Company : Highmark Inc. Job Description : JOB SUMMARY This job provides end-to-end management, delivery and support to new and existing Risk Adjustment Programs. The incumbent will deliver value to the Health Plan, and its beneficiari...
Company : United Concordia Dental Job Description : JOB SUMMARY This job handles customer inquiries by telephone and/or email and/or in person from individual members, groups, providers and brokers in a customer service center. Troubl...
Company : HM Insurance Group Job Description : JOB SUMMARY This job prices quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discret...
Company : Highmark Inc. Job Description : JOB SUMMARY This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource...
Company : Highmark Inc. Job Description : JOB SUMMARY This job resolves standard and occasional non-standard customer inquiries, comments, and concerns by applying a seamless and positive customer experience gained through many recurri...
Company : Highmark Health Job Description : JOB SUMMARY This job defines the product’s fundamental value proposition, outlines vision and execution plans, gains alignment and support from key strategic partners and stakeholders, and o...
Company : Highmark Health Job Description : JOB SUMMARY This job supports one or more analytical aspects of the application product life cycle, including capability enablement with cross-team dependencies within a product scope. Uses ...
Morgan Stanley Investment Management is one of the largest global asset management organizations of any full-service securities firm, with more than 40 years of history, a presence in 24 countries, and a total of $1.5 trillion in assets und...
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...
Company : Highmark Inc. Job Description : JOB SUMMARY This job resolves standard and occasional non-standard customer inquiries, comments, and concerns by applying a seamless and positive customer experience gained through many recurri...