- Highmark Health (Harrisburg, PA)
- …**Required** + None **Preferred** + Medical Coding **SKILLS** + Agile Application Development + Business Intelligence Tools (Cognos, Tableau, Business ... with the Medical Policy department. The incumbent retains responsibility for development , implementation and management of complex analytical, research, and decision… more
- Highmark Health (Canonsburg, PA)
- …Develops and implements talent and performance management strategies aligned with business objectives. + Leadership Development Expertise: Deep understanding of ... alignment and provides the Talent Engagement team and leadership updates on business unit progress, themes and insights. **This role will support Jefferson Hospital… more
- Highmark Health (Pittsburgh, PA)
- …and communicate results to senior management. Specifically, lead efforts around business case development , capital / operating expense deployment across ... Office (STO), Strategic Enablement Team (SET), Accounting, Treasury and other business unit leaders across the Enterprise. **ESSENTIAL RESPONSIBILITIES** + Perform… more
- Highmark Health (Pittsburgh, PA)
- …+ Master's Degree **EXPERIENCE** **Required** + 7 - 10 years Client/Market Facing, Sales, Business Development or Producer Administration + 3 - 5 years Strategy ... + Training & Education: serve as conduit of internal business updates to support the development of...both the Health Insurance Portability Accountability Act of 1996 ( HIPAA ) as described in the Notice of Privacy Practices… more
- Highmark Health (Harrisburg, PA)
- …organization. + Monitor contract performance to determine necessity for amendments, extensions and compliance by both the Business Partner and Clients. Serves as ... strategies around assigned contract categories, functions, and commodities. Develops business plans for broad contract areas. Negotiates all contracts (client… more
- Humana (Harrisburg, PA)
- … business impact of architectural and integration decisions. Ensure compliance , reliability, and scalability, proactively managing operational risks and issue ... Manager, you will plan and manage the enhancement and/or integration of the business products with a special focus on clinical care management and technology… more
- CenterWell (Harrisburg, PA)
- … business impact of architectural and integration decisions. Ensure compliance , reliability, and scalability, proactively managing operational risks and issue ... strategy and operational reliability. This role is pivotal in translating business vision into scalable technology solutions, ensuring seamless integration across… more
- Highmark Health (Harrisburg, PA)
- …:** JOB SUMMARY This job requires the incumbent to balance clinical and business acumen to implement and provide ongoing support and oversight of assigned pharmacy ... management process. + Partner with analytics to develop insights supporting the development and sharing of eminence (eg, white papers, health policy reviews, etc.).… more
- CenterWell (Harrisburg, PA)
- …and delivering measurable improvements in unbilled rates, revenue cycle performance, and compliance . The Manager leads a team of Pre-Bill Specialists, partners with ... and delivering measurable improvements in unbilled rates, revenue cycle performance, and compliance . The Manager leads a team of Pre-Bill Specialists, partners with… more
- Highmark Health (Harrisburg, PA)
- …government lines of business . This team will be responsible for supporting development and maintaining models that will drive both the return on investment (ROI) ... work closely with stakeholders across the enterprise in the development and implementation of an integrated roadmap for the...models across all of Highmark's markets and lines of business . This will require aligning new models to the… more