We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ...
Company : Highmark Inc. Job Description : JOB SUMMARY This job serves as a liaison and mediator between members, providers, community -based organizations, and the health plan. Works independently in the community, engaging members wi...
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 This job is responsible for providing comprehensive case management services to members, ensuring quality, cost-effective care delivery, and promoting optimal health outcomes. The ...
Company : Highmark Health Job Description : JOB SUMMARY This job will lead our Utilization Management product management teams including strategy, roadmap formulation, and value realization. This position will partner closely with UM ...
Company : Highmark Inc. Job Description : JOB SUMMARY This job serves as a liaison and mediator between members, providers, community -based organizations, and the health plan. Works independently in the community, engaging members wi...
Company : enGen Job Description : JOB SUMMARY ***CANDIDATE MUST BE US Citizen (due to contractual/access requirements)*** This position serves as the technical and strategic leader for the organization's Enterprise Data Protection p...
Company : Highmark Inc. Job Description : JOB SUMMARY The incumbent is responsible for developing and maintaining an anti-fraud program which includes development and delivery of training and filing of Fraud Plans and Reports. The inc...
Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: The Registered Nurse assesses human responses and plans, implements and evaluates nursing care for individuals or families for whom the nurse is responsible. The R...
Company : Highmark Health Job Description : JOB SUMMARY This job is accountable for the direction and implementation for the technology component of the comprehensive, risk-based information systems audit, advisory, and compliance pla...