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Jobs near Pittsburgh, PA
This Career Fair is a great opportunity to meet with MULTIPLE decision makers Hiring sales professionals across many industries. We understand you're tired of not knowing what to expect or who is actually looking at your resume', that's why each hiring manager gives a 2...
We are currently hiring for multiple positions at this level. The Project Manager II is responsible for the following: Facilitating the successful definition and delivery of projects within Highmark, Inc. Managing exempt / direct report and/or matrixed employees and...
This position is responsible for the following: * Providing technical expertise for UI, front-end Web and mobile Website development: o Within an assigned systems unit/area, usually as a member of a project team or production support team, in the design and development of...
Facilitating the successful definition and delivery of projects within Highmark, Inc. Managing exempt / direct report and/or matrixed employees and contractors who serve on the project to ensure completion of deliverables.Managing one or more projects within the constraints...
This position is responsible for the following: * This position is responsible for providing secretarial and related service to the assigned Executive, as well as for providing administrative support to the executive's subordinate staff when high profile assignments are...
Participate in the analysis of data and business processes, production support activities, routine table maintenance, and interfaces to support the Health Plan Operations area(s) taking into consideration impacts to the business environment. Utilize project management...
I. GENERAL PURPOSE: * Primary nurse providing both health coaching and case management services to members across the continuum of health ranging from health promotion to end-of-life * Uses clinical and motivational interviewing skills to assess members' needs and establish...
This position is responsible for the screening, evaluating, on-line data entry and edit correction of claims for services under the Medicare Part B Program. Dependent upon the section, incumbents may be responsible for posting responses to claims that have been suspended...
On Boarding Coordinator Job Description The Highmark Managed Services Organization (MSO) transition process is comprised of many services to enable a practice to operate effectively and more efficiently. The On Boarding Coordinator will be responsible for organizing and...
The Project Coordinator will support Medical Mall Operations for initiatives involving construction and start-up operations over a multi-year span. The Project Coordinator is responsible for the following: * Coordinating, supporting and facilitating projects as a subject...
Provide visibility to the Command Center Manager and senior management as requested that work inventories and performance is managed across all operational tiers including but not limited to Claims, Adjustments, Membership and Billing, Customer Service, Medical Management...
In a multi-state, multi-line of business environment, this position is responsible for the following: * Reviewing, verifying and entering provider practitioner files from delegated credentialing entities into the CACTUS credentialing system which serves as the source for...
The Continuous Process Improvement Consultant I is responsible for increasing Highmark Health Plan Operations'(HPO) value to its customers by identifying, designing, developing and implementing improvements to critical business operations. This is achieved by: * Utilizing...
This position is responsible for the following: * Plans, organizes, leads, and manages direct staff for assigned infrastructure components. * Establishes priorities for the proper maintenance, design, development, and evaluation of infrastructure components. * Evaluates and...
This position is responsible for the following: * Anticipate the need for, and develop sound, profitable products that win market share in the emerging world of retail based individual products. * Develop, maintain and adjust group products and individual under-65 products...
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