• 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...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as… more
    Highmark Health (07/12/25)
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  • Manager Reimbursement Systems Support

    Highmark Health (Pittsburgh, PA)
    …all key stakeholders to successfully design, plan, test, implement, and maintain reimbursement systems and all related reimbursement data tables. Manages all ... and authority. + Design, plan, test, implement and maintenance of all reimbursement systems and associated data tables, including all fee schedules and methods.Use… more
    Highmark Health (06/04/25)
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  • Medicaid Provider Hospital Reimbursement…

    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 ... System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and… more
    Humana (07/09/25)
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  • HEMA Manager

    Olympus Corporation of the Americas (Center Valley, PA)
    …Understanding of medical delivery systems, reimbursement , market access conditions and health policy trends in the United States. + Demonstrated knowledge of ... and tactical execution of a value-based market access strategy that integrates reimbursement , health economics, outcomes research and market access solutions… more
    Olympus Corporation of the Americas (07/02/25)
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  • Bilingual Reimbursement Specialist

    Cardinal Health (Harrisburg, PA)
    …state or local law._ _To read and review this privacy notice click_ here (https://www.cardinalhealth.com/content/dam/corp/email/documents/corp/cardinal- health ... Cardinal Health Sonexus (TM) Access and Patient Support helps...complete accurate referrals and applications and keep updated on policy or procedural changes + Investigate and resolve patient/physician… more
    Cardinal Health (06/24/25)
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  • Field Reimbursement Manager, Eye Care

    AbbVie (Pittsburgh, PA)
    …access account management teams. + Remain current on key managed care, reimbursement , and policy activities. + Demonstrate agility to effectively incorporate ... in account management, payer account management, and/or field-based account access and reimbursement . + Thorough understanding of the payer policy processes,… more
    AbbVie (07/18/25)
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  • Senior Analyst, Life Sciences Consulting

    Norstella (Harrisburg, PA)
    …Sciences industry and strategy consulting. Analysts will work on projects addressing the reimbursement , pricing, demand creation, health policy , health ... Job ID: R-410 **Description** **About Us** We set out to develop a health care innovation organization that could separate the background "noise" from what warrants… more
    Norstella (05/06/25)
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  • Field Reimbursement Manager - East Region

    Otsuka America Pharmaceutical Inc. (Harrisburg, PA)
    …Required** + Minimum 5 years of pharmaceutical industry experience, with focus on payer policy and reimbursement + At least 3 years of experience in benefit ... **Position Summary** The Field Reimbursement Manager (FRM) serves as the subject-matter expert...Otsuka Pharmaceutical Development & Commercialization, Inc., and Otsuka Precision Health , Inc. ("Otsuka") does not accept unsolicited assistance from… more
    Otsuka America Pharmaceutical Inc. (05/23/25)
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  • Insurance Specialist I - Corporate…

    Guthrie (Sayre, PA)
    …non‐responded claims as assigned. Utilizes internal rejection protocols, coding knowledge, reimbursement policies, payer guidelines and other sources in order to ... resolution. Documents support on request forms and performs adjustments within policy guidelines. Other Duties: 1. Provides feedback related to workflow processes… more
    Guthrie (07/01/25)
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