- Deloitte (Pittsburgh, PA)
- …Required: + 2+ years of health actuary experience and consulting and/or health plan/ insurance company experience + 1+ year(s) of experience with Medicaid ... public entities + Participate in the transformation of the health care sector through innovative actuarial solutions, such as...individual medical and small group markets + Experience with Medicare products, including Medicare Advantage or … more
- Humana (Harrisburg, PA)
- …focused on continuously improving consumer experiences **Preferred Qualifications** + PharmD + Health Plan experience + Knowledge of Medicare as it relates ... part of our caring community and help us put health first** Be a part of an interactive team...well as modeling financial impact of emerging therapeutics across Medicare and Medicaid LOBs + Researches and analyzes drugs… more
- AON (Fort Washington, PA)
- …in managing membership participation in national professional association life and health insurance plans, or leading underwriting/product development for a ... in managing membership participation in national professional association life and health insurance plans, or leading underwriting/product development for a… 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 ... + 3+ years of SQL experience, preferably in SSMS. **Preferred Qualifications** + Medicare Advantage experience. + Experience with SQL and VBA highly preferred. +… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Actuarial Analyst 2, Analytics/Forecasting analyzes and forecasts financial, economic, and ... This role will support a few tools used within our Individual Medicare Advantage pricing and internal reporting process. This includes: + Helping make… 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 ... expert on the End Stage Renal Disease (ESRD) population for Humana's individual Medicare Advantage plans. This includes: + Owning and improving our ESRD claims… more
- University of Pennsylvania (Philadelphia, PA)
- …Medicare regulations applicable to clinical trials. + Understanding interaction of Medicare regulations and/or third-party insurance to develop clinical trial ... and Flexible Spending Accounts : Penn offers comprehensive medical, prescription, behavioral health , dental, vision, and life insurance benefits to protect you… more
- CenterWell (Harrisburg, PA)
- …Home Health preferred + Previous experience in utilization management within Insurance industry a plus + Previous Medicare Advantage/ Medicare **Alert** ... **Become a part of our caring community and help us put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care givers… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses ... the care and wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work assignments are varied and frequently require interpretation and independent… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and ... techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder effective care. Ensures patient… more