Holistic Health Specialist - Work From Home Health Care Service CorpHolistic Health Specialist - Work From HomePittsburgh, PARemote$61,500–$136,100 / yearFunctioning in a clinical care advisory role, assessing members for wellness education and disease management, introduces members to our website tools, educates members regarding wellness and specific conditions, and facilitates the coordination of care for identified members. Identifies alternate treatment programs; consults with physicians, providers, members, and other resources to evaluate options and services required to meet an individual's health needs.
Mortgage Protection-Life Insurance Agent-Work from Home Symmetry Financial GroupMortgage Protection-Life Insurance Agent-Work from HomePittsburgh, PennsylvaniaRemoteYou’ll have access to an exclusive CRM, a fully digital platform with up-to-date resources, and the ability to be contracted with multiple carriers, offering in-demand products like living benefits and more. This opportunity is perfect for career-driven professionals who want room to grow, sharpen leadership and business skills, and truly own their success.
Director of Natural Gas Services - REMOTE WORK Orbital Engineering IncDirector of Natural Gas Services - REMOTE WORKPittsburgh, PARemoteThe ideal candidate is a high-achieving, critically thinking, analytical, and experienced self-starter with strong leadership, excellent written and oral communication, customer service abilities, and the skill to build and maintain cooperative and effective working relationships. Key duties encompass overseeing the pole attachment application process, preparing client proposals, issuing formal notices, generating billing documents, addressing contract compliance issues, staying informed about policy changes, and presenting updates to senior leadership.
Engineering Supervisor Physical Electrical - Substation Services - REMOTE WORK Orbital Engineering IncEngineering Supervisor Physical Electrical - Substation Services - REMOTE WORKPittsburgh, PARemote$140,000–$180,000 / yearOur regional offices, hands-on mentality, and world-wide integrated teams provide an ability to leverage subject matter experts and industry best-practices wherever a project may lie geographically. Benefits: A commitment to excellence and hard work will be rewarded with a competitive salary, career advancement opportunities, and a comprehensive benefits package designed to support your health, financial security, and work-life balance.
Customer Service Export Specialist Hitachi LtdCustomer Service Export SpecialistGreensburg, PARemoteIn this dynamic role, you'll work closely with international customers and Hitachi locations worldwide, supporting Marketing and Field Sales teams to deliver cost-competitive solutions for foreign contracts. Protected veterans and qualified individuals with a disability may request a reasonable accommodation if you are unable or limited in your ability to use or access the Hitachi Energy career site as a result of your disability.
NewBurned Out from the 9-5? There's Another Way - Remote Role Global Elite Empire ConsultantsBurned Out from the 9-5? There's Another Way - Remote RolePittsburgh, PennsylvaniaRemoteAll interviews will be conducted via Zoom video conferencing(Global Elite Empire Consultants is a third-party recruiter, not an insurance agency)We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. Help Others: Use your skills and expertise to assist families in securing their financial futures, providing them with the support and guidance they need to navigate life’s uncertainties with confidence.5.
Joint Use Designer - REMOTE WORK Orbital Engineering IncJoint Use Designer - REMOTE WORKPittsburgh, PARemotePreferred Qualifications: • Bachelor's degree in engineering, engineering technology, construction, GIS, drafting, or related technical discipline with 0-2 years of experience • Prior utility design experience or make-ready design experience • Ability to read and understand engineering drawings/schematics • Working knowledge of electrical distribution assets and/or communication equipment construction • Experience in pole loading (Spida Calc, O-Calc, Pole Foreman, or Katapult) or other construction modeling software (AutoCAD) is beneficial • Knowledge of industry utility or joint-use software (SPANS, NJUNS, IkeGPS) for make-ready engineering and construction is beneficial • Familiar with Design and Checking practices for engineering drawings and deliverables • Familiar with Safe Work Practices and PPE applications. Orbital Engineering has been driven by this core purpose for more than 50 years - energizing Orbital team members and helping our clients solve challenging and complex problems with innovative engineering, inspection, and construction solutions.
Senior Substation Protection & Control Engineer - REMOTE WORK Orbital Engineering IncSenior Substation Protection & Control Engineer - REMOTE WORKPittsburgh, PARemote$97,000–$192,000 / yearOur regional offices, hands-on mentality, and world-wide integrated teams provide an ability to leverage subject matter experts and industry best-practices wherever a project may lie geographically. The candidate will prepare, provide guidance, or assist in preparing and developing the engineering deliverables for electric substation projects for utility customers.
Joint Use Department Manager - REMOTE WORK Orbital Engineering IncJoint Use Department Manager - REMOTE WORKPittsburgh, PARemote$120,000–$150,000 / yearThe Joint Use Department Manager will report to the Joint Use Senior Manager and be responsible for overall internal development and management including recruiting, strategic business planning, financial management, client growth, design innovation strategies, training, mentoring, quality, and safety. The ideal candidate will be a high performing, critical thinking, analytical, and experienced self-starter with excellent leadership skills, written and oral communication skills, customer service skills, and the ability to establish and maintain cooperative and effective working relationships with others.
Senior Substation Physical Engineer - REMOTE WORK Orbital Engineering IncSenior Substation Physical Engineer - REMOTE WORKPittsburgh, PARemoteOrbital Engineering has been driven by this core purpose for more than 50 years - energizing Orbital team members and helping our clients solve challenging and complex problems with innovative engineering, inspection, and construction solutions. • Physical substation design including equipment layouts, plans, sections, details, grounding, lightning protection, control building arrangements, cable routing, AC/DC power systems, and bills of material.
Senior Substation Civil/Structural Engineer - REMOTE WORK Orbital Engineering IncSenior Substation Civil/Structural Engineer - REMOTE WORKPittsburgh, PARemoteOrbital Engineering has been driven by this core purpose for more than 50 years - energizing Orbital team members and helping our clients solve challenging and complex problems with innovative engineering, inspection, and construction solutions. This REMOTE WORK position which requires demonstrated leadership, engineering, and design competency, in a utility or consulting environment for Electric Substation Projects with voltages up to 500 kV.
Project Manager (Defense & Offshore - Customer Projects) GE Vernova IncProject Manager (Defense & Offshore - Customer Projects)PARemote$100,000–$166,700 / yearGE Vernova Inc. or its affiliates (collectively or individually, "GE Vernova") sponsor certain employee benefit plans or programs GE Vernova reserves the right to terminate, amend, suspend, replace, or modify its benefit plans and programs at any time and for any reason, in its sole discretion. The Project Manager is responsible for leading the successful execution of Electrification projects within the Defense & Offshore segment, overseeing the entire project lifecycle - from Planning to Closure - covering Engineering, Procurement, Manufacturing, and Installation & Commissioning phases.
Customer Sales Engineer UpGuard IncCustomer Sales EngineerPittsburgh, PARemote$100,000–$130,000 / yearExperience: 3+ years in a customer-facing, post sales technical role such as a Renewals focused Sales Engineer, Solutions Consultant, Sales Consultant, Technical Account Manager Experience in a post-sales or expansion focused role is highly preferred. Cybersecurity/GRC Ecosystem: Deep understanding of the cybersecurity and GRC landscape (e.g., GRC platforms like ServiceNow; SIEMs like Splunk; or other security stack tools).
Customer Experience Analyst I United States Steel CorpCustomer Experience Analyst IPittsburgh, PARemoteToday, as the first North American steel company to have declared a 2050 net-zero greenhouse gas emissions goal, we remain as innovative as ever, leading transformation across our industry while continuing to make products for everyday life - from industries as far ranging as automotive, construction, containers and packaging, appliances, and energy. Responsibilities: Manages orders through the Oracle EBS order entry system while ensuring order specifications, sizes, pricing, and any other production or shipment information is compared to and validated against the customer purchase orders.
Lead Customer Quality Engineer (Nuclear) Westinghouse Electric Co LLCLead Customer Quality Engineer (Nuclear)Cranberry Township, PARemote$116,800–$146,000 / yearWithin this role the primary focus will be to manage teams in the development, and formal problem resolution strategies for complex nuclear fuel products/projects to support customers contractual requirements. Share best practices and lessons learned between Global Manufacturing sites which include specifics on abnormal situations, compilation of reports and management of corrective and preventive actions.
Financial Services Representative - Cranberry Township, PA FidelityFinancial Services Representative - Cranberry Township, PACranberry Township, PennsylvaniaRemoteCustomer ServicePlease be advised that Fidelity’s business is governed by the provisions of the Securities Exchange Act of 1934, the Investment Advisers Act of 1940, the Investment Company Act of 1940, ERISA, numerous state laws governing securities, investment and retirement-related financial activities and the rules and regulations of numerous self-regulatory organizations, including FINRA, among others. During your onboarding experience in this role, you’ll support Fidelity’s customers over the phone by answering questions about account balances, making withdrawals, transferring funds, identifying resources, and placing trades, while working from home and spending one day per week in the Investor Center.
NewDistrict Parts & Service Manager (Level DOE) Doosan BobcatDistrict 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.
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.
Associate Director - Native American Financial Services PM Huntington Bancshares IncAssociate Director - Native American Financial Services PMPittsburgh, PARemote$77,000–$154,000 / yearThe Associate Director - Corporate Specialty and Govt Banking Portfolio Manager will manage all aspects of a Native American Financial Services (NAFS) credit portfolio of tribal clients, and/or support a specialty area in a Commercial lending relationship, i.e. Government or Non-profit Finance. As appropriate, assists in optimizing customer relationships working directly with Relationship Managers, Treasury Management, and other team members to effectively grow fees, deposits, and portfolio revenue by presenting practical Huntington financial solutions to customers.
NewBiomedical Technician-Field Service (Pittsburgh w/Company Car) Trimedx Holdings LLCBiomedical Technician-Field Service (Pittsburgh w/Company Car)Pittsburgh, PARemote$27–$33 / hourComplex computer skills required, including the ability to administrate a system, interpret error codes, defragment hard-drives, replace power supplies, interpret computer codes, and apply networking concepts. Accordingly, Associates are prohibited from engaging in the unlawful manufacture, sale, distribution, dispensation, possession, or use of any controlled substance or marijuana, or otherwise being under the influence thereof, on all TRIMEDX and Customer property or during working/on-call hours.
NewLead Field Service Electronics Technician Eaton Corporation PlcLead Field Service Electronics TechnicianPARemote$69,000–$101,000 / yearYou will set yourself apart by demonstrating some or all of the following: Associate's degree in electrical or electronics from an accredited institution, current enrollment in a bachelor's degree engineering program at an accredited institution or applicable military training and experience. From mission-critical facilities to complex energy management challenges, we partner with customers as trusted advisors, delivering innovative solutions and technical expertise that safeguard operations and maximize uptime.
Field Service Engineer Hitachi LtdField Service EngineerPARemoteMinimum Requirements: Requires a bachelor's or foreign equivalent degree in electrical engineering, mechanical engineering, or a related field and 8 years of experience managing projects, crews, and schedules at construction sites. Must have 4 years of experience in: Working with gas insulated switchgear (GIS) up to 550 kV, including installing, commissioning, maintaining, repairing and troubleshooting.
NewHead of Digital Operations & Engineering - Service NAM Hitachi LtdHead of Digital Operations & Engineering - Service NAMGreensburg, PARemoteYou will oversee digital operations and engineering activities across North America within the services organization, guiding the execution of digital offerings, engineering processes, and technology delivery. You will address operational challenges related to reliability, speed-to-market, and consistency by defining processes, setting priorities, and aligning technical strategy with business needs.
Territory Business Manager, Service (Cleveland Territory) Baxter International IncTerritory Business Manager, Service (Cleveland Territory)Pittsburgh, PARemote$60,000–$82,500 / yearDevelop and implement a comprehensive sales targeting plan to achieve a dynamic sales funnel in order facilitate growth expectations within assigned territoryUse CRM (SalesForce.com) daily, to document and manage the sales funnel, maintain customer contact data including and meeting notes and sales progressionResponsible for driving profitable sales growth of all service solutions to include long term service agreements, repair services, and OEM parts. Variable travel (from 50% up to 75%)What You'll Bring:Strong understanding of the solutions selling processAbility to build successful high-level relationshipsStrong planning, organization, and communication skillsProven influencing skills - adept at ability to understand the needs of, and influence, personnel ranging from nurses to C-level decision makers.
Principal Category Manager - NA Services Westinghouse Electric Co LLCPrincipal Category Manager - NA ServicesCranberry Township, PARemote$90,000–$112,500 / yearImprove company financial performance through sourcing projects, supplier communications, quality, payment terms, value stream mapping, supply chain optimization and continuous improvement projects with suppliers. About the role: As a Principal Category Manager, North America Services you will be accountable for all sourcing strategies and implementation for defined categories supporting Westinghouses business.
NewFinancial Analyst, Engineering Services Support Westinghouse Electric Co LLCFinancial Analyst, Engineering Services SupportCranberry Township, PARemote$64,800–$81,000 / yearThis includes preparation of journal entries, analyzing financial results, analysis of variances and business trends, preparing forecast submission, and delivery of senior management reports to support monthly review of financial performance. About the role: As a Financial Analyst, Engineering Services you will perform financial analysist responsibilities for APX Engineering Services segments: Plant Design & Engineering and APX Product Operations.
Analyst, Engineering Services Support Westinghouse Electric Co LLCAnalyst, Engineering Services SupportCranberry Township, PARemote$64,800–$81,000 / yearThis includes preparation of journal entries, analyzing financial results, analysis of variances and business trends, preparing forecast submission, and delivery of senior management reports to support monthly review of financial performance. About the role: As an Analyst, Engineering Services you will perform financial analysist responsibilities for APX Engineering Services segments: Plant Design & Engineering and APX Product Operations.
Manager, Product Management, Member Interaction & Engagement Data Highmark IncManager, Product Management, Member Interaction & Engagement DataPARemoteThis role also requires demonstrated experience leveraging member engagement and interaction history data sourced from hybrid channels (voice, text, digital, print, etc.), coupled with robust data management and data product expertise, to drive personalization, improve administrative efficiency, and facilitate seamless omnichannel experiences across the organization. A core component of this role includes the ability to ideate and sequence innovative data products, build comprehensive data needs roadmaps aligned with business objectives, and rigorously evaluate data quality, accuracy, and availability requirements.
Account Support Analyst- SES Highmark IncAccount Support Analyst- SESPARemoteIn 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 may have direct interaction with producers, clients and sales reps to ensure complete quoting, set up, implementation, on-going service and all renewal activity.
Account Support Analyst- Broker Experience - SES Highmark IncAccount Support Analyst- Broker Experience - SESPARemoteIn 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. Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations.
Care Manager RN - Utilization Management (UM) Remote Highmark IncCare Manager RN - Utilization Management (UM) RemotePARemoteThis 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.
Clinical Client Integration Specialist - Remote Highmark IncClinical Client Integration Specialist - RemotePARemoteThe incumbent works with leaders in clinical services and sales/account management as a liaison, developing collaborative relationships across departments such as sales, actuary, underwriting, product and marketing to provide clinical content research for clients, clinical expertise for high-cost reporting, RFP responses, preparation for client meetings, and tracking of performance guarantees including participation in strategies to improve outcomes. Serve as primary leader in coordination and preparation for client audits and clinical reviews assuring that all requirements established by the client including contractual obligations are met and staff involved in any onsite reviews are adequately prepared and coached.
Senior CRM Strategist Highmark IncSenior CRM StrategistPARemoteKey responsibilities include developing end-to-end strategies that will help with managing relationships with clinical partners, identifying C2V savings, overseeing wellness programs, addressing diagnosis and care gaps, and promoting member health through education and preventative steps. Campaign & Channel Support: Support the execution of marketing campaigns (e.g., email, direct mail, mobile app, etc.) using CRM tools, targeting specific cohorts with relevant messaging.
Complex Case Manager RN (Remote) Highmark IncComplex Case Manager RN (Remote)PARemoteThe incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to coordinate care, and identifying various resources to assist members in achieving their personal health goals. For assigned case load, create care plans to address members' identified needs, remove barriers to care, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals and plan of regular contacts for re-assessment.
Complex Case Manager RN - (Remote) Highmark IncComplex Case Manager RN - (Remote)PARemoteThe incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to coordinate care, and identifying various resources to assist members in achieving their personal health goals. For assigned case load, create care plans to address members' identified needs, remove barriers to care, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals and plan of regular contacts for re-assessment.
Pharmacy Analyst - Remote/Hybrid Highmark IncPharmacy Analyst - Remote/HybridPARemoteTranslate business needs into clearly defined and documented, high quality requirements, functional designs, and system supplemental specifications for new Pharmacy Markets applications and/or analyzes change requests/enhancements in existing Pharmacy Markets applications. Develop business and pharmacy benefit solutions to satisfy mutually agreed upon goals and objectives; conduct problem solving resolution and decision making sessions for complex issues and projects; promote a culture of performance excellence and continuous quality improvement.
Genetic Counselor Clinical Reviewer - EviCore - Remote The Cigna GroupGenetic Counselor Clinical Reviewer - EviCore - RemotePARemote$73,200–$122,000 / yearEvaluate telephone, fax, or web requests for authorization of coverage of molecular and genetic laboratory requests from physician offices; comparing requests against established clinical protocols; and authorizing coverage of services or referring requests for expert clinical review as appropriate. 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.
Complex Case Manager RN - Specialty Pediatrics (Remote) Highmark IncComplex Case Manager RN - Specialty Pediatrics (Remote)PARemoteThe incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to coordinate care, and identifying various resources to assist members in achieving their personal health goals. For assigned case load, create care plans to address members' identified needs, remove barriers to care, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals and plan of regular contacts for re-assessment.
NewMedical Case Manager - (Remote) Highmark IncMedical Case Manager - (Remote)PARemoteLicensed Social Worker (LSW)-Non-Specific - State (OR) Licensed Professional Counselor (LPC) - Non-Specific State (OR) Licensed Bachelors Social Worker (LBSW) (OR) Licensed Clinical Social Worker (LCSW) - Non-Specific (OR) Licensed Master Social Worker (LMSW) Non-Specific (OR) Licensed Graduate Social Worker (LGSW) (OR) Licensed Certified Social Worker (LCSW) (OR) Current State RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC). Bachelor's degree in nursing or RN certification in lieu of bachelor"s degree or Master's degree in Social Work, Counseling, Education, or related field and 3 years" experience in Acute or Managed Care/ experience with Medicaid or Medicare populations.
Strategic Analytics Consultant - UM Transformation Highmark IncStrategic Analytics Consultant - UM TransformationPARemoteAct as a trusted advisor and internal thought partner to cross-functional stakeholders, including leadership, clinical operations, network, finance, and actuarial teams, proactively identifying their strategic needs and proposing analytical solutions. 5 years of progressive experience in strategic consulting, healthcare analytics, or a similar high-impact role, preferably within a large health plan, managed care organization, or consulting firm focused on healthcare.
Manager Medical Drug Strategy Operations Highmark IncManager Medical Drug Strategy OperationsPARemote7 years of experience of progressive experience in health plan strategy, health plan administration, program or product development within a health system, health plan, or pharmacy benefit manager setting OR completion of an accredited PGY-1 Managed Care Pharmacy Residency Program plus 4 additional years of related, progressive experience in health plan strategy, health plan administration, program or product development within a health system, health plan, or pharmacy benefit manager setting. To include: Identifying and articulating problems to senior management, steering committees and/or project sponsors; Developing business solutions to satisfy complex project goals and objectives; Conducting problem solving resolution and decision-making sessions for complex issues and projects; Establishing and maintaining customer touch points.
VP Reserving Forecasting & Trend Analytics Highmark IncVP Reserving Forecasting & Trend AnalyticsPARemoteStrategic Actuarial & Financial Leadership: Serve as a trusted advisor to Senior Management and cross-functional teams, proactively identifying opportunities and advocating for strategic and tactical changes and best practices that align with Highmark"s enterprise-wide goals. Advanced Trend Analytics & Insights: Lead and empower the Trend Analytics team to identify, analyze, and interpret key trend drivers, developing early indicators that inform medical economics strategies and support proactive intervention.
Manager Provider Communications Highmark IncManager Provider CommunicationsPARemoteIn 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. Provider Engagement & Communication Strategy: Develop and execute the provider communication roadmap, encompassing traditional and digital strategies to increase engagement, adoption, and support of organizational initiatives.
Associate Recruiter Highmark IncAssociate RecruiterPARemoteEmploy a variety of candidate sourcing methods to build robust talent pipelines and maintain a talent pool of both active and passive candidates for key functional areas. Will use technology to streamline and enhance the entire recruitment process - leveraging the applicant tracking systems (ATS), AI-powered tools, video interviewing, and online assessments to help automate tasks and evaluate candidate selection.
Senior Pharmacist - Strategy Highmark IncSenior Pharmacist - StrategyPARemoteThe incumbent develops and implements physician, pharmacy, account, and member educational initiatives that promote the organization's formularies, utilization management programs, and participates on cross-functional committees to develop and implement clinical and operational initiatives, working in close collaboration with matrix partners and stakeholders across the organization. The incumbent may write drug monographs for committee review; develop and implement the organization"s management programs including but not limited to: prior authorization, dose and duration edits, quantity limits, step-care edits, generic sampling, pharmacy policy review and development and/or review of member specific information to improve individual outcomes.
Coder - Inpatient (CCS/CIC REQUIRED), Remote, Sign on Bonus Eligible Highmark IncCoder - Inpatient (CCS/CIC REQUIRED), Remote, Sign on Bonus EligiblePARemoteIn 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. GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days.
Sr PBM Strategic Account Executive - Remote UnitedHealth Group IncSr PBM Strategic Account Executive - RemotePittsburgh, PARemoteEnsure that all client specific requirements are met including but not limited to (1) maintaining documentation of most current benefit designs, including exclusions, inclusions, formularies and co - pay structures and that information is accessible to Customer Service Pharmacy Technicians; (2) documenting plan change requests from clients and obtains appropriate approval, updates the Benefit Design Summary on the web, and confirms the plan change is completed and accurate; (3) following all audit requirements. The fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount.
Sr PBM Strategic Account Executive Commercial and Med D - Remote UnitedHealth Group IncSr PBM Strategic Account Executive Commercial and Med D - RemotePittsburgh, PARemoteEnsure that all client specific requirements are met including but not limited to (1) maintaining documentation of most current benefit designs, including exclusions, inclusions, formularies and co - pay structures and that information is accessible to Customer Service Pharmacy Technicians; (2) documenting plan change requests from clients and obtains appropriate approval, updates the Benefit Design Summary on the web, and confirms the plan change is completed and accurate; (3) following all audit requirements. The fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount.