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Highmark Health|Home, MI
4hours agoh
**Company :**Highmark Inc.**Job Description :****JOB SUMMARY**This job leads and directs the organization's prior authorization processes and functions relative to outpatient procedures, durable medical equipment (DME), home health, and planned ac...
Highmark Health|Home, MI
4hours agoh
**Company :**Highmark Health**Job Description :****JOB SUMMARY**This job owns the full-cycle commercial medical policies, both developed internally and by vendors. This includes the writing of clinical criteria based on research, engagement of no...
Highmark Health|Home, MI
4hours agoh
**Company :**Highmark Health**Job Description :****JOB SUMMARY**This job supports key strategic initiatives for the organization. The incumbent plays different potential roles on a given project, to include elements of project management, problem-...
Highmark Health|Home, MI
4hours agoh
**Company :**Highmark Health**Job Description :****JOB SUMMARY**This job is responsible for collaborating with internal partners to ensure consistency of style, guidelines and format, of authoring and updating end user documentation. Owns the guid...
Highmark Health|Home, MI
4hours agoh
**Company :**Allegheny Health Network**Job Description :****GENERAL OVERVIEW:**This job coordinates and implements the credentialing and privileging activities within the Credentialing and Privileging Office to include appointment, reappointment a...
Highmark Health|Home, MI
4hours agoh
**Company :**Allegheny Health Network**Job Description :****GENERAL OVERVIEW:**This job coordinates and implements the credentialing and privileging activities within the Credentialing and Privileging Office to include appointment, reappointment a...
Highmark Health|Home, MI
4hours agoh
**Company :**Allegheny Health Network**Job Description :****GENERAL OVERVIEW:**This job coordinates and implements the credentialing and privileging activities within the Credentialing and Privileging Office to include appointment, reappointment a...
Highmark Health|Home, MI
4hours agoh
**Company :**Highmark Inc.**Job Description :****JOB SUMMARY**This job has primary ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs o...
Highmark Health|Home, MI
4hours agoh
**Company :**Highmark Inc.**Job Description :****JOB SUMMARY**This job has primary ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs o...
Highmark Health|Home, MI
4hours agoh
**Company :**Highmark Health**Job Description :****JOB SUMMARY**This job supports one or more analytical aspects of the application product life cycle, within a sub-product scope (one or more application components). Uses regular judgement and dis...
Highmark Health|Home, MI
4hours agoh
**Company :**Highmark Health**Job Description :****JOB SUMMARY**This job supports one or more analytical aspects of the application product life cycle, within a sub-product scope (one or more application components). Uses regular judgement and dis...
Highmark Health|Home, MI
4hours agoh
**Company :**United Concordia Dental**Job Description :****JOB SUMMARY**This job performs business analysis tasks for the Government Business Unit’s Dental Network Command Center (NCC) by supporting stakeholders of a specific system application(s)...
Highmark Health|Home, MI
4hours agoh
**Company :**Highmark Inc.**Job Description :****JOB SUMMARY**This job works with appropriate departments in the areas of compliance, process improvement, medical record review and coding, and member and provider satisfaction for all product lines...
Highmark Health|Home, MI
4hours agoh
**Company :**HM Health Solutions**Job Description :****JOB SUMMARY**This job supports one or more analytical aspects of the application product life cycle, within a sub-product scope (one or more application components). Uses regular judgement and...
Highmark Health|Home, MI
4hours agoh
**Company :**HM Health Solutions**Job Description :****JOB SUMMARY**This job supports one or more analytical aspects of the application product life cycle, within a sub-product scope (one or more application components). Uses regular judgement and...
Highmark Health|Home, MI
4hours agoh
**Company :**HM Health Solutions**Job Description :****JOB SUMMARY**This job supports one or more analytical aspects of the application product life cycle, within a sub-product scope (one or more application components). Uses regular judgement and...
Highmark Health|Home, MI
4hours agoh
**Company :**HM Health Solutions**Job Description :****JOB SUMMARY**This job supports one or more analytical aspects of the application product life cycle, within a sub-product scope (one or more application components). Uses regular judgement and...
Highmark Health|Home, MI
4hours agoh
**Company :**HM Health Solutions**Job Description :****JOB SUMMARY**This job supports one or more analytical aspects of the application product life cycle, within a sub-product scope (one or more application components). Uses regular judgement and...
Highmark Health|Home, MI
4hours agoh
**Company :**Highmark Health**Job Description :****JOB SUMMARY**This job is accountable for leading analytics that identify actionable opportunities and/or create analytics and reporting solutions to improve clinical and population health, enablin...
Highmark Health|Home, MI
4hours agoh
**Company :**Highmark Health**Job Description :****JOB SUMMARY**This job is accountable for leading analytics that identify actionable opportunities and/or create analytics and reporting solutions to improve clinical and population health, enablin...