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 Inc. Job Description : JOB SUMMARY This job is responsible for the overall pre-payment high dollar claims review process for Highmark including the review of itemized bills for saving on outlier claims. This require...
Company : enGen Job Description : JOB SUMMARY This role focuses on supporting the application product lifecycle, with a particular emphasis on claims processing and related application components. The Business Technical Analyst collab...
Company : enGen Job Description : JOB SUMMARY We are seeking a highly skilled and experienced Senior Enterprise Solution Architect to lead the design and implementation of innovative, robust, and scalable solutions that address comple...
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 : Endorsed Job Description : JOB SUMMARY This role is integral to the organization's comprehensive care delivery system. The incumbent delivers high-quality, patient-centered care through in-home, virtual, and telephonic compr...
Company : Highmark Health Job Description : JOB SUMMARY The HRIS Consultant is a senior individual contributor who serves as the functional architect and implementation lead for Workday and its connected HR technology ecosystem. This ...
Company : enGen Job Description : JOB SUMMARY This job supports one or more analytical aspects of the business products and services life cycle, including capability enablement with cross-team dependencies within a product scope. Uses...
Company : Highmark Inc. Job Description : JOB SUMMARY This job is responsible for work across the assigned solution portfolios to support a broad scope of strategic activities. The incumbent supports different potential roles on a giv...
Company : Highmark Health Job Description : JOB SUMMARY This job is responsible for definition, planning and delivery of complex programs that require cross-functional collaboration and management of interdependencies between a group ...