Company : Highmark Inc. Job Description : JOB SUMMARY The Director of Strategy for Risk Adjustment (Risk Adjustment Accuracy Management (RAAM)) plays a pivotal role in driving the strategic planning, operational efficiency, and progra...
Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue...
ADP is hiring a Sales Representative: Major Accounts, Core. ADP Major Accounts supports mid‑to‑large, complex organizations (typically 50-999) by delivering scalable, enterprise‑grade HCM solutions across payroll, HR, benefits, time, tale...
Company : Highmark Inc. Job Description : JOB SUMMARY This position coordinates member and provider outreach activities. The role focuses on completing non‑clinical tasks, including prescriber office outreach, benefits investigations,...
Company : Highmark Inc. Job Description : JOB SUMMARY This job provides front line staff guidance, ensures effective and efficient delivery of Pharmacy call center services. Serves as first line reviewer in monitoring and ensuring adh...
Company : Highmark Health Job Description : JOB SUMMARY This job supports Enterprise Transformation project teams in delivering day-to-day client service and analytical support. The incumbent collaborates across 1-2 client teams at a ...
Company : Highmark Inc. Job Description : JOB SUMMARY This job captures all inbound inquires for utilization management review from providers and pharmacies. The incumbent assesses the request, conducts all necessary research such as ...
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 *If located within a 50 mile radius of a Highmark office in PA, DE, WV or NY this is a hybrid role requiring 3 days in office *Note additional detail in Preferred Experience se...
Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: The Internal Staffing Team Registered Nurse assesses human responses and plans, implements and evaluates nursing care for individuals or families for whom the nurs...