- Deloitte (Pittsburgh, PA)
- …payors, pharmacies and patients. + Prepare self-insured financial projections and support health plan management , including financial reporting, premium rate ... Pharmacy Benefit Manager/ Health & Group Benefits...content. + Demonstrated knowledge of at least three US health & welfare benefit plan ...at least three US health & welfare benefit plan types (such as life, disability,… more
- Highmark Health (Harrisburg, PA)
- …are identified and executed in a timely manner. This will require engagement with Health Plan Management (SVPs, VPs, Directors, etc.) in formal and ... objectives. + Help develop and implement improved infrastructure and processes to provide Health Plan and Enterprise management with regular performance… more
- UPMC (Pittsburgh, PA)
- …for the various product lines consistent with corporate strategic goals. Also, to advise UPMC Health Plan senior management on the financial impact of any ... to do, UPMC has a place for you. UPMC Health Plan 's growing Actuary department is seeking...Benefits and Product Development: To provide appropriate UPMC management personnel with actuarial valuations of the Impact of… more
- Prime Therapeutics (Harrisburg, PA)
- …setting. + In-depth knowledge of specialty injectable prescription drugs, disease states, health plan formulary management techniques, medical terminology ... medications. Communicates decision to physicians, physician`s office staff, medical management staff and/or pharmacists. Researches, resolves and documents prior… more
- CVS Health (Harrisburg, PA)
- …be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan ** ... At CVS Health , we're building a world of health...management programs, confidential counseling and financial coaching. + ** Benefit solutions that address the different needs and preferences… more
- WellSpan Health (Ephrata, PA)
- …Benefits Offered:** + Comprehensive health benefits + Flexible spending and health savings accounts + Retirement savings plan + Paid time off (PTO) + ... + Evaluates data gathered in terms of the behavioral health plan of treatment, available social service...so that each patient will receive services of maximum benefit to patient. + Assists patients and families to… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …and disability insurance. The company retains the right to update or modify health , welfare, and other fringe benefit policies. Employees may also participate ... of its parts. Join our dynamic team as a Benefits Investigation Specialist and be a crucial part of...individual to engage with Medical Insurance Payers and Pharmacy Benefit Managers, playing a vital role in identifying and… more
- Evolent (Harrisburg, PA)
- …transformative growth opportunities at customer accounts + Strong knowledge of health plan operations, care/utilization management , claims processing, ... part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits ) to qualifying employees. All… 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 ... share with clients + Create models to calculate ROI for medical management and other health plan initiatives + Prepare IBNR modeling spreadsheets for audit… more
- WellSpan Health (York, PA)
- …Benefits Offered:** + Comprehensive health benefits + Flexible spending and health savings accounts + Retirement savings plan + Paid time off (PTO) + ... the patient-provider relationship and improves patient care. In addition, disseminates health information in a culturally relevant manner and builds individual and… more
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