Company : Highmark Inc. Job Description : JOB SUMMARY This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The in...
Company : Highmark Health Job Description : JOB SUMMARY This job supports one or more analytical aspects of the product management lifecycle, within a sub-product scope (one or more business application components). Uses regular judge...
Company : Highmark Inc. Job Description : JOB SUMMARY This job serves as the single-point-of-contact for sales teams and assigned customers, delivering insights and recommendations to sales in order to aid customer acquisition/retenti...
Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT codin...
Company : Highmark Inc. Job Description : JOB SUMMARY The Pharmacy Analyst works with the Pharmacy Market business owners, stakeholders, and other management and supports the Specialty Pharmacy Products and Programs by performing crit...
Company : Highmark Inc. Job Description : JOB SUMMARY This job partners with business units to ensure compliance to rules, regulations, policies, and procedures of governmental, contractual, and/or corporate entities. Provide consulta...
Company : Highmark Inc. Job Description : JOB SUMMARY This job requires the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the...
Company : Allegheny Health Network Job Description : JOB SUMMARY This job actively prospects for new clients and business for the profitable sale of core and supplemental products for a business segment in an assigned plan, territory,...
Company : Highmark Health Job Description : JOB SUMMARY This job defines the product’s fundamental value proposition, outlines vision and execution plan, gains alignment and support from key strategic partners and stakeholders, and ov...
Company : Highmark Inc. Job Description : GENERAL OVERVIEW The Program Manager will actively maintain the product and program pipeline for enhancements, possess in-depth knowledge of program membership and enrollment changes, and guid...