Physician Assistant Hybrid - Women's Health Highmark IncPhysician Assistant Hybrid - Women's HealthPittsburgh, PAActively coordinates complex care needs with patients, families, external community services, and the entire interdisciplinary team, initiating timely consultations with the attending physician for cases exceeding PA-C scope or requiring higher-level medical decision-making.(10%). Independently institutes immediate emergency measures and stabilization techniques for acute patient situations, and ensures rapid communication with the attending physician or covering provider regarding any significant patient status changes or critical findings.(20%).
Appeals Analyst Highmark IncAppeals AnalystPAThis job reviews inquiries to determine if they meet the definition of a grievance/appeal; documents, investigates, refers and coordinates grievances and appeals; initiates a case file for each grievance and appeal; ensures compliance with organizational and regulatory requirements for member or provider issues; independently coordinates the resolution with internal/external parties as required; and documents and summarizes to all parties involved in the case the investigation results. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
RN 6C Telemetry (Weekends), Allegheny General Highmark IncRN 6C Telemetry (Weekends), Allegheny GeneralPittsburgh, PAALLEGHENY GENERAL HOSPITAL: Allegheny General Hospital (AGH), located on the North Side of Pittsburgh, is a 550+ bed hospital renowned for its advanced care across nearly every medical and surgical specialty. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
Medical Assistant - Allegheny Perinatal Associates - West Penn - Full Time Highmark IncMedical Assistant - Allegheny Perinatal Associates - West Penn - Full TimePittsburgh, PACertification Requirements: Employees who have: graduated from a medical assistant program within five years OR proof of one year of work experience as a medical assistant in the last three years must complete certification training and/or attempt testing within 30 days of hire and must obtain certification within 120 days of hire. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
RN ED (Casual) - Forbes Hospital Highmark IncRN ED (Casual) - Forbes HospitalPAIn connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy. Job Description: GENERAL OVERVIEW: The Registered Nurse assesses human responses and plans, implements and evaluates nursing care for individuals or families for whom the nurse is responsible.
RN - Emergency Department (Rotational) Canonsburg Highmark IncRN - Emergency Department (Rotational) CanonsburgCanonsburg, PAIn connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy. We provide reasonable accommodations to applicants with disabilities or who require accommodations for sincerely held religious beliefs or for known limitations related to pregnancy, childbirth, or related medical conditions.
Care Manager RN (Remote) Highmark IncCare Manager RN (Remote)PARemoteThis job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization, identification of opportunities for referral to a Health Coach/case management, and identification and resolution of quality issues. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
Medical Assistant - Women's Health - Jefferson - Full Time Highmark IncMedical Assistant - Women's Health - Jefferson - Full TimeJefferson, PACertification Requirements: Employees who have: graduated from a medical assistant program within five years OR proof of one year of work experience as a medical assistant in the last three years must complete certification training and/or attempt testing within 30 days of hire and must obtain certification within 120 days of hire. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
Practice Manager - Pine Hollow Medical Associates - North Fayette - FT Highmark IncPractice Manager - Pine Hollow Medical Associates - North Fayette - FTPittsburgh, PAIn connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy. Manages and monitors key financial and revenue cycle metrics, including staff hours, resource allocation, expense budget, patient volumes, and the revenue cycle process.
Counsel Highmark IncCounselPittsburgh, PAProvide regular legal support for one or more discrete units of the Corporation; demonstrate significant knowledge of the Corporation's business, while retaining the discipline of legal analysis; provide timely and accurate legal advice and prepare effective documents based upon knowledge of federal, state and other applicable law and the regulatory environment in which the Corporation functions; apply sound business judgment to the provision of legal advice; have advanced expertise in areas of legal practice that are necessary to effectively provide legal counsel; provide results of analysis to other attorneys in the Law Department ("Department") or, under the direction of a managing attorney, directly to appropriate management and staff of the Corporation; provide legal advice to management and staff of the Department. Manage litigation, transactions or other matters and/or assist and work cooperatively with and/or supervise outside legal counsel from approved law firms used by the Corporation in support of one or more projects in the lawyer's area of practice for the Corporation; may direct such work of outside legal counsel or facilitate such work of outside counsel to address issues effectively and efficiently, including minimizing outside legal counsel fees and expenses, as appropriate.
Supervisor Patient Access - St. Vincent - Full Time Highmark IncSupervisor Patient Access - St. Vincent - Full TimeErie, PABA/BS degree or equivalent work experience in a multi-physician medical practice or facility billing/business office specifically related to revenue cycle management, or relevant experience and/or education as determined by the company in lieu of bachelor"s degree. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
Surgical Technologist I (Casual)- AHN St Vincent Surgery Center Highmark IncSurgical Technologist I (Casual)- AHN St Vincent Surgery CenterErie, PAAdditional Employment Requirements: Surgical Technologist (ST) hired after 12/29/2020 require one of the following: Education and Certification: Accredited Surgical Technologist program completion and nationally recognized certification (CST, TS-C) within 6 months of hire. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
RN - Behavioral Health (Full Time, Weekends), St. Vincent Highmark IncRN - Behavioral Health (Full Time, Weekends), St. VincentIndianapolis, INIn connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy. Shares knowledge and skills with peers and colleagues and cultivates a work environment that promotes positive employees attitudes, effective communications, trust, and collaboration.
Medical Assistant/Scheduler - Pain Medicine - South Hills - FT Highmark IncMedical Assistant/Scheduler - Pain Medicine - South Hills - FTPittsburgh, PACertification Requirements: Employees who have: graduated from a medical assistant program within five years OR proof of one year of work experience as a medical assistant in the last three years must complete certification training and/or attempt testing within 30 days of hire and must obtain certification within 120 days of hire. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
RN Outpatient - Women's Health - West Penn - Full Time Highmark IncRN Outpatient - Women's Health - West Penn - Full TimePittsburgh, PAIn connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy. Shares knowledge and skills with peers and colleagues and cultivates a work environment that promotes positive employees attitudes, effective communications, trust, and collaboration.
Surgical Technologist II- AHN St. Vincent Highmark IncSurgical Technologist II- AHN St. VincentErie, PAAdditional Employment Requirements: Surgical Technologist (ST) hired after 12/29/2020 require one of the following: Education and Certification: Accredited Surgical Technologist program completion and nationally recognized certification (CST, TS-C) within 6 months of hire. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
RN IMCU - Forbes Hospital Highmark IncRN IMCU - Forbes HospitalMonroeville, PAWe see a variety of patients from chest pain, stress test, acute GI bleeds, cardiac drips, cardiac monitored patients, pre and post open heart, cardiac cath patients and most recently started treating Watchman and TAVR procedure patients as well. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
Mental Health Professional - Pittsburgh - Full Time Highmark IncMental Health Professional - Pittsburgh - Full TimePittsburgh, PAIn connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy. ESSENTIAL RESPONSIBILITIES: Adheres to all regulatory requirements while developing and facilitating assessments and/or therapeutic interventions (individual, group, family), treatment plans, and encounter forms for assigned patients and/or providers.
Manager Information Security and Risk Management - Enterprise Data Security Highmark IncManager Information Security and Risk Management - Enterprise Data SecurityPAThis position serves as the technical and strategic leader for the organization"s Enterprise Data Protection program, providing direction across data security, data loss prevention (DLP), data classification, Data (File and Database) Activity Monitoring, encryption, key management, digital rights management, and emerging data security capabilities. Communicate effectively with all levels of the organization: facilitate meetings; plan, design and provide presentations; represent HM Health Solutions with outside entities; prepare divisional procedures, policies, reports and correspondence; spread awareness of new and existing security threats; provide oversight regarding metrics, funding, budgets and resources.
RN (New Grads Only), Intermediate Care Unit - Forbes Hospital Highmark IncRN (New Grads Only), Intermediate Care Unit - Forbes HospitalMonroeville, PAIn connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy. Seeks both formal and independent learning activities using current research findings and other evidence to maintain and develop clinical and professional skills and knowledge.