- Highmark Health (Harrisburg, PA)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This individual will lead a team responsible for shaping the organization's digital vision and ... and managing our vendor partners and other stakeholders who support our digital experiences. This role is designed for...of industry trends, regulations, and best practices in the health care sector & ensure comply with relevant regulations… more
- Highmark Health (Harrisburg, PA)
- …recommendations, advocating for Highmark's solutions and services. + Sales & Marketing Support : Collaborate with the internal teams to develop and execute impactful ... Utilization Review + 3 years of experience in Account Support + 1 year of experience in Managed Care...**Substitutions** + 6 years experience in pharmacy or managed health care setting in lieu of Bachelor degree **Preferred**… more
- Highmark Health (Harrisburg, PA)
- …enterprise risk taxonomy. Through matrixed leadership with Risk Operations and with support from Risk Enablement, the incumbent monitors and tracks the delivery of ... or requested. **EDUCATION** **Required** + Bachelor's Degree in Business, Finance, Health Administration, Public Health , Public Administration, Legal, Accounting… more
- Highmark Health (Harrisburg, PA)
- **Company :** Highmark Health **Job Description :** **InJOB SUMMARY** This job supports one or more analytical aspects of the product management lifecycle, within a ... and create business cases and cost sheet analysis to support the product strategy and evolve the product roadmap;...Sigma and/or Process Improvement + 1 year in the Health Insurance Industry + 1 year in the Healthcare… more
- Highmark Health (Harrisburg, PA)
- …or alleged fraud/waste and abuse cases or special projects. + Provides advisory support as needed to internal and external law enforcement and regulatory agencies, ... + 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** +...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Harrisburg, PA)
- **Company :** Allegheny Health Network **Job Description :** GENERAL PURPOSE: Supports the Service Line to ensure proper procurement of supplies, equipment and ... services to support the daily operations of the organization; reviews daily...position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Harrisburg, PA)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** + As a Senior AI Consultant at Highmark, you will play a pivotal role in shaping and executing ... opportunities.Create and deliver education to individuals and teams to support effective ideation. Work with data science teams to...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- WellSpan Health (Ephrata, PA)
- …adequacy and appropriateness of resident education within the program. **WellSpan Behavioral Health is seeking a full-time board certified/eligible Adult ... Provides psychiatric services and other specialized outpatient programs to Adult patients for mental health treatment.as required. Assists in the review of quality,… more
- University of Pennsylvania (Philadelphia, PA)
- …Position contingent upon funding. Job Description Job Responsibilities + This position will support behavioral and neural data analysis and modeling in a lab ... Life, and Flexible Spending Accounts : Penn offers comprehensive medical, prescription, behavioral health , dental, vision, and life insurance benefits to protect… more
- Highmark Health (Harrisburg, PA)
- …and handle complex and unusual or high-level credentialing issues. + Support projects, audits, business partners, internal departments and external clients. + ... + Pull and research necessary documentation for audits + Support updates necessitated by our business partners, internal departments...position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more