Company : Highmark Inc. Job Description : JOB SUMMARY This job ensures vendors meet expectations for both quality of services and cost as well as ensure both vendors and the Organization comply with regulatory and contractual requirem...
Company : Highmark Health Job Description : JOB SUMMARY Highmark is seeking a highly skilled and motivated Lead Engineer to serve as an integral member of our agile software engineering team. In this pivotal role, you will drive the d...
Company : Highmark Inc. Job Description : JOB SUMMARY This job reviews requests for medication coverage determination for prior authorization review and appeals. Through the Utilization Review system, the incumbent evaluates clinical ...
Company : Highmark Inc. Job Description : JOB SUMMARY This job is responsible for completing all Prior Authorization outbound call tasks and/or inbound triage case creations. In compliance with regulatory guidelines (e.g., NCQA, CMS),...
Company : enGen Job Description : JOB SUMMARY We are seeking a highly motivated and detail-oriented IT Service Desk Specialist to join our specialized IT support team dedicated to the Radiology Department. In this critical role, you w...
Company : Highmark Inc. Job Description : JOB SUMMARY This position will serve as the SME for the team they are assigned. This role will support being an escalation point for the production team members, ensuring appropriate level of ...
Company : Highmark Inc. Job Description : JOB SUMMARY This job captures all inbound phone inquires for utilization management review from providers and pharmacies. The incumbent assesses the verbal request, critically thinks through t...
Overview: Ferrellgas was recently recognized by Newsweek as one of America’s Most Trustworthy Companies for 2025 — and that trust starts with our people. Ferrellgas is looking for a dependable, safety-minded CDL Driver to join our team. I...
Company : Highmark Health Job Description : JOB SUMMARY This strategic leadership role is responsible for informing and driving the execution of Highmark Health's SDoH strategy, ensuring alignment with the organization's overall missi...
Company : Highmark Inc. Job Description : JOB SUMMARY This job is responsible for serving as a liaison between the member, the Health Plan, and the relevant state and/or federal regulators. The position conducts telephonic support to ...