Lead Customer Service Representative - PA, Working at Home - Pennsylvania

This job handles customer inquiries by telephone and/or email and/or in person from individual members, groups, providers and brokers in a customer service center. · Troubleshoots and resolves customer complaints. Ensures that responses to inquiries are completed timely and accor ...

Company : · United Concordia DentalJob Description :  · JOB SUMMARY · ** East Coast applicants only ​** · This job services United Concordia Dental's (UCD's) clients by recruiting, training and servicing quality dental networks in assigned territory in a remote and mobile work en ...

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 ...

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 remarkable health experiences. Our culture is built on your growth an ...

Company : · Allegheny Health NetworkJob Description :  · Learn more about AHN Home Infusion · 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 Regi ...

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 ...

Company : · Highmark Inc.Job Description :  · JOB SUMMARY · This job requires the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the claim rejection and the proper action t ...

Company : · Highmark HealthJob Description :  · JOB SUMMARY  · This job drives the identification and development of innovative capabilities to elevate our Commercial and Federal Insurance Products. The incumbent will orchestrate the vision, garner stakeholder alignment, and gene ...

This job provides front line staff guidance ensures effective delivery of Pharmacy call center services. Serves as first line reviewer in monitoring and ensuring adherence to health plan's state federal multiple drug benefit design offerings. · High school diploma or GED · Experi ...

Company : · Highmark HealthJob Description :  · JOB SUMMARY · This role defines the fundamental value proposition of clinical products within the wellness and social determinants of health (SDOH space). This includes outlining the product vision and execution plan, securing align ...

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 : · 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 : · 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 HealthJob Description :  · JOB SUMMARY  · ***CANDIDATE MUST BE US Citizen (due to contractual/access requirements)*** · To foster collaboration and team synergy, this position follows a hybrid model. Employees within a 50-mile radius of our Pittsburgh, Buffal ...

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 ...

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 ...