• Claims Process Executive…

    Cognizant (Harrisburg, PA)
    ** Claims Process Executive ( remote )** **JOB PURPOSE:** Claim Processors will review claim submissions, verify information, adjudicate the claim as per ... the business requirements. **ESSENTIAL FUNCTIONS** : + Examining and entering basic claims for appropriateness of care and completeness of information in accordance… more
    Cognizant (10/04/25)
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  • Executive Director of R&D Global Quality…

    Otsuka America Pharmaceutical Inc. (Harrisburg, PA)
    **Job Summary** We are seeking an experienced and dynamic Executive Director of R&D Global Quality to join our team. This pivotal role will be responsible for ... reported periodically to Senior Management through the Management Review process to ensure alignment with Company policy and strategy...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Otsuka America Pharmaceutical Inc. (08/14/25)
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  • Senior Managing Director, Risk Advisory, Trust…

    Ankura (PA)
    …structured, defensible processes for fiduciaries, courts, and stakeholders in high-volume claims environments. Role Overview The Trust and Mass Torts Senior Managing ... Director role is an executive level position that sells, leads and manages complex...the firm's activities and initiatives + Manage the invoicing process , including collections, for consulting engagements + Build relationships… more
    Ankura (09/26/25)
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  • Senior Analytic Consultant

    Norstella (Harrisburg, PA)
    Senior Analytic Consultant Company: MMIT Location: Remote , United States Date Posted: Aug 21, 2025 Employment Type: Full Time Job ID: R-1436 **Description** **About ... offerings leveraging Norstella's unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be joining an organization… more
    Norstella (08/22/25)
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  • Chief Underwriting Officer

    Ford Motor Company (Harrisburg, PA)
    …if you need a reasonable accommodation for the online application process due to a disability, please call ###. \#LI-WC #LI- Remote **Requisition ID** : 49381 ... to exceed Ford's customer service expectations throughout the buying/servicing/renewal process **Portfolio Optimization & Technical Underwriting:** . Provide deep… more
    Ford Motor Company (10/04/25)
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  • VP, Regulatory Affairs R&D Biopharma

    Sumitomo Pharma (Harrisburg, PA)
    …monitoring of global regulatory line items in the clinical development projects budget process + Serve as the senior point of contact for internal communication + ... Ensure that development of launch materials/new claims with Marketing, Medical and Legal are guided by...and work practices governing all phases of the regulatory process + Ensure that regulatory pathways are developed to… more
    Sumitomo Pharma (09/10/25)
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  • Senior Director Program Integrity and Special…

    Geisinger (Danville, PA)
    …local, state and federal law enforcement and regulatory partners. Provides executive management with reimbursement or recovery recommendations based on PI team's ... review of claims for appropriate coding, billed statistics, policies, industry standards...on anti-fraud and program integrity regulations. + Presents to executive leadership the Privacy, Compliance and Program Integrity committee… more
    Geisinger (09/07/25)
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  • Medicaid State Technology Lead

    Humana (Harrisburg, PA)
    …optimal solutions aligned with business partner expectations. + Conducts executive -level briefings and presents solution recommendations in support of state-level ... goals. + Guides Medicaid Technology Solutions teams in developing technical process documentation. + Produces weekly, monthly, and quarterly Kanban updates for… more
    Humana (09/03/25)
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  • AI Innovation Lead - Data Science Lab

    Guardian Life (Bethlehem, PA)
    …adoption. + Report and communicate progress, opportunities, and risks to executive stakeholders, delivering insights and recommendations in a clear, actionable ... logs. + Deliver solutions that enhance underwriting risk assessment, claims auto-adjudication, and customer servicing. Operational Excellence + Establish scalable… more
    Guardian Life (09/12/25)
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  • Head of Product, Strategic Intelligence

    Norstella (Harrisburg, PA)
    Head of Product, Strategic Intelligence Company: Norstella Location: Remote , United States Date Posted: Sep 10, 2025 Employment Type: Full Time Job ID: R-1488 ... Partner with Engineering and Data Science to incorporate RWD ( claims , lab, EMR) where it improves forecast accuracy and...+ Serve as a visible product leader with strong executive presence. + Communicate complex forecasting concepts in clear,… more
    Norstella (09/11/25)
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