• Credentialing Representative

    Highmark Health (Harrisburg, PA)
    …Highmark Inc. **Job Description :** JOB SUMMARY This job processes provider applications and re-applications including initial mailing, review, and loading. ... Maintains provider data base and communicates with providers by phone...our business partners, internal departments and external clients. + Provide customer oversight for our customers who have unique… more
    Highmark Health (09/06/25)
    - Related Jobs
  • Director Risk Adjustment, Coding & Quality

    Highmark Health (Pittsburgh, PA)
    …and HEDIS performance ratings. Directs and manages team of ~75 employees that are health plan and community-based (embedded into provider systems) to deliver the ... 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)
    - Related Jobs
  • Mental Health Professional II - Employee…

    St. Luke's University Health Network (Bethlehem, PA)
    …as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless ... of a patient's ability to pay for health care. The Mental Health Professional II...clients in office-based setting. JOB DUTIES AND RESPONSIBILITIES: + Provide service coordination for clients may include coordinating and… more
    St. Luke's University Health Network (09/04/25)
    - Related Jobs
  • Value-Based Innovation Consultant

    Highmark Health (Pittsburgh, PA)
    …designs and/or to serve as a focus of innovation. + Support strategic provider relationships to understand the current health care delivery state, readiness ... years of experience in value-based reimbursement, through managed care contracting, provider reimbursement, consulting, population health delivery or related… more
    Highmark Health (09/05/25)
    - Related Jobs
  • Health & Welfare Programs Consultant

    Highmark Health (Pittsburgh, PA)
    …Care Act (PPACA). Responsible for collaborating with Human Resource Business Partners to provide consulting and training on health & welfare benefit issues and ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** Support the...& welfare programs and business objectives are aligned. + Provide communications, training and guidance on plans and compliance… more
    Highmark Health (08/29/25)
    - Related Jobs
  • Clinical Transformation Director

    Highmark Health (Harrisburg, PA)
    …the VP of Markets from Highmark and anchor executive leaders identified by health provider partners. Maintain day-to-day activation with clinical leaders of ... programs **Preferred** + Experience operationalizing clinical programs in a large multi-hospital health system + Experience working in provider partnerships +… more
    Highmark Health (08/21/25)
    - Related Jobs
  • Mental Health Professional - Belle Vernon…

    Highmark Health (Belle Vernon, PA)
    …Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** The Mental Health Professional will provide clinical treatment services to the targeted ... treatment program designed to service patients with a mental health diagnosis who meet dimensions for outpatient and/or partial...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
    Highmark Health (08/19/25)
    - Related Jobs
  • Summer 2026 Nurse Extern Opportunities, Allegheny…

    Highmark Health (Pittsburgh, PA)
    **Company :** **Job Description :** **Allegheny Health Network is actively considering future 2026 Nurse Externs for the following AHN Hospital locations:** + ... be paired with a dedicated nurse preceptor who will provide personalized guidance and support throughout the program. You...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
    Highmark Health (09/03/25)
    - Related Jobs
  • Mental Health Technician, SVH, Full Time

    Highmark Health (Erie, PA)
    **Company :** Allegheny Health Network **Job Description :** GENERAL OVERVIEW: Maintains safety and structure by observing and recording patient information ... supervision. ESSENTIAL RESPONSIBILITIES: + Collaborates with the multi-disciplinary team to provide for an on-going assessment of changes in patient status and… more
    Highmark Health (08/19/25)
    - Related Jobs
  • Scheduler Lead - Digestive Health - Federal…

    Highmark Health (Pittsburgh, PA)
    **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Provides initial and continual on-the-job operational training to schedulers. ... scheduling. + Travels to other locations as necessary to provide guidance and assistance to scheduling staff with difficult...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
    Highmark Health (07/26/25)
    - Related Jobs