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.com30+ 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 Medical Director - Medical Management &...
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.com22 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
Care Manager
HighmarkHealthcare Management & Finance
Pittsburgh, PA
appropriate resource utilization, identification of opportunities for referral to a Health Coach/case management, and identification and resolution of quality issues. Monitors and analyzes the deliver
from highmark.com26 days ago
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.com22 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.com29 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
Manager Provider Experience
HighmarkHealthcare Management & Finance
Camp Hill, PA
General Overview: The Manager Provider Experience (Manager Customer Service) manages staff to produce high quality work output and throughput and selects, develops and continuously coaches staff to...
from highmark.com30+ days ago
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.com8 days ago

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