Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: We are currently seeking a highly organized and detail-oriented Coordinator Staffing for the Anesthesia Institute at Allegheny Health Network. This position will b...
Company : enGen Job Description : JOB SUMMARY This job supports the executive leadership of the Organization with a range of strategy activities essential to ensuring the Organization's goals. Provide analytical/strategic thinking and...
Company : Highmark Health Job Description : JOB SUMMARY: This job collaborates with Sales Client Management and the Sales Executive team. The position will develop member transition strategies to steer the transition of members to AHN...
Company : Highmark Inc. Job Description : JOB SUMMARY This job manages and coordinates the supervisory staff that has accountability for the case management, medical review, utilization review, quality management and/or health education t...
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 This job is responsible for screening, reviewing, evaluating online entry, correcting errors and/or performing quality control review and final adjudication of paper/electronic cla...
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...
Company : enGen Job Description : JOB SUMMARY *** Due to Department of Defense (DOD) contract requirements, the incumbent who fills this position must be a US citizen and must also pass a background check.*** The Business Systems An...
Company : Highmark Inc. Job Description : GENERAL OVERVIEW: The Appeals Analyst reviews inquiries to determine if they meet the definition of a grievance/appeal;documents, investigates, refers and coordinates grievances and appeals;...
Company : Highmark Inc. Job Description : JOB SUMMARY This job is responsible for the claims invoicing and accounts receivable activities for the non-risk self-insured population of clients supporting all medical, buy-up, shared savin...