Health Insurance Jobs in Philadelphia, PA

46,113 open positions · Updated daily

Looking for Health Insurance jobs in Philadelphia, PA? Browse our curated listings with transparent salary information to find the perfect Health Insurance position in the Philadelphia, PA area.

Consumer Compliance Senior Examiner / Supervising Examiner

Company: Federal Reserve Bank of Philadelphia

Location: Philadelphia, PA

Posted Jan 23, 2025

The Federal Reserve Bank of Philadelphia is seeking an experienced Examiner for the Supervision, Regulation and Credit (SRC) department. The role involves direct supervision of financial organizations, addressing complex supervisory issues, and assessing risk management systems and compliance with laws and regulations. The ideal candidate should have a bachelor's degree in a relevant field, at least 10 years of banking or supervision experience, and an active commission from the Board of Governors. The position requires strong analytical skills, excellent communication abilities, and the capacity to manage highly complex supervisory events. The Bank offers a comprehensive benefits package and a supportive work environment that values diversity and inclusion.

Field Case Manager RN - (Montgomery, Bucks, Delaware, Philadelphia Counties, PA)

Company: CVS Health

Location: Philadelphia, PA

Posted Jan 23, 2025

CVS Health is seeking a Community Care Case Manager with a minimum of 3 years of clinical experience and 2 years of CM, discharge planning, or home health care coordination experience. The role involves acting as a liaison between members, providers, and community organizations to address health and social determinant needs. The position requires travel up to 25% within Montgomery, Bucks, Delaware, and Philadelphia Counties. The ideal candidate should have excellent communication skills, be proficient in corporate software, and have a BSN degree preferred. The pay range is $60,522.80 - $129,615.20, with additional benefits including medical, dental, vision, 401(k), and well-being programs.

Retail Sales Associate

Company: The TJX Companies, Inc.

Location: Exton, PA

Posted Jan 23, 2025

Homesense is a company that encourages employees to let their personality shine and offers high-quality, unique home pieces. They value a positive work environment, customer service, and continuous learning. The role involves delivering excellent customer experiences, maintaining store cleanliness, and adhering to operational standards. Benefits include discounts, 401(k) contributions, and various insurance options. The starting pay range is $13.00 to $13.50 per hour.

Medical Director - Keystone Market

Company: CVS Health

Location: Harrisburg, PA

Posted Jan 23, 2025

CVS Health, through its subsidiary Aetna, is seeking a Medical Director for a remote role, preferably in PA/DE/WV with a valid license. The role involves overseeing medical policy implementation, developing and evaluating clinical programs, and providing clinical expertise for utilization review and quality assurance. The Medical Director will also act as a liaison to network providers and facilities. Required qualifications include an M.D. or D.O., board certification in a recognized specialty, and post-graduate direct patient care experience. The pay range is $174,070.00 - $374,920.00, with additional benefits including medical, dental, vision, 401(k), life insurance, disability benefits, well-being programs, and PTO.

Lead Teller

Company: PNC

Location: Scranton, PA

Posted Jan 23, 2025

Pharmacy Manager

Company: CVS Health

Location: Philadelphia, PA

Posted Jan 23, 2025

Registered Nurse

Company: DaVita

Location: Philadelphia, PA

Posted Jan 23, 2025

Pharmacy Intern

Company: CVS Health

Location: Plymouth, PA

Posted Jan 23, 2025

CVS Health is offering a 3rd year pharmacy intern position with opportunities for professional growth and making a significant impact in healthcare. The role involves ensuring patient safety, managing pharmacy operations, and delivering exceptional care. Interns will work under a licensed pharmacist, participate in patient care programs, and demonstrate empathy and compassion. The position requires strong communication skills, relevant work experience, and valid intern/technician licensure. Proficiency in Microsoft Office Suite is preferred.

Certified Professional Coder, Special Investigations Unit (Aetna SIU)

Company: CVS Health

Location: Harrisburg, PA

Posted Jan 23, 2025

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews, ensuring compliance with coding practices. The role involves comprehensive record reviews, identifying billing errors, abuse, and fraud, and maintaining appropriate records. The ideal candidate should have AAPC Coding certification, 3+ years of experience in medical coding or documentation auditing, and strong knowledge of industry coding guides. Preferred qualifications include experience with Behavioral Health coding/auditing and excellent analytical skills. The pay range is $43,888.00 - $102,081.60, with a full range of benefits including medical, dental, vision, 401(k), life insurance, disability benefits, well-being programs, and PTO.

Actuary - Medicare Part D

Company: CVS Health

Location: Spring House, PA

Posted Jan 23, 2025

Frequently Asked Questions

What are typical salary ranges by seniority in Health Insurance?
Entry‑level analysts earn $55k–$75k, mid‑level roles $80k–$110k, senior positions $115k–$150k, and directors or VP levels range from $160k to $200k. Pay varies by region; for example, New York City salaries are often 20% higher than national averages.
Which skills and certifications are required?
Key technical skills include SQL, SAS, R, Tableau, and HL7 for data integration. Certification requirements often involve SOA or CAS actuarial exams, HIPAA‑compliance credentials, Guidewire Underwriting Certification, PMP for project managers, and financial certifications like CPA or CMA for finance roles.
Is remote work available in Health Insurance roles?
Yes—about 70% of positions offer fully remote or hybrid options. Major carriers such as UnitedHealth, Anthem, Humana, and CVS Health have formal telecommuting policies, especially for data‑analysis, product‑management, and compliance roles.
What are common career progression paths?
Typical trajectories move from junior analyst to senior analyst, then to manager, director, and VP. Progression often requires additional certifications (e.g., actuarial exams, PMP), cross‑functional experience, and proven leadership in projects like claims automation or value‑based care initiatives.
What industry trends should Health Insurance professionals watch?
Key trends include AI‑driven fraud detection, telehealth expansion, value‑based care models, regulatory updates to the ACA and Medicare Advantage, data‑privacy enforcement (HIPAA, GDPR), cybersecurity investments, and ESG‑aligned underwriting practices.

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