• Investigations Consultant

    Highmark Health (Pittsburgh, PA)
    …graphs, and charts to timely identify trends and patterns of potential healthcare fraud, waste and abuse. Communicate findings to company management of various ... 7 years of in the Health Insurance industry and/or Healthcare Fraud investigations + 3 years in leading projects...both the Health Insurance Portability Accountability Act of 1996 ( HIPAA ) as described in the Notice of Privacy Practices… more
    Highmark Health (08/22/25)
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  • Nurse Practitioner-Corrections/Addiction Medicine

    Highmark Health (Pittsburgh, PA)
    …:** **GENERAL OVERVIEW:** This job provides primary, or acute and/or behavioral healthcare services for certain acute or chronic health conditions in specific ... weekends and holidays. This job provides primary and some acute addiction healthcare services for patients with substance use disorder(s) in a correctional setting… more
    Highmark Health (08/20/25)
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  • LPN - Advanced Medical & Neuro Unit (Nights)

    Highmark Health (Jefferson Hills, PA)
    …system, a part of Highmark Health, is transforming the future of healthcare by providing highly effective services to customers, patients and communities. AHN ... This job is a member of the direct care healthcare team and is responsible for providing care to...both the Health Insurance Portability Accountability Act of 1996 ( HIPAA ) as described in the Notice of Privacy Practices… more
    Highmark Health (08/16/25)
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  • Lead Data Scientist - AI-Human Interaction

    Humana (Harrisburg, PA)
    …for effective risk management and measurement. Join us in shaping the future of healthcare through AI excellence. We are seeking a Lead Data Scientist to define and ... a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information **SSN Alert Statement** Humana values personal identity protection. Please… more
    Humana (08/16/25)
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  • Encounter Data Management Professional

    Humana (Harrisburg, PA)
    …strong relationship-building and stakeholder engagement skills + Familiar with healthcare industry regulations or adjacent sectors **Preferred Qualifications** + ... space lacking ongoing interruptions to protect member PHI / HIPAA information **Interview Format:** As part of our hiring...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
    Humana (08/16/25)
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  • Lead Data Scientist - Autonomous Goal Management

    Humana (Harrisburg, PA)
    …effective risk management and measurement. Join us in shaping the future of healthcare through AI excellence. We are building advanced agentic systems capable of ... a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information **SSN Alert Statement** Humana values personal identity protection. Please… more
    Humana (08/16/25)
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  • Strategy Partner

    Highmark Health (Pittsburgh, PA)
    …**STRATEGY & TRANSFORMATION OFFICE (STO)** Highmark Health is committed to fixing healthcare and solving the challenges facing our communities, such as improving ... individual health, increasing patient engagement, and making healthcare more affordable. The Strategy and Transformation Office is at the forefront of this mission,… more
    Highmark Health (08/16/25)
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  • LPN - Behavioral Health (Casual), St. Vincent

    Highmark Health (Erie, PA)
    …system, a part of Highmark Health, is transforming the future of healthcare by providing highly effective services to customers, patients and communities. AHN ... This job is a member of the direct care healthcare team and is responsible for providing care to...both the Health Insurance Portability Accountability Act of 1996 ( HIPAA ) as described in the Notice of Privacy Practices… more
    Highmark Health (08/15/25)
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  • Manager Risk & Quality Assurance

    Highmark Health (Camp Hill, PA)
    …role, preferably in a Quality, Accreditation, Audit, or Compliance discipline in a Healthcare or Healthcare related industry + 3 years overseeing quality, ... and control frameworks, and assessment methodologies, particularly as applied to healthcare (payer and provider) business processes + Knowledge of relevant… more
    Highmark Health (08/15/25)
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  • Customer Service Representative

    Select Medical (Canonsburg, PA)
    **Overview** ** Healthcare Customer Service Representative (Onsite)** Are you passionate about delivering exceptional customer service and helping patients navigate ... their healthcare needs? Join our team as a Customer Service...to the CBO team. * Maintain strict compliance with HIPAA regulations. * Assist with additional tasks as assigned… more
    Select Medical (08/14/25)
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