• Provider Contracting Manager, Eastern PA market…

    The Cigna Group (Conshohocken, PA)
    …related. Significant industry experience will be considered in lieu of a bachelor's degree.** MBA or MHA preferred. + **3+ years Managed Care contracting and ... negotiating experience involving complex delivery systems and organizations required.** + Experience in developing and managing key provider relationships + Knowledge of complex reimbursement methodologies, including incentive based models strongly preferred.… more
    The Cigna Group (10/11/25)
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  • Administrative Resident - HSD

    UPMC (Pittsburgh, PA)
    …function specific tasks and assignments Qualifications + Students must be pursuing an MBA , MHA , MPH, or equivalent master-level degree. Preference will be given ... to students attending an accredited degree program. + Candidates are required to be proficient in Microsoft Office software, hardworking, conscientious, self-motivated, and exemplify excellent communication and interpersonal skills. + Preference will be given… more
    UPMC (10/08/25)
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  • Medical Director - Gulf South

    Humana (Harrisburg, PA)
    …Geriatrics, Hospitalist, Emergency Medicine clinical specialists + Advanced degree such as an MBA , MHA , MPH + Exposure to Public Health, Population Health, ... analytics, and use of business metrics. + Experience working with Case managers or Care managers on complex case management, including familiarity with social determinants of health. + The curiosity to learn, the flexibility to adapt and the courage to… more
    Humana (10/03/25)
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  • Medical Director-Payment Integrity

    Humana (Harrisburg, PA)
    …Practice, Geriatrics, Emergency Medicine clinical specialists + Advanced degree such as an MBA , MHA , MPH + Exposure to Public Health, Population Health, ... analytics, and use of business metrics. + The curiosity to learn, the flexibility to adapt and the courage to innovate **Additional Information** Typically reports to a Lead Medical Director. The Medical Director conducts post-service, inpatient care reviews… more
    Humana (09/26/25)
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  • Value-Based Innovation Consultant

    Highmark Health (Pittsburgh, PA)
    …years relevant experience in lieu of bachelor's degree **Preferred** + Masters Degree - MBA , MHA , MPH, MSc (Health Care Related) **EXPERIENCE** **Minimum** + 5-7 ... years of experience in healthcare, and/or healthcare insurance, consulting, administration or related area + 2-3 years of experience in value-based reimbursement, through managed care contracting, provider reimbursement, consulting, population health delivery… more
    Highmark Health (09/05/25)
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  • Director, Compliance (Regulatory) - Remote

    Prime Therapeutics (Harrisburg, PA)
    …or groups **Preferred Qualifications** + Advanced degree in a relevant discipline (JD, MBA , MHA , etc.) + PBM/health care experience Every employee must ... understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures Every employee must be able to… more
    Prime Therapeutics (09/05/25)
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  • Advisor, Clinical Strategy - Cigna Healthcare…

    The Cigna Group (Philadelphia, PA)
    …efforts. **Required Qualifications** + Bachelor's degree required; advanced degree (eg, MPH, MBA , MHA ) preferred. + 5+ years of experience in healthcare ... strategy, clinical operations, or related roles. + Strong analytical and problem-solving skills with the ability to translate data into actionable insights. + Excellent written and verbal communication skills. + Experience working in a matrixed organization… more
    The Cigna Group (08/14/25)
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  • Medical Director - Northeast Region

    Humana (Harrisburg, PA)
    …Geriatrics, Hospitalist, Emergency Medicine clinical specialists + Advanced degree such as an MBA , MHA , MPH + Exposure to Public Health, Population Health, ... analytics, and use of business metrics. + Experience working with Case managers or Care managers on complex case management, including familiarity with social determinants of health. + The curiosity to learn, the flexibility to adapt and the courage to… more
    Humana (07/25/25)
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  • Administrative Fellow - Administration

    Penn State Health (Hershey, PA)
    …in or have recently completed an accredited graduate program in health administration ( MHA / MBA /MHSA) or program of a similar focus. Secure a broad educational ... in or have recently completed an accredited graduate program in health administration ( MHA / MBA /MHSA) or program of a similar focus. + All applicants should have… more
    Penn State Health (08/26/25)
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  • Business Development Manager

    AmeriHealth Caritas (Newtown Square, PA)
    …support various continuous improvement initiatives **Education and Experience** + Bachelor's Degree required; MBA , MPP, MHA , MPH preferred + At least three (3) ... or more years of business development experience + Proven experience in handling large projects with end-to-end delivery ownership + Excellent time management and organizational skills and experience communicating progress for multiple projects + Knowledge of… more
    AmeriHealth Caritas (10/09/25)
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