Senior Appeals Analyst
Highmark Health
Company :Highmark Inc.Job Description : GENERAL OVERVIEW: The Appeals Analyst reviews inquiries to determine if they meet the definition of a grievance/appeal; documents, investig...
12 remote positions · 1 no-phone
Highmark Health
Company :Highmark Inc.Job Description : GENERAL OVERVIEW: The Appeals Analyst reviews inquiries to determine if they meet the definition of a grievance/appeal; documents, investig...
Highmark Health
Company :Allegheny Health NetworkJob Description : GENERAL OVERVIEW:The director of Physician Organization Analytics will lead the strategic development and delivery of comprehensi...
Highmark Health
Company :Allegheny Health NetworkJob Description : GENERAL OVERVIEW:This job provides strategic leadership and tactical direction working collaboratively with stakeholders from the...
Highmark Health
Company :enGenJob Description : JOB SUMMARYThis job is an integral member of an agile software engineer team responsible for building complex scalable software applications across ...
Highmark Health
Company :enGenJob Description : JOB SUMMARYThis role will specifically guide the definition and delivery of capabilities related to the Epic Payer Platform and other EHR vendor int...
Highmark Health
Company :HM Insurance GroupJob Description : GENERAL OVERVIEW: SVP, Underwriting position is responsible for profitability and revenues of the billion dollars of stop loss busines...
Highmark Health
Company :Highmark Inc.Job Description : JOB SUMMARYThis job coordinates and maintains delegated credentialing program in accordance with GHP, NCQA, and all regulatory agency standa...
Highmark Health
Company :Highmark Inc.Job Description : JOB SUMMARYThis job implements effective utilization management strategies including: review of appropriateness of health care services, app...
Highmark Health
Company :Highmark Inc.Job Description : JOB SUMMARYThis job plans, develops, and maintains operational processes and reporting related to group/provider facility and professional r...
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 ...
Highmark Health
Company :Highmark Inc.Job Description : JOB SUMMARYThis job assures that members with complex medical and/or psychosocial needs have access to high quality, cost-effective health c...
Highmark Health
This job instructs, directs, and checks the work of other systems analysts and programmers. Formulates and defines the most complex system scope and objectives for assigned project...