- Highmark Health (Pittsburgh, PA)
- …liaison, the incumbent conveys information needs of the business to IT and data constraints to the business. The role supports change management, deployment, and ... of job responsibilities, employees may have access to covered information, cardholder data , or other confidential customer information that must be protected at all… more
- Genesis Healthcare (PA)
- …appeal process. * Processes daily incoming denials notifications and follows processes for data entry to ensure all denials are recorded for appeal. Manages assigned ... that appeals are submitted timely. * Files all patient data upon receipt of the information. * Creates records...programs. Posted Salary Range USD $17.00 - USD $20.00 / Hr . Genesis HealthCare, Inc. and all affiliated entities (collectively… more
- Highmark Health (Pittsburgh, PA)
- …educational opportunities to employees. **GENERAL OVERVIEW:** The Registered Nurse assesses human responses and plans, implements and evaluates nursing care for ... providers. + Analyzes the health status of the individuals and families comparing the data with the norm, when possible, to determine patient care needs. + Assesses… more
- Highmark Health (Pittsburgh, PA)
- …Centers for Medicare and Medicaid Services (CMS), the Department of Health and Human Services (HHS), and others established at the state and federal levels. Drives ... RADV and IVA:Oversee the collection and validation of historical member clinical data to fulfill CMS audit requests.Includes retrieval of medical records, validation… more
- Highmark Health (Erie, PA)
- …information systems and databases and enters all required demographic and other data . (15%) + Performs other duties as assigned or required. **QUALIFICATIONS:** ... of job responsibilities, employees may have access to covered information, cardholder data , or other confidential customer information that must be protected at all… more
- Highmark Health (Harrisburg, PA)
- …LEAN practices, Six Sigma methodologies and tools, capacity planning, resource allocation, work simplification, service level management, organizational design, ... business objectives. Participate and support the Change Execution Process assuring resource alignment/impacts are aligned with the process governance model. + Drive… more
- Highmark Health (Pittsburgh, PA)
- …business unit needs. May troubleshoot errors, conduct impact analyses, and/or solve data rejection. Performs business analyses in one or more operational areas. ... of job responsibilities, employees may have access to covered information, cardholder data , or other confidential customer information that must be protected at all… more
- Highmark Health (Harrisburg, PA)
- …may have budgetary responsibility and authority. + Understand budget and resource utilization across the product teams. Escalate any issues regarding product ... service platforms. + Proven ability to collaborate effectively with product managers, data scientists, and other stakeholders to deliver high-quality AI solutions. +… more
- Highmark Health (Pittsburgh, PA)
- …of the unit. **ESSENTIAL RESPONSIBILITIES:** + Oversees , monitors and collects data related to the facility and department's quality and satisfaction measures. + ... of job responsibilities, employees may have access to covered information, cardholder data , or other confidential customer information that must be protected at all… more
- The Hershey Company (Hershey, PA)
- …across multiple functions. * Develop and implement improvement strategies using data -driven insights, automation tools and emerging technologies * Collaborate with ... will handle core process optimization tasks such as stakeholder management, resource allocation, schedule and budget management, quality and risk management, and… more