• Director Reimbursement Design & Market Evaluation

    Highmark Health (Harrisburg, PA)
    …and Provider support teams, Actuary, Finance, Highmark Health Solutions, Health Plan Operations . **ESSENTIAL RESPONSIBILITIES** + Perform management ... business. This will require aligning new models to the health plan 's strategic objectives based on a...Plan , organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and… more
    Highmark Health (07/30/25)
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  • Producer Management Strategy Consultant

    Highmark Health (Pittsburgh, PA)
    … Network and other affiliated Health Systems, Product & Healthcare Services, Health Plan Operations , Actuarial Services, and Government and Commercial ... educate and engage broker community; support continued development and refinement of health plan 's distribution strategy, utilizing an internal matrixed network… more
    Highmark Health (07/12/25)
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  • Director, Physician Leadership - Medical Directors…

    Humana (Harrisburg, PA)
    Operations and Technology_ _:_ Support efforts to improve the efficiency of health plan operations (utilization management and provider clinical ... part of our caring community and help us put health first** Humana is a $90 billion (Fortune 40)...collaborating and partnering across the enterprise (eg, with Clinical Operations , Markets, Care Management, Analytics, Pharmacy, etc.) to develop… more
    Humana (08/21/25)
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  • Vice President, Strategic Accounts

    Evolent (Harrisburg, PA)
    …transformative growth opportunities at customer accounts + Strong knowledge of health plan operations , care/utilization management, claims processing, ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health more
    Evolent (08/27/25)
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  • Physician - Women's Health Wellness

    Penn State Health (Harrisburg, PA)
    …network in the region. Penn State Health shares an integrated strategic plan and operations with Penn State College of Medicine (http://med.psu.edu/) , the ... **Penn State Health Medical Group** **Location:** US:PA:Harrisburg **Work Type:** PRN...Shipton at ###@pennstatehealth.psu.edu for additional information **P** **enn State Health Medical Group** is seeking an **Obstetrician & Gynecologist**… more
    Penn State Health (07/31/25)
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  • Pediatric Hospitalist | Penn State Health

    Penn State Health (Hershey, PA)
    …network in the region. Penn State Health shares an integrated strategic plan and operations with Penn State College of Medicine (https://med.psu.edu/) , the ... **Penn State Health ** - **Hershey Medical Center** **Location:** US:PA: Hershey **Work Type:** Full Time **FTE:** 1.0 **Shift:** Varied **Hours:** Varied **Recruiter… more
    Penn State Health (07/09/25)
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  • Senior Operations Manager, Plan

    CVS Health (Harrisburg, PA)
    At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...day. Oversees the day-to-day management and leadership of the plan document drafting team. Develops and coaches the team… more
    CVS Health (07/28/25)
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  • Supervisor-Ambulatory Clinical Operations

    WellSpan Health (Reinholds, PA)
    …**Benefits Offered:** + Comprehensive health benefits + Flexible spending and health savings accounts + Retirement savings plan + Paid time off ... quality care and services to all patients served. Functions as a member of the health care team at an intermediate nursing level to assist in the planning and… more
    WellSpan Health (06/25/25)
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  • People Operations Generalist

    Devereux Advanced Behavioral Health (Braddock, PA)
    Operations + Excellent benefits including low-cost, high coverage health insurance, generous time-off benefits, retirement, tuition reimbursement, tuition ... you looking for an opportunity to further your experience in the People Operations (Human Resources) field while having a meaningful impact on people's lives?Do you… more
    Devereux Advanced Behavioral Health (07/24/25)
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  • Operations Manager

    CVS Health (Wayne, PA)
    At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...with heart, each and every day. **Position Summary** The Operations Manager is a member of the Store Management… more
    CVS Health (08/24/25)
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