Jobs at Highmark in Washington, Pennsylvania

This is the initial position in the Customer Service Career path. Service Representative Trainees after successful completion of Core training will provide prompt, accurate and courteous replies to written and telephonic inquiries. These inquiries encompass numerous contacts and originate from subscribers, providers, groups, agent plans and the general public. Typically, these inquiries involve a ...
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Do you thrive in providing excellent customer service? Do you enjoy helping people? Begin your career in Customer Service with Highmark. We are one of the largest health insurers in the nation. We help millions of individuals every day have access to the health insurance, care and other related services that they need to live longer, healthier lives. Nationally, Highmark employs 20,000 people and ...
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Locations can be: Pittsburgh, PA Camp Hill, PA Charleston, WV Wilmington, DE SUMMARY OF JOB RESPONSIBILITIES: This position is responsible for monitoring, analyzing, comparing, and evaluating medical policy content and application for all Highmark products, and making recommendations, as necessary, to achieve objectives established by Highmark management. To this end, the incumbent must analyze a ...
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The Regional Practice Manager is responsible for maintaining efficient day to day practice operations at one or more physician offices. The Practice Manager may also be responsible for onboarding physician practices based on Highmark methodologies and standards. The incumbent will focus on physician office transition activities, meeting profitability goals, improving provider and patient satisfact...
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Direct benefit coding and client administration operations for all group and individual product business, as well as Partner Plan and Agent Plan business processing on systems. Ensures coding is completed in a manner that is accurate and efficient to ensure that claims are processed precisely and with the least amount of manual intervention to achieve the lowest possible administrative costs, cust...
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Coordinating and leading financial reporting departmental special projects, including process improvement initiatives, research, and analytical activities. Implementing new GAAP and statutory reporting standards, documenting accounting policies and making certain financial reporting processes are more effective and efficient. Coordinating external audits and state insurance department examinations...
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DESCRIPTION: PRIMARY DUTIES AND RESPONSIBILITIES BUT NOT LIMITED TO: * This position is responsible for managing account relationships with existing national accounts generally ranging from 2000-5000 contracts. * Works with accounts to develop an overall integrative benefits package. Accounts generally involve more complex product lines and financial arrangements. * Responsible for renewal and add...
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Description There are various Physician Assistant opportunities in various locations around the greater Pittsburgh area available with various specialities within Highmark Provider Group's Physician Landing Zone. We will consider qualified applicants and direct candidates to the appropriate practice for consideration depending on your experience and interests. The Physician Assistant (PA) provides...
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I. GENERAL PURPOSE: Primary nurse providing both health coaching and case management services to members across the continuum of health ranging from health promotion to end-of-life Uses clinical and motivational interviewing skills to assess members' needs and establish mutually agreeable goals Supports members in developing self-management skills and in adopting positive behavior changes Identifi...
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Summary of Job Responsibilities: The Manager of Care Management is an expert in the areas of utilization management, continuum of care planning, benefit interpretation, disease management, insurance industry regulations as well as personnel management. Accountable for the oversight; development and maintenance of the department's care management processes. This includes utilization management, str...
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SUMMARY OF JOB RESPONSIBILITIES: This position is responsible for the following: * This position is responsible for medium to large-scale project management functions related to the operational planning, design and implementation of all corporate and subsidiary facilities. * The Facilities Planning Analyst II functions independently in the management of all phases of an assigned project. The incum...
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