Company : Highmark Inc. Job Description : JOB SUMMARY This job reviews inquiries to determine if they meet the definition of a grievance/appeal;documents, investigates, refers and coordinates grievances and appeals;initiates a case ...
Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT codin...
Company : Highmark Inc. Job Description : JOB SUMMARY ***CANDIDATE MUST BE US Citizen (due to contractual/access requirements)*** Work must be performed during Eastern Standard Time (EST) hours. Employees within 50 miles of the Pi...
Sugartown Worldwide LLC Job Type: Regular Brand Strategy Our Brand mission is to inspire confidence and optimism, inviting everyone to shine bright and stand out. Our Brand vision statement is: “Create Your Sunshine, A Resort State of...
Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Responsible for obtaining insurance precertification/recertification, functioning as a liaison with third party payers, communicating clinical information to the i...
Your work days are brighter here. At Workday, it all began with a conversation over breakfast. When our founders met at a sunny California diner, they came up with an idea to revolutionize the enterprise software market. And when we began...
Company : Highmark Health Job Description : JOB SUMMARY This job prepares and performs governance, risk, and compliance (GRC) risk monitoring and executes risk treatment processes and activities. This includes monitoring, tracking, an...
Company : Highmark Health Job Description : JOB SUMMARY This job understands healthcare data from end-to-end and analyzes raw data and analytic data for the enterprise. This role is focused on the FEP (Federal Employee Program) and wi...
Company : Highmark Health Job Description : JOB SUMMARY Weekends - Saturday and Sunday required in addition to 3 weekdays This job implements effective utilization management strategies including: review of appropriateness of health...
UNLEASH YOUR POTENTIAL! At Leidos, we deliver innovative solutions through the efforts of our diverse and talented people who are dedicated to our customers’ success. We empower our teams, contribute to our communities, and operate sustai...