Director Digital Product Management Highmark IncDirector Digital Product ManagementPARemoteDemonstrated ability to work with minimal supervision with a high degree of organization and attention to detail; manage multiple simultaneous tasks, assignments, deadlines, and produce results, and be results-oriented team player who leads by example, holds self-accountable for performance, takes ownership, and champions all aspects product initiatives. Ability to lead and influence others within a matrixed organization, and leads with a true sense of urgency with the ability to engage the workforce to do the right thing every time for our customers and clinicians; Leads with a customer and clinician-centric lens and advocates for a combined customer and clinician view in all interactions.
Remote Customer Service Manager Spade RecruitingRemote Customer Service ManagerPittsburgh, PARemoteDaily activities include Inbound and outbound calling, setting appointments, performing presentations to members of unions that request our benefits, basic computer knowledge, completing the necessary paperwork, quality control, and leadership development. All-expenses-paid yearly office trips to exciting and exotic locations (2016 Puerto Rico, 2017 Cancun, 2018 Disney, 2019 Vegas, 2020 Bar Mar Bahamas).
Associate Document Implementation Analyst Highmark IncAssociate Document Implementation AnalystPARemoteWorking under general guidance, the Associate Document Implementation Analyst develops proficiency in operational processes, digital tools (including supported applications and system integrations), and compliance requirements. 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.
Senior Case Manager RN - Oncology (Remote) Highmark IncSenior Case Manager RN - Oncology (Remote)PARemoteThe Case Manager assesses member needs, develops and implements care plans, coordinates services, and monitors progress, while containing the cost of health care 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.
Acquisitions Sales Representative - Pittsburgh, Pennsylvania Kendall Hunt PublishingAcquisitions Sales Representative - Pittsburgh, PennsylvaniaPittsburgh, PARemoteFull timeWe want to partner with talented educators in charge of lower-level, higher-enrollment courses to develop more interactive and engaging materials that solve the needs of their students and can make an impact in their college career and in the difference, they make in the world in the future. The ideal candidate will be located in Pennsylvania (Pittsburgh, Harrisburg, Lancaster, York, Reading, Allentown) or Maryland (Towson, Hunt Valley, Timonium, Owing Mills, Frederick).
District Parts & Service Manager II Doosan CorpDistrict Parts & Service Manager IIPittsburgh, PARemoteBased in Seoul, South Korea, with its North America headquarters in West Fargo, North Dakota, Doosan Bobcat is a leading global manufacturer of construction, agriculture, landscaping and grounds maintenance equipment, attachments and services. Exceptional verbal and written communication skills, with strong relationship-building and networking abilities to establish and maintain trustworthy partnerships with dealers and customers.
District Parts & Service Manager (Level DOE) Doosan CorpDistrict Parts & Service Manager (Level DOE)Pittsburgh, PARemoteBased in Seoul, South Korea, with its North America headquarters in West Fargo, North Dakota, Doosan Bobcat is a leading global manufacturer of construction, agriculture, landscaping and grounds maintenance equipment, attachments and services. By building and maintaining strong relationships with dealership personnel, the DPSM aims to ensure that operational goals are met while effectively addressing customer concerns and feedback.
NewAccount Manager Associate - CarepathRx - Remote The Cigna GroupAccount Manager Associate - CarepathRx - RemotePARemote$17.75–$19 / hourThese states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
NewContent Claims Specialist - Seasonal Crawford & CoContent Claims Specialist - SeasonalPittsburgh, PARemoteTo determine the actual offer, Crawford considers a wide range of factors including the candidate's previous experience and education, market rates, minimum pay requirements for the applicable jurisdiction, business segment, supply/demand, and scheduled hours. The employee is required to extend hands and arms in various directions in order to handle files and associated paperwork; use hands/fingers in repetitive motion in keyboard usage; use hands/fingers to efficiently utilize a writing instrument.
Pledge Drive 2.0 MiCo2 GroupPledge Drive 2.0Mckeesport, PennsylvaniaRemoteIn this role, you'll speak directly with supporters and help make giving easy and rewarding. We’re seeking Donation Call Specialists to work remotely with leading nonprofit organizations.
Supervisor Appeals - Medicare (Remote) in PA or DE Highmark IncSupervisor Appeals - Medicare (Remote) in PA or DEPARemoteThe incumbent is responsible for the direct oversight and/or technical direction of non-clinical staff that make determinations to pay or deny services, identify provider education opportunities, and appropriate referrals to other contractors (Program Safeguard Contractor (PSC) for potential fraud and abuse activities, Qualified Independent Contractor (QIC) for second level appeals, etc…). 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.
Clinical Pharmacist - Remote (MTM) The Cigna GroupClinical Pharmacist - Remote (MTM)PARemote$54–$91 / hourPerformance Objectives and Responsibilities: Duties may include but are not limited to: Provide MTM services, including Comprehensive Medication Reviews (CMRs), Targeted Medication Reviews (TMRs), adherence interventions, cost-effective interventions, and other medication-related clinical interventions. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Remote Customer Support – Travel Industry DreamstravelcrRemote Customer Support – Travel IndustryPittsburgh, PennsylvaniaRemoteIn this role, you will help travelers plan unforgettable experiences by providing destination guidance, organizing travel details, and supporting clients throughout their entire planning process. As a Travel Experience Specialist, you will work remotely while helping clients transform their travel ideas into well-organized itineraries and memorable experiences.
Medicare Field Agent- Allegheny HumanaMedicare Field Agent- AlleghenyPittsburgh, PennsylvaniaRemoteWork at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Comfortable with daily face-to-face interactions in prospective members' homes, at community-based events and engaging with the community through service, retail environment, organizations, volunteer work, or local events.
Medicare Field Agent- Butler HumanaMedicare Field Agent- ButlerCranberry Township, PennsylvaniaRemoteWork at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Comfortable with daily face-to-face interactions in prospective members' homes, at community-based events and engaging with the community through service, retail environment, organizations, volunteer work, or local events.
Medicare Field Agent- Westmoreland HumanaMedicare Field Agent- WestmorelandGreensburg, PennsylvaniaRemoteWork at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Comfortable with daily face-to-face interactions in prospective members' homes, at community-based events and engaging with the community through service, retail environment, organizations, volunteer work, or local events.
NewSpecialist Case Manager RN - (Remote) Highmark IncSpecialist Case Manager RN - (Remote)PARemoteMaintain oversight over specified panel of members by performing ongoing assessment of members" health management needs, identifying the right clinical interventions to address member needs and/or triaging members to appropriate resources for additional support. The Case Manager assesses member needs, develops and implements care plans, coordinates services, and monitors progress, while containing the cost of health care services.
NewTransformation Manager Highmark IncTransformation ManagerPARemoteThis job serves as the delivery leader responsible for defining, owning, and delivering mid-size engagements designed to meet/exceed key performance metrics (e.g., admin cost reduction, process improvement, automation, medical cost/value improvement, and enhanced customer/provider experience) for specific clients within the organization. Delivery Responsibilities: Lead individuals, teams or multiple groups and play an active role in analyzing project goals, creating a plan to achieve those goals, and helping to drive the consulting team members, client stakeholders/SMEs and potentially other third parties to achieve those goals while understanding the client environment and any limitations to execution.
NewFinance Technology Product and Portfolio Lead Highmark IncFinance Technology Product and Portfolio LeadPARemoteStakeholder Management & Communication: Exceptional ability to engage, influence, and communicate effectively with diverse stakeholders, including senior leadership, finance business partners, and technology teams. 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.
NewPharmacist - Case and Disease Management (CMDM) - Remote Highmark IncPharmacist - Case and Disease Management (CMDM) - RemotePARemoteIn 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. Contact patients, care givers, physicians, pharmacists, etc. to intervene on identified gaps of care using a high level of clinical judgement and discretion.