Company : Highmark Inc. Job Description : JOB SUMMARY This job assures that members with complex medical and/or psychosocial needs have access to high quality, cost-effective health care. Assists in the holistic assessment, planning, ...
Company : Highmark Inc. Job Description : JOB SUMMARY This position is responsible for Setting and Executing the Growth Strategy for Highmark’s TPA business. This role requires creating, hiring, leading and coaching a team of professi...
Company : Highmark Health Job Description : SUMMARY OF JOB RESPONSIBILITIES This job has the goal of providing the opportunity to acquire practical experience through direct exposure to the related business line(s) and to develop the ...
Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job consists of working in high-volume, fast paced call center environment in which nurse assists all callers- such as referring physicians, patients, caregiv...
Company : Endorsed Job Description : JOB SUMMARY Remote/Hybrid - In home visits in and around Gibsonia, Blawnox, Fox Chapel, Glenshaw, Allison Park, Downtown Pgh area. This job is proficient in the coordination of care and manages c...
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 : Endorsed Job Description : JOB SUMMARY This job, in conjunction with the Practice Team, provides care planning, coordination and follow-up for patients at risk for poor outcomes or experiencing poor coordination of services....
Company : Endorsed Job Description : JOB SUMMARY This job, in conjunction with the Practice Team, provides care planning, coordination and follow-up for patients at risk for poor outcomes or experiencing poor coordination of services....
Company : Highmark Inc. Job Description : JOB SUMMARY This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), u...
Company : Highmark Inc. Job Description : JOB SUMMARY This job assures that members with complex medical and/or psychosocial needs have access to high quality, cost-effective health care. Assists in the holistic assessment, planning, ...