Healthcare Resource Network Jobs in Pittsburgh

Job ID 21000JP6Available Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..

Job DescriptionAs a MinuteClinic Nurse Practitioner (Provider), you will provide accurate assessment, diagnosis, and treatment of common family illnesses for patients 18 months and older. You will have the tools, training ..

Job Description : JOB SUMMARY This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to assure appropriate resource utilization, identification of opportunities ..

... is able guide members to in-network providers, answer general benefit questions, ... education; offer support with managing network participation by using your knowledge ... degree in business or related..

Description The Senior Professional, Medicaid Network Strategy will be accountable for ... of Humana Healthy Horizon's (Medicaid) network and provider strategy for its ... to identify, interpret, and produce network..

Description Assist with maintenance of Automated Dispensing Systems (ADS) servers/consoles in support of DEA- and Board of Pharmacy (BoP)-compliant remote medication dispensing in Hospice IPU settings. Support implementation project management. Assist ..

Description Humana Medicaid is growing and you have the unique opportunity to grow with us! Join our team and propel Humana forward to solve the technology challenges of tomorrow. You'll collaborate ..

DescriptionProvide your personal attention and kindness, professional insight, and a generosity of spirit. Offer expertise and encouragement. Enhance each patient's future-as well as your own. Connect with your goals and change ..

Description The Senior Market Development Professional provides support to assigned health plan(s) relative to Behavioral Health RFPs, product implementations and operational support. The Senior Market Development Professional work assignments involve moderately ..

... 40) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an accomplished healthcare leader for the newly-created role ... quality, appropriate, and cost-effective behavioral..

... for one of the leading healthcare organizations. Reporting to Director of ... by delivering personalized, simplified, whole-person healthcare experiences. The Associate Director, Full ... development, back-end development, database integrations,..

... 40) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an accomplished healthcare leader for the newly-created role ... quality, appropriate, and cost-effective behavioral..

Description The Financial Analytics Lead manages data to support and influence decisions on day-to-day operations, strategic planning and specific business performance issues. The Financial Analytics Lead works on problems of diverse ..

Description The mission of the Physician Performance Insights team is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain ..

... 40) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an experienced healthcare leader to join our team ... of the strategy inclusive of..

Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Description Are you passionate about discovering opportunities to improve coding efficiencies and mentoring application developers in proper coding techniques for mainframe programs? Do you have a solid Cobol, DB2, and CICS ..

Job Information DaVita Dialysis Patient Care Technician in Cheswick Pennsylvania Reference #: R0270103 791 Freeport Rd,Cheswick,Pennsylvania,15024,United States of America DaVita is seeking a Patient Care Technician who is looking to give ..

About this role:As a Social Worker with Fresenius Medical Care, you will provide psychosocial services for our dialysis clinic patients.  You will work with the health care team to promote positive ..

Reference #: R0283246 1 Kensington Square,New Kensington,Pennsylvania,15068,United States of America DaVita is seeking a Patient Care Technician who is looking to give life in an outpatient dialysis center. You can make ..

About this role:As a Social Worker with Fresenius Medical Care, you will provide psychosocial services for our dialysis clinic patients.  You will work with the health care team to promote positive ..

PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure provision of quality ..