Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job coordinates and implements the credentialing and privileging activities within the Credentialing and Privileging Office to include appointment, reappointm...
Company : Highmark Health Job Description : JOB SUMMARY This job works on transformation initiatives in healthcare for clients and members. Will develop and execute member engagement strategies to drive the transformation of healthcar...
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 : Allegheny Health Network Job Description : Sign on Bonus Eligible: $15,000 (2 year commitment) GENERAL OVERVIEW: This job designs and customizes treatment plans under the direction of the radiation oncologist. ESSENTIAL ...
At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millio...
At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millio...
Company : Highmark Inc. Job Description : JOB SUMMARY This job is responsible for the oversight and operations of the healthcare management analytics function with the Medical Policy department. The incumbent retains responsibility fo...
Company : Highmark Inc. Job Description : JOB SUMMARY This role supports the Medical Policy team by bringing medical director level expertise, experience and knowledge to the team. They support the full-cycle ownership of commercial a...
Company : Highmark Inc. Job Description : JOB SUMMARY This job collects, validates, analyzes, and organizes data into meaningful computerized reports by manipulating and extracting data to meet customer needs, generates reports throug...
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...