• Supervisor of Service Operations -Hybrid

    CVS Health (Moon Township, PA)
    …oversight of a team of claim processors and all claim related functions for Medicaid Claim Operations . We are seeking a highly motivated individual who will ... will include: + Managing a team of claim processors and overseeing daily operations for assigned health plan to achieve state required metrics. + Manage employee… more
    CVS Health (03/26/24)
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  • VP, Enterprise Quality, Strategy…

    Highmark Health (Pittsburgh, PA)
    …the Highmark Health Quality, Safety & Value (QSV) Strategy & Operations plan aligned with organizational goals, regulatory requirements, and population health ... demonstrate the wholistic achievement of better health outcomes. + Ensures the business has the appropriate capabilities, people, processes, and technology in place… more
    Highmark Health (03/15/24)
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  • Strategy Partner-Government Segment Growth

    Highmark Health (Pittsburgh, PA)
    …assess strategic fit for Highmark, (2) prioritize potential opportunities and (4) support development of business cases to facilitate decision to move forward ... delivery industry + Experience influencing change in complex organizational systems + Medicaid and Medicare managed care operations and technology experience +… more
    Highmark Health (02/27/24)
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  • AVP, Payment Integrity

    UPMC (Pittsburgh, PA)
    …Risk, Compliance & Ethics Officer and strategically and operationally leads the development , implementation, and management of a robust and effective set of Fraud, ... agreements, standards, and requirements in a manner that continually supports the business and operational areas across the wide array of highly diversified products… more
    UPMC (03/26/24)
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