Company : Highmark Inc. Job Description : JOB SUMMARY This job has primary ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management nee...
Company : Highmark Inc. Job Description : JOB SUMMARY This job reviews, evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for b...
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 Work Location Policy: This role offers a hybrid work model. Candidates residing within 50 miles of a Highmark office will be required to work on-site Tuesday through Thursday. Al...
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ...
Company : Highmark Health Job Description : JOB SUMMARY This Position is the top investigator in the Cyber Fusion Center, capable of working any kind of incident, leading investigations, and ensuring incidents are properly documented ...
Company : Highmark Health Job Description : JOB SUMMARY This role will manage and investigate live security incidents. Cyber Incident Responders work independently or collaboratively depending on each event and will serve as a subject...
Company : Highmark Inc. Job Description : JOB SUMMARY This job partners with assigned Client Managers to maintain and grow existing business and ensure that positive account relationships are maintained. The incumbent assists in the pr...
Company : Allegheny Health Network Job Description : This position is remote, but will require frequent travel to our Pittsburgh, PA headquarters based on business needs. GENERAL OVERVIEW: This job provides strategic leadership and ...
Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job builds and maintains hospital, professional, and ASC contracts in Epic. Identifies underpaid accounts and articulates the source of the processing error t...