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 : enGen Job Description : JOB SUMMARY JOB SUMMARY ***CANDIDATE MUST BE US Citizen (due to contractual/access requirements)*** As a Senior Application Developer, you will lead the design, development, and implementation of ...
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...
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 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 job reviews, evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for b...
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 is a non-clinical resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a liaison between various departme...