Program Manager - PA, Working at Home - Pennsylvania

Company : · Highmark Inc.Job Description :  · GENERAL OVERVIEW · We are seeking an enthusiastic and detail-oriented Program Manager to join our team, focusing on government programs related to risk adjustment activities. In this role, you will be instrumental in managing programs ...

Company : · Highmark HealthJob Description :  · JOB SUMMARY · This role is responsible for defining the value proposition of new and innovative social health initiatives, outlining their vision, and developing a comprehensive execution plan through a business case that demonstrat ...

Company : · Highmark Inc.Job Description :  · JOB SUMMARY · This role is responsible for the creation, execution, and oversight of the Medicare sales and distribution strategy through partnering with sales leadership and other matrix partners. This role is responsible for ensurin ...

This position provides data reporting and systems support to assigned programs. · Bachelor's degree in information management or a related field, or relevant experience and/or education as determined by the company in lieu of bachelor's degree · 2 years' experience with reporting ...

Company : · Highmark Inc.Job Description :  · JOB SUMMARY · This job is directly responsible for the value creation, impact and cost control and fiscal/ROI targets as set by the Organization, including revenue stream outcomes, and engagement of primary care providers (PCP) enrol ...

Company : · Highmark Inc.Job Description :  · JOB SUMMARY · HNAS (Health Now Administrative Services) offers flexible, cost-effective solutions for employee health benefits. HNAS is part of Highmark Health, a national blended health organization with a mission to create remarkabl ...

The Registered Nurse assesses human responses and plans nursing care for individuals or families responsible. · Graduate of an accredited School of Nursing. · Licensed and in good standing with the State Board of Nursing in state of practice. · ...

The Registered Nurse assesses human responses and plans, implements and evaluates nursing care for individuals or families for whom the nurse is responsible. · Assures safe delivery of nursing services in alternative care settings. · Active participation in on-going interdiscipli ...

Company : · Highmark Inc.Job Description :  · JOB SUMMARY · This job is directly responsible for the value creation, impact and cost control, and fiscal/ROI targets as set by the Organization. This includes revenue stream outcomes and engagement of primary care providers (PCP) an ...

This job delivers highly complex clinical and systems training courses ongoing workshops in support of workforce development technology and or proprietary business systems updates or creates course materials to reflect changes in processes or systems. · New Hire Onboarding Monthl ...

Company : · Allegheny Health NetworkJob Description :  · GENERAL OVERVIEW: · Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation relat ...

Company : · Highmark Inc.Job Description :  · JOB SUMMARY · This job supports the matrixed strategic design and analytical approach to reimbursement.  To be successful, the incumbent will work closely with stakeholders across the enterprise in the development and implementation o ...

The Internal Staffing Team Registered Nurse is responsible for providing high-quality, patient-centered care within a hospital setting. · Places the patient at the center of everything they do by continuously evaluating and assessing patient and family satisfaction and performing ...

Company : · Allegheny Health NetworkJob Description :  · GENERAL OVERVIEW:  · This job works collaboratively with participating Clinical Integration Network (CIN) practices and institute stakeholders, regional concierge team and CIN leadership to implement clinical integration an ...

Company : · Allegheny Health NetworkJob Description :  · GENERAL OVERVIEW: · This job provides patient care, documents and charges for care per department policy, fulfills legal and ethical requirements of the profession and position, independently supervises Behavioral Health Co ...

Company : · Highmark HealthJob Description :  · JOB SUMMARY · This role will lead the development and execution of the health plan's product performance framework across all product portfolios and lines of business. This leader will provide critical measurement plan design and de ...

Company : · enGenJob Description :  · JOB SUMMARY · Candidates residing within a 50-mile radius of Highmark offices in Camp Hill, Buffalo, or Pittsburgh will be required to work a hybrid schedule, with in-office attendance on Tuesdays, Wednesdays, and Thursdays at one of these lo ...

Company : · enGenJob Description :  · JOB SUMMARY · This job provides Information Security and Risk Management services for the Organization. Works with peers within security, HM Health Solutions customers and application teams to ensure alignment with current and future security ...

Company : · enGenJob Description :  · JOB SUMMARY · As an integral member of an agile integration engineering team, you will be responsible for building complex and scalable application integrations for HR/Payroll solutions across various digital channels. This role requires an e ...

This job is responsible for developing the strategy planning and delivery of all aspects related to data governance data warehousing data management and related efforts for the organization. · ...