Patient Access Coordinator II - AHN Cardiovascular Institute - Allegheny General Hospital Highmark IncPatient Access Coordinator II - AHN Cardiovascular Institute - Allegheny General HospitalPittsburgh, PAJob Description: GENERAL OVERVIEW: This job completes one or more of the following processes (scheduling, pre-registration, financial clearance, authorization and referral validation and pre-serviceability estimations and collections) within Patient Access and creates the first impression of AHN"s services to patients and families and other external customers. 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 Stop Loss Underwriting Consultant Highmark IncMedical Stop Loss Underwriting ConsultantPAOperates in a matrix structure working with the Sales, Underwriting and Clinical teams and oversees all aspects of new business and renewal pricing and risk analysis associated with select clients. 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.
EWM Functional Consultant EG Korber AGEWM Functional Consultant EGPittsburgh, PAJoin our collaborative team as an EWM Functional Consultant, where you'll analyze business requirements, design optimized warehouse processes, and support full-cycle SAP EWM implementations. Configure key EWM processes including inbound, outbound, putaway, picking, packing, slotting, labor management, and physical inventory.
Patient Access Coordinator/Emergency Department - Wexford Hospital - Full-time (Rotating Shifts) Highmark IncPatient Access Coordinator/Emergency Department - Wexford Hospital - Full-time (Rotating Shifts)Wexford, PAConducts scheduling, registration, and admitting functions independently at bedside, validates patient demographic data, identifies and verifies insurance information through payor contacts via telephone, online resources, or electronic verification systems utilizing accurate plan code and COB order. 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.
Lead Decision Support Analyst Highmark IncLead Decision Support AnalystPAProvide assistance and, depending on skill and experience, lead with interpretation of raw data, statistical results or otherwise compiled information, identify follow-up action items and prepare or assist in the preparation of written reports and/or oral presentation of findings to internal and external audiences, customer managers, clinical staff, compliance agencies, group accounts, providers, agent plans, and brokers. Performs modeling of data sources and flows, works with data management staff to define an operational framework that will define, develop and implement policies and security frameworks to ensure precise and secure delivery of knowledge and information.
Senior Portfolio Analyst - Hybrid, Pittsburgh PA Highmark IncSenior Portfolio Analyst - Hybrid, Pittsburgh PAPittsburgh, PAJob Description: GENERAL OVERVIEW: This job is responsible for coordinating and communicating all aspects of assigned mid- and/or large sized/complexity portfolio including but not limited to alignment with executive, client team, and/or business unit leadership; capability planning and prioritization; resource demand and capacity planning and prioritization; track, report and communicate key metrics around financial performance, benefits and value levers, portfolio health, and strategic alignment; support a continuous planning process; implements process improvements. 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.
Workday SCM Manager Deloitte Touche Tohmatsu LtdWorkday SCM ManagerPittsburgh, PA$144,600–$265,100 / yearMay have oversight of multiple workstreams within a project, which includes providing guidance to individual workstreams to help with their overall progress, escalation of risks and issues as needed, ensuring cross-functional activities are coordinated and occurring as needed, assisting with project management activities (or serving as project manager), ensuring deliverables are being developed and will be ready according to plan. Demonstrated experience leading the definition of systems strategy, gathering and documenting business requirements, leading fit-gap analysis, as-is and to- be business process designs, conference room pilots (CRPs) functional configuration, testing, client user training within large enterprise environments.
Lead Financial Analyst Highmark IncLead Financial AnalystPAThis job performs financial and business related research and analysis such as the preparation of forecasts and/or analysis of financial reports, records and trends; develops and maintains spreadsheets and databases to facilitate analysis and reporting; and is responsible for conducting and documenting financial analysis projects. 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.
Unit Secretary - E7 PCU - West Penn Hospital - Full Time Highmark IncUnit Secretary - E7 PCU - West Penn Hospital - 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. Performs clerical duties related to admission, transfer and discharge, maintenance of patient activities for the records, interdepartmental communications and unit reception.
Director Operations - West Penn Hospital Highmark IncDirector Operations - West Penn HospitalPittsburgh, PAJob Description: GENERAL OVERVIEW: This job provides leadership, direction and oversight of assigned departments, services and programs, ensuring establishment and attainment of operational goals consistent with the organizational strategic plan and in accordance with budgetary, quality and service excellence goals. Works in collaboration with assigned Departments to review, develop and monitor policies and guidelines around Assigned services Oversees all department leaders assigned to role, as well as departments that may have a network reporting structure but local responsibility.
Category Manager Highmark IncCategory ManagerPA7 years in strategic sourcing, purchasing / contracting field; complete understanding of Group Purchasing Organizations (GPO) contracting methods, experience in leading commodity teams, sourcing, bidding, negotiating, detailed data analysis and awarding of major commodity contracts for a wide array of clinical and non-clinical products and/or services. 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.
Underwriter Highmark IncUnderwriterPAWork with the sales team and underwriting peers and leaders to manage a portfolio of clients, including all rating methods and owning the underwriting engagement from initial identification through documentation of final sold-contract details. The incumbent will collaborate with cross-functional team members on client-level quotes and function as a trusted advisor by providing financial and risk management support to sales as well as strategic insight.
Program Manager, Sales Strategy & Analytics Highmark IncProgram Manager, Sales Strategy & AnalyticsPittsburgh, 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. The incumbent focuses on assessing opportunities within each respective region and on building the necessary capabilities to ensure strategic matrix partners" alignment and execution of strategies to grow membership.
Senior Financial Analyst Highmark IncSenior Financial AnalystPAThis job performs financial and business related research and analysis such as the preparation of forecasts and/or analysis of financial reports, records and trends; develops and maintains spreadsheets and databases to facilitate analysis and reporting; and is responsible for conducting and documenting financial analysis projects. 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.
Scheduler - Women's Health - Gibsonia - Full Time Highmark IncScheduler - Women's Health - Gibsonia - Full TimePAIn 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. Transcribes reports, notes and correspondence; answers phones and take appropriate actions; files patient information in the medical record and prepares charts; performs general office tasks.
Maintenance Mechanic I Wexford Hospital Highmark IncMaintenance Mechanic I Wexford HospitalWexford, PAESSENTIAL RESPONSIBILITIES: Performs equipment and materials fabrication including miscellaneous installations and repairs (including repairs to wheelchairs and beds); updates and repairs hospital plumbing systems, electrical repairs, light carpentry and other trades. 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.
Director Capital and Business Development Planning Highmark IncDirector Capital and Business Development PlanningPAInteract with a wide array of internal and external customers at all levels of the business including finance, actuarial, cost and budgeting, membership and information technology departments to discuss model assumptions, model methodology and financial modeling findings. The result of the modeling will be integrated with capital planning efforts which includes working with internal business units, treasury and others to understand the current risk composition of the of the Enterprise portfolio of companies to calculate risk adjusted financial returns under various scenarios.
Client Advising Consultant Highmark IncClient Advising ConsultantPAIncludes gathering and analyzing client-specific information, assessing the clients stated and unstated needs, proposing and gaining agreement to strategies and tactics, writing the physical plan document and creative briefs that can be taken to the client and used internally. This job works in close partnership with sales, marketing and product management to drive purchase and/or adoption of innovative Organization products and services (i.e. spending account, transparency, value based benefits, clinical platform, health advocate, etc).
Patient Access Coordinator I-Otolaryngology-Part-time Highmark IncPatient Access Coordinator I-Otolaryngology-Part-timeMonroeville, PAJob Description: GENERAL OVERVIEW: Completes one or more of the following processes (scheduling, pre-registration, financial clearance, authorization and referral validation and pre-serviceability estimations and collections) within Patient Access and creates the first impression of AHN"s services to patients and families and other external customers. 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.
Manager Financial Investigations and Provider Review Highmark IncManager Financial Investigations and Provider ReviewPittsburgh, PA3 years" experience in (1) provider overpayment identification and settlement and/or (2) fraud, waste and abuse (FWA) investigations including interactions with federal, state, and local law enforcement and regulatory agencies including negotiating Provider/Facility overpayment settlements and/or (3) audit consulting experience in the healthcare field with strong relationship and project management skills. Strong and effective verbal and written communication skills; Effectively presents complex topics in a concise manner to audiences at various levels and various sizes; Demonstrates the ability to effectively persuade others to listen, commit, and act on a new approach.