- Merck & Co. (North Wales, PA)
- …promotions, internal communications, pricing, policy, legal, health economics outcomes research , and Organized Customer Access and Reimbursement teams to inform ... partners and focus on customer segments (eg health plans, Medicare, Medicaid , federal, pharmacy, hospital, Group Purchasing Organization s, etc.). Primary… more
- Mathematica (Harrisburg, PA)
- …searching for several seasoned professional who are recognized experts with experience leading Medicaid and programs at the state level to join our growing state ... focused on one or several of the following areas: Medicaid , CHIP, Home- and community-based services, Medicaid ...work. Position Requirements: * 10/+ years of experience (Principal Researcher ) or 15/+ years of experience (Senior Fellow) in… more
- Mathematica (Harrisburg, PA)
- …in multidisciplinary teams, drawing on your knowledge and past experience with Medicaid programs * Help conduct research and technical assistance projects ... is searching for a self-motivated professional with experience in Medicaid policy and programs at either the state or...years of experience working in health policy or health research , with a substantial portion of that time related… more
- Mathematica (Harrisburg, PA)
- …searching for a seasoned professional with experience developing, designing, and leading research on programs and policies for people with disabilities and working ... of disability programs (such as SSA SSDI/SSI, vocational rehabilitation agencies, Medicaid /Medicare, and centers for independent living) and the administrative data… more
- Mathematica (Harrisburg, PA)
- …or with a local, state or federal agency, a foundation, a healthcare provider, a Medicaid managed care plan or another policy research firm is highly desirable * ... improving state behavioral health programs within or in conjunction with Medicaid programs and state, local, and private providers. Experience managing public… more
- Mathematica (Harrisburg, PA)
- …pipelines and perform analytics involving large administrative data sources such as state Medicaid claims and APCDs, as well as clinical data sources such as EHRs ... and HIEs, to effectively answer research questions about health care policy. * Incorporate client...and practical knowledge of health data (eg commercial, Medicare, Medicaid , or APCD claims data; EHR and/or HIE data;… more
- Mathematica (Harrisburg, PA)
- …applications, interactive dashboards, data analytics, analytics and visualization products; and research and advisory. Includes operations and maintenance as well as ... Manage complex client relationships and stakeholder expectations. Primary clients include research , program, or technology offices, up to and including executive… more
- Mathematica (Harrisburg, PA)
- …or remotely.* The HCLS business development team focuses on expanding Mathematica's research , digital, data, and advisory services offerings with clients across the ... sheets, pitch decks, competitive intelligence dossiers) * Work collaboratively across research , technology, and advisory services teams to ensure adequate material… more
- Mathematica (Harrisburg, PA)
- …markdown files. * Business development: Assist on proposals for new research projects, especially the quantitative methods sections. Position Requirements: * ... of $70,000 - $95,000 annually. This position may be eligible for a discretionary bonus based on company and...will eventually work with our largest client, Centers for Medicaid & Medicare Services (CMS). Most staff working on… more
- Mathematica (Harrisburg, PA)
- …abilities, and experience is key to our success. We are inviting Health Research Analysts with a *quantitative focus* to join us in contributing to domestic ... projects include:* * Evaluating the implementation and impact of Medicare and Medicaid innovation initiatives aimed at expanding access to care, improving health… more
- Humana (Harrisburg, PA)
- …caring community and help us put health first** Humana/iCare is seeking a Claims Research and Resolution Representative 2 to join our growing team. This position is ... including provider claims projects, complicated and unusual claims. The Claims Research and Resolution Representative 2 will provide input and make recommendations… more
- Public Partnerships LLC (Harrisburg, PA)
- …largest and most experienced Financial Management Service provider is to assist those eligible Medicaid recipients to choose and pay for their own support ... activities and invoice submissions. . Reconciles payments and perform denial research using database queries and spreadsheet analysis. . Prepares and re-submits… more
- Humana (Harrisburg, PA)
- …country. Role Overview The Healthcare Strategy team supports Humana's Medicare and Medicaid business unit. This business unit, Humana's largest, comprises over 80% ... to define the future of Humana's largest businesses. **Location:** remote Humana is seeking an experienced team member with...experience to manage and deliver some of Medicare and Medicaid 's highest priority projects. As a Principal, you will… more
- Humana (Harrisburg, PA)
- …all clinical and population health analysis and measurement in support of Medicaid 's Equitable Population Health Management goals. The Data Manager Lead consults ... Lead roles and responsibilities: + Gathers market intelligence to understand the Medicaid State clinical metric and outcome requirements and the needs of members… more
- Bristol Myers Squibb (Philadelphia, PA)
- …decision makers as they relate to medical/clinical and health economic and outcome research (HEOR) data with payers, policy makers, and other decision makers and ... Care accounts, covering all books of business (eg, Commercial, Managed Medicaid , Fee-for-Service, Medicare, PBMs, and Exchange Plans) + Respond to unsolicited… more
- Merck (North Wales, PA)
- …promotions, internal communications, pricing, policy, legal, health economics outcomes research , and Organized Customer Access and Reimbursement teams to inform ... and focus on customer segments (eg health plans, Medicare, Medicaid , federal, pharmacy, hospital, Group Purchasing Organizations, etc.). **Primary… more
- Merck (Philadelphia, PA)
- …stakeholders including Brand Marketing, Account Management, Data & Analytics, Outcomes Research and Policy to incorporate market/customer insights in the development ... is hybrid in Upper Gwynedd, PA but will consider remote opportunity if candidate is willing to travel to...initiatives for US Payer & PBM (Health Plan, PBM, Medicaid , Medicare, Federal, Employer) to achieve market access goals.… more
- Humana (Harrisburg, PA)
- …our caring community and help us put health first** This a remote nationwide position The Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, ... be sure to provide the requisition number so we may be able to research your request quicker. **Alert:** Humana values personal identity protection. Please be aware… more
- Cardinal Health (Harrisburg, PA)
- …payer issues by region with the appropriate team * As needed conduct research associated with issues regarding the payer, physician's office, and pharmacy to resolve ... * Clear knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for coverage,...our normal business hours of Monday-Friday, 7:00am- 7:00pm CST. REMOTE DETAILS: You will work remotely, full-time. It will… more
- Humana (Harrisburg, PA)
- …in a Humana facility or while working in the field. Work at Home/ Remote Requirements **Work-At-Home Requirements** + WAH requirements: Must have the ability to ... the requisition number so we may be able to research your request quicker. In order to support the...education, certifications, etc.$59,100 - $81,500 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity… more
