Company : Highmark Inc. Job Description : JOB SUMMARY This job is responsible for providing comprehensive case management services to members, ensuring quality, cost-effective care delivery, and promoting optimal health outcomes. The ...
Company : Highmark Health Job Description : JOB SUMMARY This job will lead our Utilization Management product management teams including strategy, roadmap formulation, and value realization. This position will partner closely with UM ...
Company : Highmark Inc. Job Description : JOB SUMMARY This job serves as a liaison and mediator between members, providers, community -based organizations, and the health plan. Works independently in the community, engaging members wi...
Company : enGen Job Description : JOB SUMMARY ***CANDIDATE MUST BE US Citizen (due to contractual/access requirements)*** This position serves as the technical and strategic leader for the organization's Enterprise Data Protection p...
Company : Highmark Inc. Job Description : JOB SUMMARY The incumbent is responsible for developing and maintaining an anti-fraud program which includes development and delivery of training and filing of Fraud Plans and Reports. The inc...
Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: The Registered Nurse assesses human responses and plans, implements and evaluates nursing care for individuals or families for whom the nurse is responsible. The R...
Company : Highmark Health Job Description : JOB SUMMARY This job is accountable for the direction and implementation for the technology component of the comprehensive, risk-based information systems audit, advisory, and compliance pla...
Company : Highmark Health Job Description : JOB SUMMARY This job is accountable for the development and product management of a service and or analytic product within the organization with a unique focus on the applicable business uni...
Company : enGen Job Description : JOB SUMMARY The Account Executive is responsible for growing the client base within our national print & mail manufacturing footprint. They will be responsible for driving sales revenue and growing ma...
Company : Highmark Inc. Job Description : Duties Note: The following is not intended to be an exhaustive list of all duties required of this position. ADA E1. Ensure all claims are handled according to all internal operating and admin...