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Government Jobs in Pittsburgh, Pennsylvania

1000+ jobs

Assumes overall responsibility for the strategic direction and operational effectiveness of Medical Management for government markets (Medicare, Medicaid, Direct Pay). Responsible for the clinical oversight of Utilization Management, Care Management and Quality Improvement for these product portfolios. Responsible for overseeing the coordination and activities of the Medical Directors and Physici...
General Overview This job is directly responsible for the value creation, impact and cost control and fiscal/ROI targets as set by the Organization, including revenue stream outcomes, and engagement of primary care providers (PCP) enrolled in government value based reimbursement programs and continuous improvement models. This job is a highly skilled subject matter expert (SME) in Medicare STARS,...
General Overview: This job assists in the design and development of the clinical vision and strategy of the organization and develops, implements and assists in managing innovative models of care delivery. Will partner closely with all divisions and departments within the organization to provide clinical consultation and support to program development, compliance with accepted medical standards, ...
General Overview: The Director of Customer Experience is responsible for leading contact center operations for commercial group, individual and business partner functions. This position is responsible for motivating and cultivating a team to provide excellent service allowing for a consumer centric approach balanced with a cost competitive structure to achieve opportunities for additional busines...
Primary Location: USA-PA-Pittsburgh Work Locations:US Steel Tower (USSTEEL) 600 Grant St, 15219 Business Unit: UPMC Health Plan Schedule: Full-time Shift: Regular Job Description Job Summary: UPMC Health Plan is hiring a full-time Government Program Specialist, Pharmacy Services to help support the Pharmacy Services Department for its downtown Pittsburgh location. This position maintains di...
The Senior Staff Attorney, Government Affairs, Policy and External Affairs will have responsibility for legal and strategy advice to the Business Units, with a focus on Government Affairs, Land Departments, Communications, and EHS, in the areas of municipal planning codes and zoning, litigation over local regulations and ordinances, public policy, legislative and regulatory analysis and political ...
Primary Location: USA-PA-Pittsburgh Work Locations:US Steel Tower (USSTEEL) 600 Grant St, 15219 Business Unit: UPMC Health Plan Schedule: Full-time Shift: Regular Job Description Purpose: Do you have a strong background in health insurance enrollment? If so, an opportunity as an Operations Analyst, Associate with UPMC Health Plan's Government Enrollment services team may be the perfect fit ...
Primary Location: USA-PA-Pittsburgh Work Locations:US Steel Tower (USSTEEL) 600 Grant St, 15219 UPMC Health PlanFull-timeManagementPurpose: The Director, Government Insurance Programs is responsible for creating the marketing strategy for the full UPMC Health Plan Government Insurance Portfolio including its Medicaid, Medicare, Special Needs and Children's insurance products. This position wil...
Government Underwriter (Wholesale) Overview: Franklin American Mortgage is looking for an experienced, professional individual to join our Wholesale team. The Government Underwriter is responsible for providing a loan decision based on an individual's credit history, financial position and strength of collateral. This person must have attained Direct Endorsement status from HUD and/or SARs author...
General Overview: The consulting workforce leverages combined people, process, and technology competencies to support large-scale, complex customer engagements; collaborates with Product, Infrastructure, and Security teams to configure solutions and deliver value to customers; acts as subject matter expert and trusted advisor in both practice and customer spaces; and works closely with engagement...
The Senior Staff Attorney, Government Affairs, Policy and External Affairs will have responsibility for legal and strategy advice to the Business Units, with a focus on Government Affairs, Land Departments, Communications, and EHS, in the areas of municipal planning codes and zoning, litigation over local regulations and ordinances, public policy, legislative and regulatory analysis and political ...
General Overview This job is directly responsible for the value creation, impact and cost control and fiscal/ROI targets as set by the Organization, including revenue stream outcomes, and engagement of primary care providers (PCP) enrolled in government value based reimbursement programs and continuous improvement models. This job is a highly skilled subject matter expert (SME) in Medicare STARS,...
Purpose: The Director, Government Insurance Programs is responsible for creating the marketing strategy for the full UPMC Health Plan Government Insurance Portfolio including its Medicaid, Medicare, Special Needs and Children's insurance products. This position will develop and drive integrated marketing strategies that increase membership and achieve membership goals through field and event ...
Purpose: Do you have a strong background in health insurance enrollment? If so, an opportunity as an Operations Analyst, Associate with UPMC Health Plan's Government Enrollment services team may be the perfect fit for you. This role will oversee administrative, system processes and special projects as they relate to the identification, implementation and maintenance of the claims transactional sy...
General Overview: The Director of Customer Experience is responsible for leading contact center operations for commercial group, individual and business partner functions. This position is responsible for motivating and cultivating a team to provide excellent service allowing for a consumer centric approach balanced with a cost competitive structure to achieve opportunities for additional busines...
General Overview: The Director of Customer Experience is responsible for leading contact center operations for commercial group, individual and business partner functions. This position is responsible for motivating and cultivating a team to provide excellent service allowing for a consumer centric approach balanced with a cost competitive structure to achieve opportunities for additional busines...
General Overview: The Supervisor, Dental Government Business Operations provides supervisory direction and oversight for all enrollment, premium billing, claims and/or customer service telephone and written correspondence inquiries (routine, priority Congressional / Department of Defense), and appeals. Ensures that all processes are compliant with requirements and performance standards are consis...
Assumes overall responsibility for the strategic direction and operational effectiveness of Medical Management for government markets (Medicare, Medicaid, Direct Pay). Responsible for the clinical oversight of Utilization Management, Care Management and Quality Improvement for these product portfolios. Responsible for overseeing the coordination and activities of the Medical Directors and Physici...
General Overview This job is directly responsible for the value creation, impact and cost control and fiscal/ROI targets as set by the Organization, including revenue stream outcomes, and engagement of primary care providers (PCP) enrolled in government value based reimbursement programs and continuous improvement models. This job is a highly skilled subject matter expert (SME) in Medicare STARS,...
Job Summary: Temporarily reporting to the Physician Organization Epic Revenue Cycle Optimization Executive, the Director of Non-Government AR Management is responsible for all aspects of AR management for non-governmental payers. This position is responsible for the timely follow-up of all denied and/or otherwise unpaid non-government claims, including secondary and tertiary payers, until such ti...