Highmark medical Case Manager Jobs

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Claims Analyst - Worker's Comp
HighmarkInsurance
Pittsburgh, PA
medical case managers, brokers, attorneys and reinsurers. * Internal customers include Claims Analysts, Bill Processors, Account Managers, Loss Control Consultants, Underwriters, Sales Reps and Claim
from highmark.com26 days ago
Medical Director - Medical Management & Policy
HighmarkHealth & Medical
Pittsburgh, PA
most current clinical standards. Responsible to review cases and evaluate the medical necessity and appropriateness of the requested treatment of service. Responsible for compliance to NCQA, URAC, CMS
from highmark.com30+ days ago
Associate Case Management Representative
HighmarkHealth & Medical
Pittsburgh, PA
General Overview Coordinates the Workers' Compensation or disability medical management process from the time of case receipt through closure utilizing critical thinking skills to achieve physician...
from highmark.com29 days ago
Medical Director-Healthcare Management Services
HighmarkHealth & Medical
Pittsburgh, PA
General Purpose: The Medical Director provides physician oversight into the development, implementation, ongoing monitoring and continuous improvement of the wellness, case management, care... case m
from highmark.com30+ days ago
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Senior Project Manager - Medical Management & Policy
HighmarkTechnology
Pittsburgh, PA
Project Managers and Program team in the development and maintenance of comprehensive plans for a defined program. * Work with Executive Sponsor and Business Owner of a Program, and other management
from highmark.com8 days ago
Supervisor Medical Management & Policy - Clinical
HighmarkHealth & Medical
Pittsburgh, PA
General Overview: The Supervisor, Medical Management and Policy - Clinical is responsible for managing a team of clinicians charged with promoting quality member outcomes, to optimize member benefits,
from highmark.com22 days ago
Medical Director- Clinical Client Relations
HighmarkHealth & Medical
Pittsburgh, PA
continuum. The Medical Director presents customized clinical direction to Clients, based on their specific risk profile, and facilitates interventions that optimize the health status of employee popul
from highmark.com30+ days ago
Care Manager
HighmarkHealthcare Management & Finance
Wilmington, DE
are within the care manager's professional discipline. Effectively functions in accordance with applicable state, federal laws and regulatory compliance. * Implements all care management reviews acco
from highmark.com30+ days ago
Care Manager
HighmarkHealthcare Management & Finance
Charleston, WV
within the care manager's professional discipline. Effectively functions in accordance with applicable state, federal laws and regulatory compliance. * Implements all care management reviews accordin
from highmark.com14 days ago
Manager, Financial Planning
HighmarkAccounting & Finance
Pittsburgh, PA
identifying the cause for variances from the financial plan. Direct the completion of ad hoc financial planning activities. Assist in the development of business cases for initiatives requiring capita
from highmark.com30+ days ago

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