**Company :**United Concordia Dental**Job Description :****JOB SUMMARY**The Government Business Dental Director serves as the professional dental/clinical authority for the Department of Defense and Veteran’s Affairs Programs, as well as the Cente...

**Company :**UCDP OF CALIFORNIA, INC.**Job Description :****JOB SUMMARY**Remote position - preferably someone in Western US.This job provides account support activities associated with the administration of all experience rated and community rated...

**Company :**Highmark Wholecare**Job Description :****JOB SUMMARY**This job manages contracts including negotiations, contract development, contract renewal, and financial reimbursement. Acts as the intermediary between the organization and outsi...

**Company :**Allegheny Health Network**Job Description :****GENERAL OVERVIEW:**This job is responsible for working accounts from work queues; activities include analysis (including root cause), monitoring & auditing payer issues and denials, a...

**Company :**Highmark Inc.**Job Description :****JOB SUMMARY**This job is responsible for development and implementation of strategic audit plans utilizing numerous inputs including contracts, industry trends and revenue maximization schemes. The ...

**Company :**Highmark Inc.**Job Description :**This position supports the corporate pharmacists. Coordinates and administers the effective and efficient processing of the pharmacy benefits prior authorization process, ensuring that pharmacy benefi...

**Company :**Helion**Job Description :**GENERAL OVERVIEW:Responsible for the development, design and delivery of all employee communications and communications programs that support the Helion brand, vision, mission and strategic direction. Suppo...

**Company :****Job Description :****JOB SUMMARY**The incumbent supports provider account support activities with the implementation and administration of provider demographic information, credentialing and credentialing compliance. This position i...

**Company :**Highmark Inc.**Job Description :****GENERAL OVERVIEW:**This job analyzes Individual and/or Group medical risk factors for new enrollment, yearly renewals, and amendments of group insurance contracts, or of self-funded plans in conform...

**Company :**Highmark Health**Job Description :****JOB SUMMARY*******Entirely Remote Work From Anywhere Role!*****At Highmark Health, data, analytics, and technology are at the heart of our strategy. Leveraging our unique position as a payor and ...

**Company :**Highmark Health**Job Description :****JOB SUMMARY**This position has direct responsibility for defining and executing the long-term strategic direction of the company through direct involvement in program design to transform the way t...

**Company :**Highmark Inc.**Job Description :****JOB SUMMARY**Successful definition, implementation and delivery of complex programs that requires cross-functional collaboration and inter-dependencies between a group of projects and/or related ac...

**Company :**Highmark Health**Job Description :****JOB SUMMARY*******Entirely Remote Work From Anywhere Role!*****A chance to be part of a dedicated team supporting the transition of Highmark’s analytic capabilities to its new cloud platform. Wor...

**Company :**Highmark Health**Job Description :****JOB SUMMARY**This job is responsible for the claims invoicing and accounts receivable activities for the non-risk self-insured population of clients supporting all medical, buy-up, shared savings,...

**Company :**HM Insurance Group**Job Description :****JOB SUMMARY**This job is responsible for the overall administration and oversight of Underwriting support activities for the assigned underwriter(s). The incumbent may perform one or more of th...

**Company :**Highmark Health**Job Description :****JOB SUMMARY*******Entirely Remote Work From Anywhere Role!*****At Highmark Health, data, analytics, and technology are at the heart of our strategy. Leveraging our unique position as a payor and ...

**Company :**Highmark Health**Job Description :****JOB SUMMARY*******Entirely Remote Work From Anywhere Role!*****At Highmark Health, data, analytics, and technology are at the heart of our strategy. Leveraging our unique position as a payor and ...

**Company :**Helion**Job Description :****JOB SUMMARY**This job is an integral member of an agile software engineer team responsible for building complex scalable software applications across all digital channels to serve our customers. The incumb...

**Company :**Helion**Job Description :****JOB SUMMARY**This job is an integral member of an agile software engineer team responsible for building scalable software applications across all digital channels to serve our customers. The incumbent will...

**Company :**Highmark Health**Job Description :****JOB SUMMARY*******Entirely Remote Work From Anywhere Role!*****At Highmark Health, data, analytics, and technology are at the heart of our strategy. Leveraging our unique position as a payor and ...