- Olympus Corporation of the Americas (Center Valley, PA)
- …or medical device industry. + In-depth knowledge of (US) healthcare systems, health policy , including managed care organizations, IDN's, Medicare and Medicaid; ... in US reimbursement coding, coverage and innovative payment pathways, and US health policy . + Intermediate-level competence in epidemiology, clinical trials,… more
- WellSpan Health (Lancaster, PA)
- …veteran status, disability, or any other legally protected characteristic. WellSpan Health does, however, have a tobacco-free/nicotine-free hiring policy . **Will ... team (from the fields of psychiatry, nursing, psychology, applied behavior analysis , social work, and counseling) with recognized expertise in the treatment… more
- Highmark Health (Harrisburg, PA)
- …define & diagnose a problem, outline data requirements for a study or analysis , and devise potential solutions. Guides and mentors less experienced staff and ... to develop efficient processes and will apply actuarial techniques and statistical analysis to several functions which may include insurance premium and pricing… more
- Highmark Health (Pittsburgh, PA)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job has enterprise-wide responsibility for creating and driving strategic sourcing for an ... management, demand and compliance management, internal spend and external market analysis , and category governance. Collaborates with key stakeholders on the… more
- Humana (Harrisburg, PA)
- …care management, provider relations, quality of care, audit, grievance and appeal and policy review. The Behavioral Health Medical Director will develop and ... part of our caring community and help us put health first** The Behavioral Health Medical Director...assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation… more
- Highmark Health (Harrisburg, PA)
- …needs, gather project specifications, create business cases and cost sheet analysis , translate high-level business needs into detailed requirements for new ... or opportunities for process improvements, create/execute test cases, provide root cause analysis and corrective action plan, verify delivery of customer needs, and… more
- Highmark Health (Harrisburg, PA)
- …documentation, management and oversight of end to end workflow process analysis assuring improved productivity, cost effectiveness, appropriate embedding of Key ... lead the definition, scoping, chartering efforts for business process analysis /design projects related to process improvement initiatives assuring optimal business… more
- Highmark Health (Pittsburgh, PA)
- …metrics. This role requires critical thinking, effective communication, data analysis , and strong organizational skills to evaluate vendor performance, provide ... Provide a broad range of budget, financial, and/or operational analysis for a large department or division. May develop...etc.) **Preferred** + 3 - 5 years in the Health Insurance Industry **LICENSES AND CERTIFICATIONS** **Required** + None… more
- Highmark Health (Harrisburg, PA)
- …Inc. **Job Description :** **JOB SUMMARY** This job performs business analysis tasks by supporting stakeholders of a specific system application(s), handling ... application. Understands how work is being conducted, and through analysis , determines solutions to the issue(s). Works with stakeholders...experience **Preferred** + 1 - 3 years in the Health Insurance Industry + 1 - 3 years in… more
- Highmark Health (Harrisburg, PA)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job works collaboratively riskacross Highmark Health clinical areas to support clinical ... routine and non-routine audits of clinical information, assessing medical policy adherence and consistency in decision-making, identifying non-compliance issues, and… more