• Director Risk Adjustment, Coding & Quality

    Highmark Health (Pittsburgh, PA)
    …Behaviors. Builds strong partnerships with Highmark cross-functional teams including Care Management , STARS, Compliance, clinical leadership of health systems, ... improvements as it relates to Quality and Coding for the Highmark Health Enterprise. Ensures that Highmark's Risk Adjustment programs comply with all applicable… more
    Highmark Health (08/08/25)
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  • Manager Operational Accounting

    Highmark Health (Pittsburgh, PA)
    **Company :** Highmark Health **Job Description :** **GENERAL OVERVIEW** This job supervises a team responsible for the review of monthly journal entries and ... functions: + Lead a group of 3-4 accountants and analysts. Management duties include establishing objectives, performing annual reviews and relaying information… more
    Highmark Health (06/21/25)
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  • Nurse Practitioner or Physician Assistant…

    St. Luke's University Health Network (Quakertown, PA)
    …average admissions per day of 13. Hospitalists also provide medical coverage for the Behavioral Health Unit at the Quakertown Campus, averaging 3 consults per ... the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in...are also the primary service covering the Medical Withdrawal Management Unit with an average daily census of 8.… more
    St. Luke's University Health Network (07/02/25)
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  • Director Financial Investigations & Provider…

    Highmark Health (Pittsburgh, PA)
    …referred to law enforcement, if applicable. **ESSENTIAL RESPONSIBILITIES** + Performs management responsibilities to include, but are not limited to: involved in ... and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity. + Plans, organizes, staffs, directs and… more
    Highmark Health (08/08/25)
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  • Manager Artificial Intelligence (AI) Delivery…

    Highmark Health (Harrisburg, PA)
    **Company :** Highmark Health **Job Description :** **JOB SUMMARY** **This position is based in Pittsburgh, PA, and requires regular in-office presence** We're ... we encourage you to apply. **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities to include, but are not limited to:...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
    Highmark Health (07/30/25)
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  • Telehealth Registered Dietitian

    Cecelia Health (Philadelphia, PA)
    …to an expert clinician who helps them navigate day-to-day health management . Our platform addresses the clinical, behavioral , social, and emotional needs ... Background Cecelia Health is seeking exceptional Registered Dietitians (RDs) to...The RD will provide intensive nutrition counseling and weight management education and support to enrolled participants with the… more
    Cecelia Health (09/03/25)
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  • Clinical Transformation Director

    Highmark Health (Harrisburg, PA)
    **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This role will support the leadership team for Clinical Transformation and executive physicians ... three primary Workstreams: leadership over the execution of the Population Health Performance strategy roadmap, support physician executives to identify ownership,… more
    Highmark Health (08/21/25)
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  • Manager Reimbursement Systems Support

    Highmark Health (Pittsburgh, PA)
    …reports to support capitation payment methods. **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities including, but not limited to: involved in hiring ... termination decisions, coaching and development, rewards and recognition, performance management and staff productivity.Plan, organize, staff, direct and control the… more
    Highmark Health (09/02/25)
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  • Client Project Manager

    Highmark Health (Harrisburg, PA)
    **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job will manage small scale projects and enhancement packages with mentorship and leadership ... from more senior Delivery Owners. The incumbent provides project management leadership and facilitates the delivery of system changes...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
    Highmark Health (08/15/25)
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  • Manager Risk & Quality Assurance

    Highmark Health (Camp Hill, PA)
    …the Blue Cross Blue Shield Association (BCBSA), accreditation bodies, executive management , plan partners, group customers, and employee level performance. The ... agreements, and (f) employee performance quality. **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities to include, but are not limited to: involved… more
    Highmark Health (08/15/25)
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