- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data ... to understand business needs/issues, troubleshoots problems, conducts root cause analysis , and develops cost effective resolutions for data anomalies. Advises… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data ... to understand business needs/issues, troubleshoots problems, conducts root cause analysis , and develops cost effective resolutions for data anomalies. Advises… more
- Travelers Insurance Company (Harrisburg, PA)
- …million. + Provide quality customer service and ensure file quality timely coverage analysis and communication with insured based on application of policy ... new facts as they become available, and their impact upon the liability analysis and settlement options. + Represent the company as a technical resource, attend… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Clinical Pharmacist Lead monitors drug development pipeline, and medical literature, while ... develop, and/or implement strategies and programs to mitigate cost trend and improve health outcomes. The Clinical Pharmacist Lead works on problems of diverse scope… more
- UPMC (Pittsburgh, PA)
- …A. Ensures all activities are carried out in compliance with organization policy and local, state and federal laws and regulation governing activities, ... organization needs and changing market conditions. E. Ensures financial analysis /modeling of competitive pricing information is conducted. Ensures timely… more
- Merck (North Wales, PA)
- …Requirement:** + Required: BA/BS + Preferred: Master's degree in business administration, health policy , or health economics **Required Experience and ... insights, including having oversight of payer market research and analysis of payer landscape and competition. + As a...one or more of these areas: market access, pricing/reimbursement, health policy and/or health economics,… more
- The Hartford (Philadelphia, PA)
- …and writing skills. + Demonstrated skills with influencing outcomes thru analytical analysis . + Strong communication and computer skills. + Proficiency with MS ... listed annualized base pay range is primarily based on analysis of similar positions in the external market. Actual...asking ourselves what more we can do. Is our policy language as simple and inclusive as it can… more
- The Hartford (Wayne, PA)
- …interpersonal, teamwork and relationship building skills. + Quantitative and financial analysis skills a plus + Excellent oral and written communication skills ... listed annualized base pay range is primarily based on analysis of similar positions in the external market. Actual...asking ourselves what more we can do. Is our policy language as simple and inclusive as it can… more
- The Hartford (Wayne, PA)
- …and optimization, testing and implementation + Provide business and technical analysis for initiatives focusing on Data Warehouse and Business Intelligence solutions ... listed annualized base pay range is primarily based on analysis of similar positions in the external market. Actual...asking ourselves what more we can do. Is our policy language as simple and inclusive as it can… more
- AmeriHealth Caritas (Newtown Square, PA)
- …(AI), machine learning (ML), and NLP-based automation, coupled with continuous policy refinement, and strong Plan and provider stakeholder engagement. The Director ... live in EST or CST time zones **Responsibilities** _Strategic Leadership & Policy Development_ + Develop and manage enterprise-wide payment integrity policies and… more