22 manager healthcare analytics jobs found in Philadelphia

WORK LOCATION: will need to live in Pennsylvania The Provider Contracting Manager serves as an integral member of the Provider Contracting Team and reports to the AVP, Provider Contracting. This role assists in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory. Duties And Responsibilities Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups). Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy. Initiates and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service. Contributes to the...

Join The Cigna Group as a Senior Internal Auditor and lead financial and strategic audit and advisory projects that strengthen our controls and support enterprise innovation. In this role, you'll partner with audit, finance, and accounting stakeholders to identify areas of elevated risk, execute complex audits, and drive corrective actions and process improvements. You will also collaborate with key decision-makers across the organization and contribute to initiatives shaping the future of healthcare. Responsibilities Lead audit and advisory projects focused on financial risks aligned with enterprise priorities. Deliver actionable insights on risk and control effectiveness to senior stakeholders. Develop risk-based audit programs and monitor remediation of identified issues to closure. Build strong relationships with business leaders to drive process improvements and compliance. Support the Audit Manager in project administration items, audit...

Duration: 9+ Months Location: PA-Philadelphia, Hybrid 3-4 days onsite Overview: Every Turnberry consultant belongs to a practice, an internal group of consultants and leaders with shared experience and expertise. Each of these practices aligns to one of the core services Turnberry offers to clients. As a Design Engineer, you will join Turnberry's Data Strategy and Intelligence practice and service. This service provides insights into company data, advanced analytics solutions, robust data governance, and tailored solutions for specific data challenges. Responsibilities Design new products and make improvements to existing products May evaluate products, parts, or processes for cost efficiency and reliability Work with other members of the engineering staff to ensure that production is completed in a timely manner Qualifications Requires a Bachelor's degree in area of specialty and at least 8+ years of experience in the field or in a related area Knowledge...

The Policy Analyst assists the Community Behavioral Health (CBH) Manager of Compliance with the development, implementation, and maintenance of organizational policies to ensure adherence to legal, regulatory, and internal standards. This position will analyze risks, conduct audits, update policies and procedures based on new requirements, and train employees to foster a culture of compliance. Essential Functions: Ensure CBH implements and maintains a compliance program comprised of the seven elements of an effective compliance program. Policy Development: Create, update, and maintain comprehensive company policies and procedures to meet legal, regulatory and ethical standards. Ability to evaluate existing policy language and make recommendations for improvement. Regulatory Monitoring: Stay current on industry-specific laws and regulations, updating internal policies accordingly. Risk Assessment: Perform audits and risk assessments to identify,...

This attorney role ensures statewide compliance with Unified Judicial System (UJS) rules and policies on language and disability access, as well as state law and federal requirements under Title II of the Americans with Disabilities Act (ADA) and the language access under Title VI of the Civil Rights Act of 1964. Key responsibilities include developing and implementing statewide policies for Supreme Court approval; researching and analyzing trends affecting ADA and language access; responding to inquiries from federal, state, and local agencies; and serving as a liaison between the AOPC and court related or external entities seeking guidance on court operations. The attorney works independently and requires sound judgment, discretion, and strong analytical skills. This position offers flexibility to be based in either Philadelphia or Harrisburg. Job Duties Supervises staff by assigning work, setting goals and deadlines, and communicating priorities. Holds regular...

Summary This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Clarification from the agency NOTE: The 2-page Resume requirement does not apply to this position. For more information, refer to Required Documents below. This position is open to all US citizens. Duties Total Rewards of a Allied Health Professional Duties include, but not limited to: The position is within the Pathology & Laboratory...

TransUnion's Job Applicant Privacy Notice Personal Information We Collect Your Privacy Choices What We'll Bring: At TransUnion, we have a welcoming and energetic environment that encourages collaboration and innovation. We are consistently exploring new technologies and tools to be agile. This environment gives our people the opportunity to hone current skills and build new capabilities, while discovering their genius. Come be a part of our team – you’ll work with great people, pioneering products and cutting-edge technology. We are looking for an Entry Level Counsel for the Marketing Solutions, Media and Entertainment team. You will manage a portfolio of existing commercial agreements, draft and negotiate new complex agreements with our customers, anticipate and protect the company against risk exposure, advise stakeholders on the status of agreement negotiations, and exhibit a willingness to learn. What You'll Bring: Juris Doctor (JD)...

Summary This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Federal employees - Competitive service Current federal employees whose agencies follow the U.S. Office of Personnel Management's hiring rules and pay scales. Federal employees - Excepted service Current federal employees whose agencies have their own hiring rules, pay scales and evaluation criteria. Internal to an agency Current federal...

Provides legal services on the most complex projects or cases and rapidly identifies key issues. Routinely looks for creative interpretations or application of law. Has developed subject matter expertise and demonstrates knowledge and judgment within specialty. Accurately analyzes risks and recommends alternative approaches. Strong knowledge of regulatory environment affecting business. Works with public affairs area to manage external and internal reactions. Resolves legal issues presented efficiently and without guidance. Deals with clients and senior level management. Manages relationships with business division partners, viewed by them as ""go-to"" person. May manage outside counsel. JD/Bar membership. Experienced privacy attorney will support the Office of Privacy and Innovation Governance, reporting to the Chief Privacy Counsel. This role will counsel on matters related to privacy, cybersecurity, data use, and technology matters, and partner closely with Pharmacy,...

Posting Description: Are you intellectually curious with a passion to solve problems? Do you enjoy a flexible and collaborative, team-based environment where you are always learning and growing? If yes, Aon is the company for you! As part of a leading global professional services firm, you will empower results for our clients by delivering innovative and effective solutions supporting health and welfare benefits strategies. We are building our Health Solutions team, focused on the healthcare industry, with the best talent and will consider great candidates in Philadelphia, PA. This is a hybrid role with the flexibility to work both virtually and from a local office. What the day will look like As an Assistant Vice President, you are the Lead Consultant on the Health Solutions client team supporting the Account Executive and responsible for timely, accurate, and quality service of all client deliverables. In this position you will act as the primary day-to-day...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for CBRE. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. CBRE Global Workplace Solutions (GWS) works with clients to make real estate a significant contributor to organizational productivity and performance. Our account management model is at the heart of our client-centric approach to delivering integrated real estate solutions. Each client is entrusted with a dedicated leader and is supported by regional and global resources, demonstrating the industry's most robust platform. CBRE GWS delivers consistent, measurably superior outcomes for our...

About Artera Our Mission: Make healthcare #1 in customer service. What We Deliver: Artera, a SaaS leader in digital health, transforms patient experience with AI-powered virtual agents (voice and text) for every step of the patient journey. Trusted by 1,000+ provider organizations — including specialty groups, FQHCs, large IDNs and federal agencies — engaging 100 million patients annually. Artera’s virtual agents support front desk staff to improve patient access including self-scheduling, intake, forms, billing and more. Whether augmenting a team or unleashing a fully autonomous digital workforce, Artera offers multiple virtual agent options to meet healthcare organizations where they are in their AI journey. Artera helps support 2B communications in 109 languages across voice, text and web. A decade of healthcare expertise, powered by AI. Our Impact: Trusted by 1,000+ provider organizations — including specialty groups, FQHCs, large IDNs and federal agencies — engaging 100...

Risk Adjustment Business Analyst I, Location United States Category Medical Management and Quality Job Id 44227 Remote What's in it for you: Use your skills and experience to help others as well take advantage of our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more. Application Instructions: Make sure your resume has been customized to the Risk Adjustment Business Analyst I role showing you are a good fit for the role as ahown in the job decription requirements and qualifications. Email your custom resume to me: thomas.lepera@montgomerycountypa.gov. I will review your resume. If there is a match then I will email you a link to the application with further instruction. When applying remember to select PACareerlink as...

We are the leading provider of professional services to the middle market globally, our purpose is to instill confidence in a world of change, empowering our clients and people to realize their full potential. Our exceptional people are the key to our unrivaled, culture and talent experience and our ability to be compelling to our clients. You’ll find an environment that inspires and empowers you to thrive both personally and professionally. There’s no one like you and that’s why there’s nowhere like RSM. RSM’s National Healthcare Consulting practice is searching for a Healthcare Regulatory Manager who will provide healthcare regulatory and reimbursement consulting services to clients, potential clients and centers of influence. RSM’s Healthcare Regulatory recovery services are designed to identify high-impact Medicare cost report-related opportunities, including Medicare Critical Access Hospitals, PPS hospitals disproportionate share, bad debts, wage index and other related...

About This Role Are you searching for a rewarding, exciting, dynamic opportunity with the world's largest asset manager? Look no further! At BlackRock, we are seeking a hard-working professional to join our Wilmington based Product Governance and Reporting team supporting our wide fund ranges as we continue to expand our iShares ETFs, Alternative products, and other Americas based fund ranges. We will embrace your rare skills, eagerness, and passion while giving you freedom to grow professionally and as an individual. We know you want to feel valued every single day and be recognized for your contribution. At BlackRock, we strive to empower our employees and actively engage your involvement in our success. With over USD $14 trillion of assets under management we have an outstanding responsibility: our technology and services empower millions of investors to save for retirement, pay for college, buy a home and improve their financial well-being. Join and experience what it...

Executive Benefits Producer – National Healthcare Aon is seeking an Executive Benefits Producer focused on national healthcare accounts. This is a sales‑driven role responsible for originating, developing, and growing relationships with health systems, physician groups, payers, and other provider organizations across the U.S. The successful candidate will be comfortable engaging C‑suite leaders and Boards, shaping strategy, and driving measurable growth. This role can be based out of one of our offices in the US. Aon is in the business of better decisions At Aon, we shape decisions for the better to protect and enrich the lives of people around the world. As an organization, we are united through trust as one inclusive team and we are passionate about helping our colleagues and clients succeed. What The Day Will Look Like Develop and execute new business strategies focused on healthcare providers, associations, and related organizations. Build and manage a...

Company Description Tasked with tackling a labyrinth of payers and organized customers, with limited resources, payer marketers can sometimes feel trapped between a rock and—well…you know. Which is why our clients need an agency that knows how to rock in a hard space. Since day one, Payer Sciences has approached managed markets from a different angle. We firmly believe the truth lies in the data. We relentlessly analyze what formulary decision-makers and prescribers actually do, revealing patterns and practices that impact stakeholders across the treatment journey, and drive bottom-line results. This disciplined approach requires an investment in sharp minds and multiple perspectives. To that end, Payer Sciences has assembled a flat and flexible organization, with analytics, consulting and communications living together under one roof—as one fully aligned team—so that we’re always ready to rock. No matter how hard the space. Payer Sciences is part of Publicis Health North...

Role Summary Reporting to the RVP of Network Management, this position has overall accountability for managing the hospital and physician provider contracting functions in the assigned US Market. This role has market level accountability for executing the Regional/National Network Contracting & Affordability strategy within the market, and also partners closely with leadership from key matrix partners to develop and implement the market strategy to support medical cost improvement and profitable growth in the assignment market. The Market Network Leader is also responsible for managing total medical cost for the market, including the execution of a total unit cost plan, provider collaborative and value-based initiatives, and network access and provider satisfaction/network stability across all Cigna products. Duties & Responsibilities Within the markets, leads the technical operations of the Contracting functions, including service area analysis, physician...

Who is Harrow? Harrow (Nasdaq: HROW) is a leading provider of ophthalmic disease management solutions in North America. Harrow is an incredible entrepreneurial company – where we celebrate the ability of every member of the Harrow Family to be the CEO of their job. Harrow’s values have driven interest over the past decade in attracting high-performing professionals in a variety of disciplines. Members of our Harrow Family often express their pride in being a part of our commitment to (1) innovation, (2) patient access to affordable medicines, and (3) our track record of having never turned down an ophthalmologist doing mission work around the world – providing free medicines in support of mission work aimed at giving or maintaining the gift of sight to those most in need . We encourage you to learn more about Harrow and its unique culture to see if you’re the right person to help contribute as we build a truly exceptional company, one we are all so proud of! Harrow’s...

The hours of this role will fall between 8am-9pmEST Mon-Fri. Position Summary Highly technical Customer Service expert with depth of knowledge within a health care setting. This position will require highly analytical, advanced ability to connect with the member, with a depth of knowledge in resolving and navigating within a health care setting. This position supports medical health plan clients with benefit needs and will also have the expanded responsibility of recommending vendor programs and services. Although this position is within a call center, it differs from typical call center roles due to the requirement and ability to independently seek solutions to customer needs. Candidates must have a proven track record in resolving claims issues, navigating complex health conditions and be the embodiment of empathy as their key driver in member experience. Possesses relationship building behaviors including, but not limited to: empathy, curiosity and helpfulness. Ability to...

Site Name: USA - Pennsylvania - Philadelphia Posted Date: Mar 10 2026 Business Introduction The ability to understand market dynamics and brand positioning is critical to the future success of our brands. The way we integrate marketing strategies into execution plans has become a significant part of our overall brand marketing investment, ensuring GSK's leadership in the industry. Job Title: Brand Marketing Director – Vaccines Summary As the Director of Brand Marketing , you will drive the strategic direction of GSK’s brand marketing initiatives, manage cross-functional alignment and ensure the integration of comprehensive strategies that enhance brand visibility and foster growth across multiple channels. You will be responsible for conducting market and landscape assessments to understand the competitive environment and identify growth opportunities. This critical role requires high levels of stakeholder engagement and financial acumen. You will define and...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Sedgwick. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial...