- Redeemer Health Home Care & Hospice (Philadelphia, PA)
- …you to apply today. SUMMARY OF JOB Responsible for day to day clerical operations of intake department. Provides Health Information data input into HCHB and ... OVERVIEW Joining Redeemer Health means becoming part of an inclusive, supportive...referrals. Verifies insurance on all referrals. Interacts with clinical operations schedulers, licensed professionals, billing department and clients. RECRUITMENT… more
- Highmark Health (Pittsburgh, PA)
- …process improvement meetings and/or discussions + Analyze the functions and operations of a business area/function and identify problem areas. Create process ... state business processes. + Act as subject matter expert/technical operations expert. Recommend process efficiencies, strategies for improvement, and/or solutions… more
- Highmark Health (Pittsburgh, PA)
- …staff productivity. + Plans, organizes, staffs, directs and controls the day-to-day operations of the department; develops and implements policies and programs as ... role + 3 years in Claims Analysis and/or Investigations Activities (for Operations area) **Preferred:** + 5 years reviewing payments or hospital reimbursements +… more
- Highmark Health (Harrisburg, PA)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** We are seeking a visionary and experienced Data Science Manager to lead our team of innovative ... develop and deploy AI-powered solutions at scale, impacting everything from streamlined operations to innovative new products. As the R&D leader on this team,… more
- Community Health Systems (Scranton, PA)
- …employees enjoy a robust benefits package which may include health insurance, 401(k), licensure/certification reimbursement, tuition reimbursement, and student loan ... role ensures accurate and timely document management to support efficient clinic operations and compliance with healthcare regulations. The Clinic Records Clerk also… more
- Highmark Health (Blue Bell, PA)
- …in the government's actuarial risk score models to inform better business decisions 4. Operations and Data Submission + Manage an operations team responsible for ... degree + Ten or more years' work experience in health care with emphasis on analysis and process optimization...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as… more
- Highmark Health (Pittsburgh, PA)
- **Company :** Highmark Health **Job Description :** **GENERAL OVERVIEW:** The Paralegal position works under the supervision of attorneys of the law department ... of functions using established procedures and applying knowledge about the operations of corporations to issues and projects assigned, interacting substantively with… more
- Highmark Health (Harrisburg, PA)
- **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** This position is responsible for supporting AHN cost accounting projects as well ... by facility and institute. This position works in partnership with Decision Support, operations and finance to generate patient-level cost data used to support major… more
- Highmark Health (Harrisburg, PA)
- …US CITIZEN This position serves as a key liaison between Claims Operations , Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... regulatory changes and assess their potential impact on Claims Operations , Customer Service and other operational areas processes and...and investigations + 3 - 5 years in the Health Insurance Industry + 3 - 5 years the… more
- Highmark Health (Harrisburg, PA)
- **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** This job is responsible for a wide range of analytics and reporting associated ... 3 years in a clinical setting or general understanding of hospital/physician practice operations + 3 years in the Healthcare industry, particularly as it relates to… more