce costs, delivers renewal to… more
- Cardinal Health (Harrisburg, PA)
- …support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to ... Legal function. **_Job Summary_** The Assistant General Counsel, Nuclear & Precision Health Solutions (NPHS) is responsible for providing outstanding legal advice to… more
- Highmark Health (Harrisburg, PA)
- …markets and lines of business. This will require aligning new models to the health plan 's strategic objectives based on a deep understanding of innovation and ... Analytics, Contracting, Market and Provider support teams, Actuary, Finance, Highmark Health Solutions, Health Plan Operations. **ESSENTIAL… more