Highmark Health
Company : Highmark Inc. Job Description : JOB SUMMARY This job is responsible for serving as a liaison between the member, the Health Plan, and the relevant state and/or federal regulators. The position conducts telephonic support to assess member needs,…
Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: The Internal Staffing Team Registered Nurse assesses human responses and plans, implements and evaluates nursing care for individuals or families for whom the nurse is responsible. The Internal Staffing Team…
Company : Highmark Inc. Job Description : JOB SUMMARY This job serves as the single point of contact for members to coordinate all of the member’s care needs across the various service delivery systems and community supports. This is a…
Company : Highmark Inc. Job Description : JOB SUMMARY A portion of this role involves working directly with members in their homes and also requires providing case management services within hospital settings. This job assures that members with complex medical…
Company : Highmark Inc. Job Description : JOB SUMMARY This job supports executive leadership of the Organization with a range of strategy activities essential to the Organization's membership and margin goals. Provide analytical/strategic thinking and leadership support that enables the…
Company : Highmark Inc. Job Description : JOB SUMMARY This job serves as the single point of contact for members to coordinate all of the member’s care needs across the various service delivery systems and community supports. This is a…
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), using skills including…
Company : Highmark Health Job Description : JOB SUMMARY This job plays a key role in ensuring projects (i.e. change initiatives) meet objectives on time and on budget by increasing employee adoption and usage of the change solution. The incumbent…
Company : Highmark Inc. Job Description : JOB SUMMARY This job is responsible for directing negotiation of the plan’s key contracts with health care providers (hospitals, PHOs, physicians, intermediate care providers). Directs financial analyses of the provider’s payment history, develops…
Company : Highmark Inc. Job Description : JOB SUMMARY This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization, identification of opportunities for referral to a Health…
Company : Highmark Inc. Job Description : JOB SUMMARY This job is responsible for the administration and maintenance of positive, collegial relationships between the corporation and the provider and health system community. The incumbent is responsible for engaging entities on…
Company : Allegheny Health Network Job Description : GENERAL OVERVIEW Coordinates all computer assisted navigation in the OR. Schedules and runs all O arm and cranial navigation cases. Assists with laser cases when available. ESSENTIAL RESPONSIBILITIES Facilitates and runs all…
Company : Highmark Inc. Job Description : JOB SUMMARY This job serves as the single point of contact for members to coordinate all of the member’s care needs across the various service delivery systems and community supports. This is a…
Company : Highmark Inc. Job Description : JOB SUMMARY This job serves as the single point of contact for members to coordinate all of the member’s care needs across the various service delivery systems and community supports. This is a…
Company : Highmark Inc. Job Description : JOB SUMMARY This job serves as the single point of contact for members to coordinate all of the member’s care needs across the various service delivery systems and community supports. This is a…
Company : Highmark Inc. Job Description : GENERAL OVERVIEW: This position has duties of instructing, directing, and checking the work of Business Analysts. These duties include, but are not limited to, delegation of assignments; guidance and training; coaching/mentoring; identifying, monitoring…