- Highmark Health (Pittsburgh, PA)
- …participate in policy discussions, and contribute to the advancement of Medicaid best practices. + **Team Leadership and Development:** Build and lead a ... Develop and implement community engagement initiatives to address the social determinants of health and improve the well-being of Medicaid members. Partner with… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing … more
- Sumitomo Pharma (Harrisburg, PA)
- …Switzerland GmbH) focused on addressing patient needs in oncology, urology, women's health , rare diseases, psychiatry & neurology, and cell & gene therapies. With ... highly motivated, and experienced individual for the position of Sr. Manager, Medicaid Contract Administration. This position is responsible for managing the … more
- Humana (Harrisburg, PA)
- …**Required Qualifications** + Bachelor's degree. + Two (2) or more years of experience in Medicaid policy or Medicaid managed care business operations. + Two ... data to create a foundational understanding of a state's health care and Medicaid landscape. + Works...at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** We are seeking a highly motivated Associate Actuary to join our Medicaid trend analytics ... requires an in-depth evaluation of variable factors. The Associate Actuary, Medicaid Trend focuses on developing, monitoring, and communicating cost trend drivers,… more
- Highmark Health (Pittsburgh, PA)
- …**Job Description :** **JOB SUMMARY** This job leads the overall performance of a Medicaid plan, for quality of care and service as well as financial performance. ... goals and business plans to be executed at the health plan. Collaborate on the development and oversee implementation...other influential local entities in support of the state's Medicaid programs and members as well as market and… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Medicaid Lead, Technology Solutions builds strategic partnerships and manages ... strategy. **This State Technology Lead role will cover the Michigan Medicaid /DSNP product lines along with one additional state.** **Responsibilities** **Market… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Senior Product Owner ( Medicaid ) is responsible for conveying product vision and ... in-depth evaluation of variable factors. The Senior Product Owner ( Medicaid ) maximizes the value of products created by Agile...us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The MBA Intern - Illinois Medicaid (Part-time, Fall 2025) will contribute as a team member ... with local market operations, clinical, and finance leaders that improve members health outcomes. **Use your skills to make an impact** **Required Qualifications** +… more
- Humana (Harrisburg, PA)
- …member health outcomes, or otherwise producing value within Humana's Medicaid block of business. Important skills include: - ability to critically think ... **Become a part of our caring community and help us put health first** The Associate Actuary, Analytics/Forecasting ensures data integrity by developing and… more