Highmark medical Case Manager Jobs

1 - 10 of 177 Jobs
Sort by: best match or most recent
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.comYesterday
Medical Coder
HighmarkHealth & Medical
Pittsburgh, PA
assigning and sequencing ICD-9 CM/CPT/HCPCS and ICD-10 codes to diagnoses and procedure for the documented information. Essential Job Functions: * Compile, abstract and maintain patient medical record
from highmark.comYesterday
Manager Utilization Management
HighmarkHealthcare Management & Finance
Pittsburgh, PA
Preferred Qualifications: * Master's degree in health care related profession. * Proficient with MS Office Suite and Outlook Licenses or Certifications: * Certified Case Manager Highmark Health and..
from highmark.comYesterday
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.comYesterday
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.comYesterday
Manager, Business Platform
HighmarkBusiness Development
Pittsburgh, PA
entities within Highmark or its strategic business partners. When this is the case, there may be less direct reporting relationships and more matrix relationships demanding extensive relationship mana
from highmark.comYesterday
7 Tips to Revamp Your Job Search for 2014
Sleep Store Retail Manager
HighmarkRetail
Pittsburgh, PA
Store will be located in East Pittsburgh, location TBD. Hours will be Wed - Fri 9:00-6:30 and Sat 9:30-6:30 for the manager (4 10 hour days). General Overview: The position is responsible for... and
from highmark.comYesterday
Manager, Care Management
HighmarkHealthcare Management & Finance
Pittsburgh, PA
General Overview: The Manager, Care Management is an expert in the areas of utilization management, continuum of care planning, benefit interpretation, insurance industry regulations as well as... ca
from highmark.comYesterday
Manager, Care Management
HighmarkHealthcare Management & Finance
Pittsburgh, PA
General Overview: The Manager, Care Management is an expert in the areas of utilization management, continuum of care planning, benefit interpretation, insurance industry regulations as well as... ca
from highmark.comYesterday
Business Analyst Consultant - Clinical Project Manager
HighmarkManagement Consulting
Pittsburgh, PA
Dataflow / context diagramming, etc. * Seven years' experience project management activities to include: Project Lifecycle methodology for gathering requirements, developing test scenarios and cases,
from highmark.comYesterday

Sign Up for Email Job Alerts

Get a job alert when new job listings match this search