- Highmark Health (Pittsburgh, PA)
- …evaluate claim processes specific to professional, hospital, ambulatory surgical center, home health and durable medical equipment to identify key areas of risk ... field **EXPERIENCE** **Required** + 7 years of in the Health Insurance industry and/or Healthcare Fraud investigations + 3...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Camp Hill, PA)
- …expert for clinical, quality, care, utilization, high cost claim and population health management as the part of the clinical presentations with external clients, ... annual clinical review meetings as needed to provide clinical, health and wellness perspective; provides broad clinical insights back...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Pittsburgh, PA)
- …Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice… more
- WellSpan Health (York, PA)
- …providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and northern Maryland. ... facilities to address some of the most complex medical, surgical and behavioral health conditions. WellSpan York Hospital's Regional Resource/Level 1 Trauma… more
- WellSpan Health (York, PA)
- …providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and northern Maryland. ... facilities to address some of the most complex medical, surgical and behavioral health conditions. WellSpan York Hospital's Regional Resource/Level 1 Trauma… more
- Veterans Affairs, Veterans Health Administration (Coatesville, PA)
- …Health Clinic within the Mental Health Service, as part of the Behavioral Health Interdisciplinary Program (BHIP) team. Major duties include, but are not ... advice and consultation in areas related to professional 7 psychology and behavioral health . Knowledge of clinical research literature. Preferred Experience: … more
- Devereux Advanced Behavioral Health (Homestead, PA)
- …**_Position Type_** _Full-Time_ **_Remote_** _No_ The employment policies of Devereux Advanced Behavioral Health are to recruit and hire qualified employees ... programs. **Core Job Duties:** **Clinical Competencies** - Conduct assessments ( behavioral , adaptive, risk) independently, analyze data, and provide clear clinical… more
- WellSpan Health (York, PA)
- …providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and northern Maryland. ... facilities to address some of the most complex medical, surgical and behavioral health conditions. WellSpan York Hospital's Regional Resource/Level 1 Trauma… more
- Veterans Affairs, Veterans Health Administration (Erie, PA)
- …specialty programs. Administrative oversight of the program. Other Duties: Serve as a behavioral health representative on BH and Medical Center committees and ... advice and consultation in areas related to professional psychology and behavioral health . Knowledge of clinical research literature. Preferred Experience:… more
- Highmark Health (Monroeville, PA)
- **Company :** Allegheny Health Network **Job Description :** At AHN, employees trust working together and place patients at the center of all they do. This 9 ... Hospital system, a part of Highmark Health , is transforming the future of healthcare by providing...Wound Ostomy Nurse serves as a clinical resource and consultant for the acute and rehabilitative care of patients… more