• Healthcare Network Pricing

    AmeriHealth Caritas (Newtown Square, PA)
    …other administrative services. Discover more about us at www.amerihealthcaritas.com . The ** Network Pricing Analyst** will collaborate with team members and ... matter experts to identify root causes of trends. + Support the Network team with validation of Medicaid/Medicare/Exchange pricing , collaborating with internal… more
    AmeriHealth Caritas (03/18/25)
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  • VP, National Provider Network Management

    Humana (Trenton, NJ)
    …first** Humana is a $100+ billion (Fortune 38) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As ... is committed to advancing the employment experience and vitality of the associate community. Through offerings anchored in a whole-person view of human well-being,… more
    Humana (05/17/25)
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  • Administrative Services Coordinator Neurology PAH

    Penn Medicine (Philadelphia, PA)
    …program at PAH Neurology. This position is complete located at PAH, but will network with colleagues at HUP. The position will be eligible for a hybrid schedule ... authorizations and obtains prior authorizations for procedures. + Obtains medication pricing and coverage information for patients. + Initiates Tier 1 prescription… more
    Penn Medicine (04/30/25)
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  • Senior Actuary - Middle Market

    CVS Health (Blue Bell, PA)
    …deep dives + Collaborate with the Plan President, Sales, Finance, Underwriting, Network , Contracting, and Product to develop the best estimate rate actions, market ... specific growth strategies while practicing pricing discipline + Partner with the Rate Review, Forecasting,...degree along with 5+ years of experience + ASA ( Associate of the Society of Actuaries) designation or FSA… more
    CVS Health (05/24/25)
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