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Highmark Health
Company :Allegheny Health NetworkJob 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 Registered Nurse is fully responsible for all actions as
Company :Allegheny Health NetworkJob 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 Registered Nurse is fully responsible for all actions as
Highmark Health
Company :Highmark HealthJob Description :JOB SUMMARYAs a Senior Product Manager focused on Payer/Provider Interoperability this candidate will be a pivotal leader driving the strategic vision and execution for how our products are experienced at the point-of-care and within administra
Company :Highmark HealthJob Description :JOB SUMMARYAs a Senior Product Manager focused on Payer/Provider Interoperability this candidate will be a pivotal leader driving the strategic vision and execution for how our products are experienced at the point-of-care and within administra
Highmark Health
Company :Allegheny Health NetworkJob Description :GENERAL OVERVIEW:Under the direction of the provider and as a member of the health care team assists in coordinating the examination treatment and health care planning for patients. Assists with other office functions to support patien
Company :Allegheny Health NetworkJob Description :GENERAL OVERVIEW:Under the direction of the provider and as a member of the health care team assists in coordinating the examination treatment and health care planning for patients. Assists with other office functions to support patien
Highmark Health
Company :Highmark Inc.Job Description :JOB SUMMARYThis job is responsible for developing plans and managing activities in support of Risk Adjustment and Quality/HEDIS. Directs the daily activities of direct reports supporting Risk Adjustment Coding and Quality/HEDIS. Assesses viabilit
Company :Highmark Inc.Job Description :JOB SUMMARYThis job is responsible for developing plans and managing activities in support of Risk Adjustment and Quality/HEDIS. Directs the daily activities of direct reports supporting Risk Adjustment Coding and Quality/HEDIS. Assesses viabilit
Highmark Health
Company :Allegheny Health NetworkJob Description :GENERAL OVERVIEW:This job provides direct care to patients and assists with non-direct patient care unit coordination. The incumbent in this position is expected to perform basic nursing procedures related to care and comfort of patien
Company :Allegheny Health NetworkJob Description :GENERAL OVERVIEW:This job provides direct care to patients and assists with non-direct patient care unit coordination. The incumbent in this position is expected to perform basic nursing procedures related to care and comfort of patien
Highmark Health
Company :Highmark Inc.Job Description :JOB SUMMARYThis role operates in a hybrid model (TWTH) for employees residing within 50 miles of the corporate office.Work with Pharmacy Markets business owners stakeholders and other management as required to achieve Pharmacy Markets growth obje
Company :Highmark Inc.Job Description :JOB SUMMARYThis role operates in a hybrid model (TWTH) for employees residing within 50 miles of the corporate office.Work with Pharmacy Markets business owners stakeholders and other management as required to achieve Pharmacy Markets growth obje
Highmark Health
Company :Highmark HealthJob Description :JOB SUMMARYThe Identity & Access Management Security Engineer participates in the development testing implementation and integration of Identity and Access Management systems and solutions. Responsibilities include identifying and analyzing sys
Company :Highmark HealthJob Description :JOB SUMMARYThe Identity & Access Management Security Engineer participates in the development testing implementation and integration of Identity and Access Management systems and solutions. Responsibilities include identifying and analyzing sys
Highmark Health
Company :Highmark HealthJob Description :Job SummaryThis job supports the products fundamental value proposition outlines vision and execution plan gains alignment and support from key strategic partners and stakeholders and oversees execution of that vision including the overall fina
Company :Highmark HealthJob Description :Job SummaryThis job supports the products fundamental value proposition outlines vision and execution plan gains alignment and support from key strategic partners and stakeholders and oversees execution of that vision including the overall fina
Highmark Health
Company :Allegheny Health NetworkJob Description :GENERAL OVERVIEW:This job is responsible for the configuration rollout and support of assigned Revenue Cycle applications with a focus on Epic systems. Responsibilities include business/systems analysis requirements definition and docu
Company :Allegheny Health NetworkJob Description :GENERAL OVERVIEW:This job is responsible for the configuration rollout and support of assigned Revenue Cycle applications with a focus on Epic systems. Responsibilities include business/systems analysis requirements definition and docu
Highmark Health
Company :Highmark Inc.Job Description :JOB SUMMARY The Director of Strategy for Risk Adjustment (Risk Adjustment Accuracy Management (RAAM)) plays a pivotal role in driving the strategic planning operational efficiency and programmatic execution within the RAAM department. This role i
Company :Highmark Inc.Job Description :JOB SUMMARY The Director of Strategy for Risk Adjustment (Risk Adjustment Accuracy Management (RAAM)) plays a pivotal role in driving the strategic planning operational efficiency and programmatic execution within the RAAM department. This role i
Highmark Health
Company :enGenJob Description :JOB SUMMARYThe VP AI Strategy & Enablement is responsible for defining and driving the strategic direction and operational execution of Artificial Intelligence capabilities within enGen and across the Highmark enterprise. This role is pivotal in leveragi
Company :enGenJob Description :JOB SUMMARYThe VP AI Strategy & Enablement is responsible for defining and driving the strategic direction and operational execution of Artificial Intelligence capabilities within enGen and across the Highmark enterprise. This role is pivotal in leveragi
Highmark Health
Company :enGenJob Description :JOB SUMMARY***CANDIDATE MUST BEUS Citizen (due to contractual/access requirements)***Highmark is seeking a highly motivatedMainframe Senior Architectto join the Mainframe Platform Services team. This role is accountable for the performance and capacity m
Company :enGenJob Description :JOB SUMMARY***CANDIDATE MUST BEUS Citizen (due to contractual/access requirements)***Highmark is seeking a highly motivatedMainframe Senior Architectto join the Mainframe Platform Services team. This role is accountable for the performance and capacity m
Highmark Health
Company :Highmark Inc.Job Description :JOB SUMMARYThis job as part of a physician team ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using
Company :Highmark Inc.Job Description :JOB SUMMARYThis job as part of a physician team ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using
Highmark Health
Company :Highmark HealthJob Description :JOB SUMMARYThis job supports Enterprise Transformation project teams in delivering day-to-day client service and analytical support. The incumbent collaborates across 1-2 client teams at a time and is responsible for uncovering synthesizing ana
Company :Highmark HealthJob Description :JOB SUMMARYThis job supports Enterprise Transformation project teams in delivering day-to-day client service and analytical support. The incumbent collaborates across 1-2 client teams at a time and is responsible for uncovering synthesizing ana
Highmark Health
Company :Highmark HealthJob Description :JOB SUMMARYThis job plays a critical role representing the customers voice throughout the product development lifecycle. The incumbent will contribute to and evangelize the vision and strategy for assigned digital products clearly articulate th
Company :Highmark HealthJob Description :JOB SUMMARYThis job plays a critical role representing the customers voice throughout the product development lifecycle. The incumbent will contribute to and evangelize the vision and strategy for assigned digital products clearly articulate th
Highmark Health
Company :Highmark Inc.Job Description :JOB SUMMARYThis 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 but not limited to Hierarchical Con
Company :Highmark Inc.Job Description :JOB SUMMARYThis 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 but not limited to Hierarchical Con
Highmark Health
Company :Highmark Inc.Job Description :JOB SUMMARYThis job reviews evaluates and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for building positive client relationships providing education
Company :Highmark Inc.Job Description :JOB SUMMARYThis job reviews evaluates and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for building positive client relationships providing education
Highmark Health
Company :Highmark HealthJob Description :JOB SUMMARYWe are seeking a dynamic seasoned and highly collaborative product managerto define the strategic vision fundamental value proposition and execution plan for the internal tooling and AI ecosystem within the PHE organization. This piv
Company :Highmark HealthJob Description :JOB SUMMARYWe are seeking a dynamic seasoned and highly collaborative product managerto define the strategic vision fundamental value proposition and execution plan for the internal tooling and AI ecosystem within the PHE organization. This piv
Highmark Health
Company :Highmark Inc.Job Description :JOB SUMMARYThis job has primary ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member panel and utilizing data/anal
Company :Highmark Inc.Job Description :JOB SUMMARYThis job has primary ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member panel and utilizing data/anal
Highmark Health
Company :Highmark HealthJob Description :JOB SUMMARYWe are seeking a highly strategic and experienced Senior Product Manager to lead the development and evolution of our network products. Sitting within the Provider Data and Reimbursement Product Management team this individual will b
Company :Highmark HealthJob Description :JOB SUMMARYWe are seeking a highly strategic and experienced Senior Product Manager to lead the development and evolution of our network products. Sitting within the Provider Data and Reimbursement Product Management team this individual will b
