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Sr Decision Support Analyst

Highmark Health - Pittsburgh, PA
... and insights to department leadership, peers and internal work groups related to pricing, billing practices, and operating margins, of providers in multiple ancillary provider channels (DME, Home Infusion, Home Health, Skilled Nursing, etc.). ... - Jan 16

Vice President, Operations

Highmark Health - Pittsburgh, PA
**Company :** HM Home and Community Svcs LLC **Job Description :** **General Overview:** This job is an executive leader in the Highmark Health’s newest diversified business-HM Home and Community Services (HM HCS). HM HCS was established to address ... - Jan 16

Clinical Quality Management Analyst

Highmark Health - WV
... **Job Description :** **This is a combination travel/work from home position based in southern West Virginia** GENERAL OVERVIEW: Responsible for working with appropriate departments in the areas of compliance, process improvement and member/provider ... - Jan 16

HCS - Medical Economics Consultant

Highmark Health - Pittsburgh, PA
**Company :** HM Home and Community Svcs LLC **Job Description :** **JOB SUMMARY** HM Home and Community Services LLC (HMHCS) was established in 2016 to address the importance of post-acute care (PAC) and its impact on clinical outcomes, patient ... - Jan 16

Vice President, Financial Strategy and Decision Support

Highmark Health - Pittsburgh, PA
**Company :** Highmark Health **Job Description :** **General Overview:** This job is an executive leader in the Highmark Health Home and Community Services business unit and is primarily responsible for providing financial consulting and decision ... - Jan 16

Embedded Medical Case Manager - LSW, MSW

Highmark Health - Pittsburgh, PA
... + The Medical Case Manger will collaborate with Primary Care Physicians, Medical Specialists, Home Health and other ancillary healthcare providers with the goal being to coordinate member care. + The Medical Case manager will collect member medical ... - Jan 16

Medical Director-Gateway Health Plan

Highmark Health - Pittsburgh, PA
... + Organizational providers -- Assist in the evaluation and credentialing of organizational providers, including hospitals, home health agencies, SNFs, etc. Work closely with them to assure ongoing relationships with the corporation maximize their ... - Jan 16

Associate Customer Service Representative - United Concordia Dental

Highmark Health - Harrisburg, PA
... * Option to work from home after 8 months, upon successful demonstration of job stability, performance, and in-house measures. *** Bilingual:** Spanish - preferred. *** Pay Rate:** Commensurate on background and experience. Shift and bilingual ... - Jan 16

Principal Consultant - Integrated Planning & Delivery

Highmark Health - Pittsburgh, PA
... MENTAL DEMANDS AND WORKING CONDITIONS** **_Position Type:_** Most On-The-Road An employee in this position may work in a home or company office environment but is also frequently driving to and from various locations to perform the work off-site. ... - Jan 16

Outreach Representative

Highmark Health - WV
... **Minimum Qualifications** : + High School Diploma or GED + One (1) year experience in Community Outreach/Customer Service + Ability to work from home in the State of WV with high speed internet access **Preferred Qualifications** : + Bachelor's ... - Jan 16
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