• Director Reimbursement Design & Market…

    Highmark Health (Harrisburg, PA)
    …+ 3 years Value-based reimbursement , through managed care contracting, provider reimbursement , consulting, population health delivery or related areas + 4 ... and payment model design. Demonstrate of the application of healthcare economic drivers and/or population health based...reimbursement models (eg, bundled payments), and provider / health plan quality programs (eg pay for performance) +… more
    Highmark Health (07/30/25)
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  • Value-Based Reimbursement Specialist

    Highmark Health (Harrisburg, PA)
    …and maintenance of a self-service platform for providers, entities, and health systems within the Organization's value-based reimbursement programs for ... the overall conceptualization, strategy alignment, and high-level design of new value-based reimbursement models for PCPs, specialists, and health systems across… more
    Highmark Health (08/20/25)
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  • Audit & Reimbursement Senior

    Elevance Health (Harrisburg, PA)
    …partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement Senior** will support our ... onboarding and skill development._ Please note that per our policy on hybrid/virtual work, candidates not within a reasonable...and Medicaid Services (CMS) division of the Department of Health and Human Services). The Audit and Reimbursement… more
    Elevance Health (08/26/25)
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  • Reimbursement Economics Analyst

    Highmark Health (Harrisburg, PA)
    …Highmark Inc. **Job Description :** **JOB SUMMARY** This job supports Highmark Health 's Value-Based Reimbursement , Strategy & Innovation Team. The incumbent ... stakeholders to develop, coordinate, and manage analysis accompanying existing and new reimbursement models, as well as provide analysis in the development and… more
    Highmark Health (06/25/25)
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  • VP Reimbursement , Provider & Network…

    Highmark Health (Pittsburgh, PA)
    …or strategic tactic to drive provider performance in the domains of reimbursement and network programs. Specifically, the incumbent will lead the strategy and ... creation of value-based reimbursement (VBR) & risk programs, as well as the...+ 7 years leadership experience + 7 years in Healthcare Strategy, with strong preference for Payor experience +… more
    Highmark Health (07/12/25)
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  • Manager Reimbursement Systems Support

    Highmark Health (Pittsburgh, PA)
    …+ None **Preferred** + None **SKILLS** + Analytical and Logical Reasoning/Thinking + Healthcare Information Systems + Health Insurance + Microsoft Office + Data ... all key stakeholders to successfully design, plan, test, implement, and maintain reimbursement systems and all related reimbursement data tables. Manages all… more
    Highmark Health (06/04/25)
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  • Reimbursement Analyst

    WellSpan Health (York, PA)
    …cost reports, therefore, must stay abreast of current governmental reimbursement regulations. Contributes to ensuring the overall continued financial success ... general ledger and patient accounting systems. + Assists in performing reimbursement analyses when updated regulations are published. + Communicates with Hospital… more
    WellSpan Health (08/27/25)
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  • Field Reimbursement Manager Tzield - East…

    Sanofi Group (Pittsburgh, PA)
    …business-related issues for T1D. In addition, they will help support product reimbursement through compliant support of the PA policy requirements supporting ... assistance offerings from patient support program, and billing of Sanofi T1D products by health care providers and/or healthcare facilities. + Act as the main… more
    Sanofi Group (08/17/25)
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  • Supplemental Health National Sales Director…

    The Cigna Group (Harrisburg, PA)
    **Position Summary** The Supplemental Health National Sales Director (NSD) will be responsible for driving new business sales for Supplemental Health products in ... designed to increase the institutional knowledge of Cigna Supplemental Health Solutions in the large case segment. The NSD...specific sales reports and forecasts. + **Partner with Cigna Healthcare Team.** The NSD will work closely with our… more
    The Cigna Group (08/26/25)
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  • Field Reimbursement Manager (Immunology…

    J&J Family of Companies (Pittsburgh, PA)
    At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, ... and biotechnology products + Excellent technical knowledge and expertise in payer policy , including all elements of reimbursement (coding, coverage, and payment)… more
    J&J Family of Companies (08/25/25)
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