Client Solution Delivery Manager - PA, Working at Home - Pennsylvania

Company : · enGenJob Description :  · JOB SUMMARY · This role is central to leading complex IT projects specifically focused on external client acquisition, integration, and ongoing service delivery. The incumbent drives seamless technology and process integration for new and exi ...

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 ...

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. · ...

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 ...

Company : · enGenJob Description :  · JOB SUMMARY · This job supports one or more technical aspects of the application product life cycle, within a sub-product scope (one or more application components). Uses judgement and discretion in collaboration with customers to understand ...

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 : · 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 opportun ...

Company : · Highmark Inc.Job Description :  · JOB SUMMARY · Weekend Remote RN - 3 days per week plus weekends. · This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropr ...

Company : · Highmark HealthJob Description :  · JOB SUMMARY · This role will be the driving force behind our digital product strategy and execution. Incumbent will lead our digital product management teams to define, develop, and deliver innovative digital solutions that meet cus ...

Company : · enGenJob Description :  · JOB SUMMARY · This job supports one or more analytical aspects of the application product life cycle, within a sub-product scope (one or more application components). Uses regular judgement and discretion to collaborate with customers in orde ...

Company : · enGenJob Description :  · JOB SUMMARY · ***CANDIDATE MUST BE US Citizen, Onshore (due to contractual/access requirements)*** · Critical Requirement Update: Successful candidates for this Senior Business Systems Analyst role must possess proven, hands-on experience wit ...

Company : · Highmark HealthJob Description :  · GENERAL OVERVIEW · The Program Manager, Internal Audit serves as a strategic partner to the Chief Audit Executive (CAE) and Internal Audit leadership team, enabling execution of a complex, enterprise-wide audit portfolio through str ...

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 · ***CANDIDATE MUST BE US Citizen (due to contractual/access requirements)*** · This job is responsible for designing and engineering data solutions for the enterprise and, working closely with business, analytic and IT ...

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 ...

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 ...

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. · ...

Company : · Highmark Inc.Job Description :  · JOB SUMMARY  · This 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 ut ...

Company : · enGenJob Description :  · JOB SUMMARY  · About Highmark Health: At Highmark Health, we believe in a world where everyone has access to the best health. We are an integrated delivery network dedicated to transforming healthcare, and our Information Security team plays ...

Company : · Highmark Inc.Job Description :  · JOB SUMMARY · This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over a specified panel of members that range in health status/severity and clinical ...