Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Works with key stakeholders and senior leaders throughout AHN to identity analytics requirements, analyze clinical and operational problems and develop and execute...
Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible... in a Stop Loss Claims Analyst role. SKILLS Ability to communicate concise accurate information effectively. Organizational...
Company : Highmark Inc. Job Description : Job Description JOB SUMMARY This job is a mid-level actuarial analyst... quality standards are being maintained. Demonstrate eagerness and curiosity with a strong desire to learn new concepts...
Company : Highmark Inc. Job Description : JOB SUMMARY The Pharmacy Analyst works with the Pharmacy Market... effectiveness, integrity, and quality of Highmark's specialty programs across both pharmacy and medical drug benefits. ESSENTIAL...
care costs, improved outcomes from and quality of care received, and optimal member/patient and provider experiences... quality and costs of care, efficiently and effectively managing projects to successful completion. Establishes...
from and quality of care received, and optimal member/patient and provider experiences with care delivery. The incumbent serves... health and healthcare outcomes and clinical quality and costs of care, efficiently and effectively managing projects...
may include: analysis, audits, compliance and regulatory reporting, quality assurance, interaction with employees and HR...
: lower per capita health care costs, improved outcomes and quality of care received, and optimal member/patient and provider... principles are incorporated into policy criteria. Policy Publication & Quality Assurance: Manage the full publication process...
. Translate moderate-to-complex business needs and business rules to define and execute operations activities for high quality... throughout the configuration process. Assist in development of testing plan, scenarios, and documentation to ensure high quality...
Certified: Power BI Data Analyst Associate (PL-300) . Experience with other BI tools (Tableau, Qlik, etc.). Experience... to data accuracy. First Quality is committed to protecting information under the care of First Quality Enterprises...