Company : Highmark Inc. Job Description : JOB SUMMARY This job is responsible for requesting and obtaining medical records from healthcare providers to ensure accurate documentation of members’ health conditions and optimize risk adju...
Company : Highmark Health Job Description : JOB SUMMARY This job is a strong advocate of cloud technology and engineering support necessary to drive the organization's next-generation technologies. The senior level incumbent works to ...
Responsibilities Peraton is seeking to fill a critical role for a full-time background investigator near Chambersburg, PA. Applicants must reside within 25 miles of the city center of Chambersburg. What you’ll do: The Investigator wil...
Company : Highmark Inc. Job Description : JOB SUMMARY This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The in...
Company : Highmark Inc. Job Description : JOB SUMMARY This job provides telephonic case management services to members with mental health/substance use and co-morbid chronic medical conditions offering integrated and comprehensive int...
Company : Highmark Inc. Job Description : JOB SUMMARY This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The in...
Company : Highmark Inc. Job Description : JOB SUMMARY This job is responsible for the development, writing, planning, design, and delivery of customer-focused requests for proposals and information that supports the organization's str...
Company : Highmark Inc. Job Description : JOB SUMMARY The job works directly with network providers to champion provider practice transformation in support of various Organization endorsed strategic care delivery models. Leads the day...
Company : Highmark Health Job Description : JOB SUMMARY This job defines the product’s fundamental value proposition, outlines vision and execution plan, gains alignment and support from key strategic partners and stakeholders, and ov...
Company : Highmark Health Job Description : JOB SUMMARY We are seeking a highly motivated and experienced Manager, Advanced Analytics to lead and grow our team focused on delivering impactful insights from complex healthcare data. Thi...