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Highmark Health

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    Company :Highmark HealthJob Description : JOB SUMMARY This job is directly responsible for outcomes of providers contracted in the Organization's gain/risk share arrangements and is a highly skilled expert in practice transformation to achieve the specific targets set in the individual gain/risk share contracts and is strategically focused on those data gaps that will result in the greatest ROI for the Organization. Further, in a matrix management environment, will be responsible for collaborative work with the other members of the value-based reimbursement team, provider relations, senior markets, analytics, actuary and key internal/external stake holders to provide the most appropriate support for providers with gain/risk share contracts. ESSENTIAL RESPONSIBILITIES Directly responsible for supporting providers contracted in the Organization's gain/risk share programs, with a goal of maximizing quality and ROI for the Organization. This includes analyzing performance reports and data to inform decision-making, process, and program implementation, as well as the development of process interventions based on practice-level data, trends and identified opportunities. Inclusive of, but not limited to: Advising primary care practices, physicians, nurses and other clinical staff to assist them on their conversion to value-based care; Dissemination and interpretation of quality and efficiency reports; When relevant, dissemination and support of gap closures for STARS and improved coding for government populations. Identification of process improvement gaps in workflow and development of individualized plans to remedy. Providing educational and training sessions. Creation and maintenance of relationships with specialists and/or hospital resources for providers employed in multi-specialty groups or health systems.For value based contracts addressing government markets, directly responsible for the quality improvement and cost savings outcomes as a result of workflow transformation, superior coding accuracy, and Medicare STARS gap closure to providers based upon each individual gain/risk share contract parameters. This includes analysis and interpretation of claims submission for superior coding accuracy, cost and utilization reports, medical loss ratio reports, Medicare STARS gaps and other risk revenue opportunities.Function as the Organization's key contact on gain/risk share multi-disciplinary team. This includes presentation of program results to both internal and external audiences, including practice and entity meetings with the value-based reimbursement multi-disciplinary teamParticipates in the development and presentation of instructional materials for internal and external audiences.Provides feedback to and collaborates with the analytics team to ensure reports are accurate, and provide meaningful, actionable data. Provide assistance to providers in the use of predictive analytic tools, user interfaces, population health management tools and other data based platforms endorsed by the Organization.Independently and autonomously manage gain/risk share contract caseloads, projects, meetings, deliverables, resources etc. for individualized strategic plans to ensure significant cost savings for provider contract holders using innovative continuous improvement methodologies. This includes cross training in all of Organization’s pay for value and value based reimbursement programs to lend support as needed/defined by market outcomes.Other duties as assigned or requested. EDUCATION Required Bachelor's Degree in Business, Finance or Healthcare related field and an RN license or Bachelor’s Degree in Nursing Substitutions None Preferred Master's Degree in Business, Finance, or Healthcare related field (can be clinical) EXPERIENCE Minimum 5 years in practice transformation including population health, ambulatory care setting quality and efficiency metrics, accountable care organization development and support, patient centered medical home, and electronic health records.Experience may be from either health plan or provider employers. Preferred Familiarity with electronic health records and population health IT solutionsDemonstrated experience working with health care data and analyticsExperience in Lean, Six Sigma, risk management, contract management, finance management SKILLS Must be able to effectively resolve issues and problems across all areas of the corporation, by understanding corporate strategies, policy and scope of authorityBecause of the broad impact of decisions that are made, must be knowledgeable and sensitive to many internal and external corporate issuesAptitude for a high visibility position demanding integrity, uncompromising professionalism, diplomacy and conflict managementDemonstrates a deep understanding of primary care practice operations and workflow across the continuum of variability in primary care and experience in managing provider and administrative leadership relationshipsSuperior written and verbal communication skills and listening skillsAbility to adapt engagement strategies to meet market needs LICENSES/CERTIFICATIONS Required Registered Nurse Preferred None Language (Other than English): None Travel Requirement: 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. 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. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
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    Company :Highmark Inc.Job Description : GENERAL OVERVIEW: Partner with assigned Client Managers to maintain and grow existing business and ensure that positive account relationships are maintained. The job works with Delaware’s strategic clients to assist in the preparation of proposals, meeting materials and/or sales collateral during the account renewal process. Evaluate, recommend and implement processes to ensure that account objectives are met. Serve as the sales liaison between group administrators and Highmark internal departments for problem resolution. The job is responsible to facilitate internal discussions/resolutions for client issues and enhancements ESSENTIAL RESPONSIBILITIES: Conduct internal and client facing meetings to assist in resolving issues and processesPartner with assigned Client Manager(s) to maintain and grow existing business and ensures positive account relationships are maintained.Assist in the preparation of benefit design analysis for specialized proposals and quotes. Runs financial reports or performs basic financial analysis on utilization data and market research and analysis. Develop detailed specifications for implementation of new products for clients. May conduct enrollment meetings during the account renewal process and throughout the yearAnalyze operational business problems and provide problem resolution and effect change to all facets of the company. (i.e. address benefit and administrative issues and recommend alternative solutions for the account, etc.) Leverage internal resources to bring the best service and problem resolution to assigned accounts.Work closely with Sales Support Analysts responsible for account processing and set-up to ensure accurate and seamless service delivery. Develop documents and processes to ensure effective communication via work plans for all account implementation activities.Function as the primary contact for the resolution of the day to day account service issues. Support customers during the implementation of sales contracts and throughout the relationship by resolving difficult issues in a timely and professional manner; taking responsibility for customer satisfaction and loyalty. Work collaboratively with all internal departments to assure processes and issues are resolvedOther duties as assigned or requested. QUALIFICATIONS: Minimum State specific Producer License’s for Life, Accident & Health are required or must be obtained within 45 days of hire.5 years of relevant, progressive experience in the area of specialization SKILLS Skilled in MS Office (Outlook, Word, Excel PowerPoint)Service orientationAbility to work independentlyDiligenceStrong Problem Solving/Decision Making skillsCommunicationDrive for ResultsEvaluates CriticallyInfluence, Persistence & ResiliencePlanning and OrganizingStrong Presentation Skills Language (Other than English): None Travel Requirement: 25% - 50% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Hybrid- 3 days a week in office Teaches / trains others Occasionally Travel from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Regularly Physical work site required No Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. 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. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
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    Company :HM Insurance GroupJob Description : SUMMARY OF JOB RESPONSIBILITIES This position is responsible for the following: • Responsible for generating new business revenue and retaining profitable business for HMIG's Stop Loss line of business. • Responsible to develop producers and prospects in the assigned territory and working with producers who represent employers in various group sizes. • Manage activities and generate prospects, lead to proposals that will ultimately lead to sold cases, generating new business revenue. • Responsible for detailed fact finding, building files, collect data, coordinate and manage information, and also build and enhance producer relationships while promoting HMIG products to meet customer needs and promote the value of working with HMIG to existing and prospective customers. • Responsible for providing weekly, monthly, quarterly reports to Senior Management as needed or required showing progress and levels of activity toward building critical mass to meet business and sales goals in the designated area. REQUIRED QUALIFICATIONS Education/ Work Experience • Bachelor’s degree in a Business field or six (6) years of progressive related experience in lieu of a Bachelor's degree 3-5 years of insurance sales experience PREFERRED QUALIFICATIONS 3-5 years of Stop Loss and/or Self-Funded health insurance sales experience Licenses or Certifications: • Producer license in Life, Accident & Health is required or must be obtained within 45 days of hire. ESSENTIAL JOB FUNCTIONS 1) Communicate effectively. This position displays effective communication skills while performing the following functions: 2) Relationship Management • Must have the ability to develop and work with new and existing producers within assigned territory. • Responsible to build relationships with producers and their customers, identifying prospects, and promoting HMIG products and strategies, generating new sales activity that will lead to new business revenue, and retaining profitable clients upon renewal. 3) Consultative Selling • Continuous education regarding product knowledge and industry trends. 4) Account Management • Must be able to handle multiple tasks and be able to work with a variety of contacts and decision makers, follow up on calls, and be available for meetings as needed to close cases. • The incumbent will provide to Senior Management weekly, monthly, quarterly updates and reports on progress and activity being generated toward generating sales that will meet stated goals and objectives. Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. 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. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $60,000.00 Pay Range Maximum: $90,000.00 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. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
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    Company :Allegheny Health NetworkJob Description : GENERAL OVERVIEW: Collects/deposits daily parking revenue and provides general directions to customers. Oversees all traffic in garage to ensure maximum utilization of the parking facilities. ESSENTIAL RESPONSIBILITIES: Greets/guides patients and visitors and responds to inquiries to enhance customer satisfaction, requests special assistance for customers and assists customers in the proper use of the pay-on-foot parking system. (30%)Performs cashier duties for precise revenue collections and validation processes. (40%)May perform reconciliation functions for any payment station either manned or pay-on-foot at designated times according to departmental policy. (10%)May perform routine maintenance of equipment, empties ticket bins at exit and restocks entrance gate parking tickets. Maintains a clean, orderly and well-functioning environment for customers. (5%)May perform other department functions such as manning the information desk and maintaining the cleanliness of parking facility (e.g. sweeping the garage for trash, wiping down parking equipment). (5%)Oversees the security and safety of patients, visitors and employees utilizing the parking garages or lots. (10%)Performs other duties as assigned or required. QUALIFICATIONS: Preferred Prior cashier experience. Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. 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. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
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    Company :Highmark Inc.Job Description : JOB SUMMARY Perform professional accounting work involving compilation, consolidation, and analysis of accounting and finance information for the production of financial statements and reports. Applies accounting techniques and standard practices to the classification and recording of financial transactions. Specific duties vary by department and may include, but are not limited to, one or more of the following: preparation of journal entries, fixed asset or inventory accounting, preparation of trial balance or financial statements, cost accounting, bank account reconciliations, accurate tracking and recording various income and expense activity and suspense account items, proper tracking and recording of receivables, etc. ESSENTIAL RESPONSIBILITIES Applies accounting techniques and standard practices to the classification and recording of financial transactions.Prepares financial and business-related analysis.Classifies, examines, and analyzes accounting records and prepares related financial reports and statements.May serve on or lead project teams for special projects.Acts as a resource for colleagues with less experience. Other duties as assigned or requested. EDUCATION Required Bachelor's Degree or relevant experience and/or education as determined by the company in lieu of bachelor's degree Preferred None EXPERIENCE Required 5 years of relevant, progressive accounting experienceExperience with PC-based spreadsheet and data processing applicationsAccounting experience Preferred Education in Accounting or a related fieldExperience with PC-based spreadsheet and data processing applications, heavy concentration with Microsoft excel (formatting, calculations, pivot tables)Experience with bookkeeping, collections and/or cash posting LICENSES or CERTIFICATIONS Required None Preferred None SKILLS Possesses and applies a broad and in-depth knowledge of the concepts, principles, practices and processes of the specific field or discipline. Possesses significant expertise to complete complex assignments and ability to visualize, articulate, and solve complex problems. Makes decisions that refine and improve known practices or develops new approaches. Assignments are broad in scope and require depth of knowledge as well as ingenuity and originality. Solves complex problems often taking a new perspective using existing solutions. Strong written and oral communication skills.Strong relationship building skills.Client focused with strong business acumen.Self-starter with the ability to work under pressure independently and as part of a team.Ability to think strategically and act proactively to create strong trust and confidence with business units.Strong innovative problem-solving capabilities. Language (Other than English): None Travel Requirement: 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Never Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. 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. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $50,200.00 Pay Range Maximum: $90,300.00 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. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
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    Company :enGenJob Description : JOB SUMMARY This job manages activities of various IT personnel. Makes decisions on personnel actions (promotions, hiring, terminations, etc.) Develops talent, Addresses resource management, cultivates capabilities of staff, planning and coordination of work, and managing performance. Responsible for the oversight of the daily operations. Controls expenses within the operating unit and is responsible for meeting budget goals. Actively involved in the coordination, implementation, problem solving, communication, and training of new technologies and processes, as they are developed and moved into the environment. ESSENTIAL RESPONSIBILITIES 1. Provides subject-matter direction and guidance to lower-level staff • Trains, develops, and mentors staff • Assigns, monitors, and reviews progress and accuracy of work • Provides technical leadership in first-line resolution of complex technical problems 2. Provides Staff Management oversight • Hires, promotes, separates or makes recommendations regarding same • Conducts performance reviews and assesses, manages performance • Engages in skills assessments and promotes professional development of staff • Assigns tasks, schedules work and establishes priorities 3. Adheres to Departmental budgeting and fiscal responsibilities • Oversees process for recording hours • Schedules work and assignments to maximize appropriate use of resources Optimizes the utilization of resources by applying appropriate concepts, technologies and workflows 4. Provides deep expertise in assigning and overseeing work of staff. Visualizes, articulates, and solves moderately complex problems/issues • Communicates effectively with all levels of the organization • Connects strategy to employee’s job responsibility • Participates, as necessary, in training and development to remain current in field(s) of expertise. 5. Actively participates in project teams • Manages and tracks project details 6. Promotes continuous improvement of processes and delivery of results within assigned unit/area. Ensure compliance with corporate [and industry?] standards, policies and regulations (SOX, SSP, DIACAP, PHPLC, etc.) 7. Provides leadership during periods of transition as the organization changes to respond to business opportunities/challenges, new technologies, legislation and other environmental factors 8. Other duties as assigned or requested. EDUCATION Required Bachelor’s Degree in Computer Science, Information Science or closely related discipline Substitutions None Preferred Master’s Degree EXPERIENCE Required 3 years of experience as a developerExperience with Project Management toolsExperience with databasesExperience with multiple coding languages Preferred Epic Technical Experience SKILLS Working knowledge of reporting software Proficient knowledge of end-user personal computing skillsProficient PC skills and knowledge on files and folders.Proficient analytical skills and problem solving abilities.Strong interpersonal skills to manage employees and interact appropriately with senior management, internal clients, and external customers Ability to adapt to change, multi-task, meet multiple deadlines, collaborate, lead others, work on a regular and timely basis and work irregular hours, holidays and weekends Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. 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. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $78,900.00 Pay Range Maximum: $146,000.00 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. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
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    Company :Allegheny Health NetworkJob Description : GENERAL OVERVIEW: Optimizes patient care by promoting rational, safe and cost effective pharmaceutical care including drug dispensing, intravenous admixture program and providing drug information. Conducts drug therapy monitoring and implements drug therapy interventions to reduce adverse events. Oversees the work performed by pharmacy technicians, students and other support staff. ESSENTIAL RESPONSIBILITIES: Process prescriptions: Conducts prospective drug review on all prescriptions processed. Independently reviews and assesses medication prescriptions to identify, prevent and resolve potential and actual drug related problems; ensures that medications are accurately and efficiently compounded and dispensed. Ensures safe and appropriate and cost-effective medication therapies for patients. Demonstrates sound professional judgment and knowledge to resolve emergent issues. (20%)Drug Information and Patient Interventions: Provides accurate and timely drug information to other health professionals, patients and the public. Documents interventions and outcomes related to drug therapy. Collaborates with the healthcare team to manage drug therapy, protocols and guidelines. (20%)Assist in Department Management: Assists the manager in supervising and directing work of pharmacy technicians, students, externs and other support personnel in daily operations. Trains pharmacists, pharmacy technicians, pharmacy residents and students in their duty areas. Oversees daily inventory maintenance purchases. Assures that all controlled substances are stored and dispensed in compliance with Federal, State and departmental regulations. (20%)Work Environment: Contributes to the effective operation of the department through all activities including computer functions, refill medications, generation of labels and answering phones appropriately. Maintains a clean and orderly work environment. (20%)Safety: Participates in performance improvement and regulatory compliance efforts. Maintains an attitude that promotes and fosters an environment of safety. All steps are done in a courteous and efficient manner. (20%)May be responsible for the following if serving as the Night Pharmacist: Triages, prioritizes and delegates the nightly activities of the pharmacy department. Serves as the primary interface to resolve medication related problems between pharmacy, nursing and other disciplines. Demonstrates proficiency in trouble shooting and solving information technology, computer and automation problems.Performs other duties as assigned or required. QUALIFICATIONS: Minimum Bachelor’s degree in Pharmacy or Doctor of Pharmacy degree (Pharm D)Licensed or eligible for licensure as a Registered Pharmacist in the state of PA at hire or sit for boards and obtain licensure within 120 days. Preferred Hospital Experience preferred. Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. 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. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
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    Company :Allegheny Health NetworkJob Description : GENERAL OVERVIEW: *This position is eligible for a $5,000 sign on bonus for a 1-year commitment Provides distributive pharmacy services, assistance and support for the registered pharmacist. ESSENTIAL RESPONSIBILITIES: Processes medication orders including computer order entry, medication preparation and assembles all items prior to pharmacist final check. (25%)Maintains pharmacy inventory and supplies according to established policies and procedures, including inspection of assigned areas and use of pharmacy computer systems. (25%)Provides customer service by taking patient’s prescriptions and documenting all required information, handles all customer interactions in a courteous and efficient manner, and releases medications required by policy/procedure. (25%)For Outpatient Techs: Validates Medicaid, Medicare, or commercial insurance drug coverage and ensures adjudication is complete addressing any error messages, plus handles cash, prepares deposits and accounting reports. (25%)For Inpatient Techs: Compounds, stocks, repackages and batches from bulk medications. Prepares routine patient orders for IV pharmaceuticals including compounding, preparation and labeling of any IV admixture including antibiotics, solutions, irrigations, narcotics, parenteral nutrition and chemotherapy (25%)Other duties as assigned. QUALIFICATIONS: Minimum Pharmacy Technician Certification (CPhT) Incumbents in role as of July 1, 2022 must achieve CPhT by 1/1/2024.Completion of a pharmacy technician training program or 1 year equivalent experience in lieu of formal training program.ExCPT Pharmacy Technician - National Healthcareer Association (NHA) Preferred 1 year of pharmacy experience in respective area. Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. 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. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
    • 0
    • 0
    Company :Allegheny Health NetworkJob Description : GENERAL OVERVIEW: *This position is eligible for a $5,000 sign on bonus for a 1-year commitment* Provides distributive pharmacy services, assistance and support for the registered pharmacist. ESSENTIAL RESPONSIBILITIES: Processes medication orders including computer order entry, medication preparation and assembles all items prior to pharmacist final check. (25%)Maintains pharmacy inventory and supplies according to established policies and procedures, including inspection of assigned areas and use of pharmacy computer systems. (25%)Provides customer service by taking patient’s prescriptions and documenting all required information, handles all customer interactions in a courteous and efficient manner, and releases medications required by policy/procedure. (25%)For Outpatient Techs: Validates Medicaid, Medicare, or commercial insurance drug coverage and ensures adjudication is complete addressing any error messages, plus handles cash, prepares deposits and accounting reports. (25%)For Inpatient Techs: Compounds, stocks, repackages and batches from bulk medications. Prepares routine patient orders for IV pharmaceuticals including compounding, preparation and labeling of any IV admixture including antibiotics, solutions, irrigations, narcotics, parenteral nutrition and chemotherapy (25%)Other duties as assigned. QUALIFICATIONS: Minimum Pharmacy Technician Certification (CPhT) Incumbents in role as of July 1, 2022 must achieve CPhT by 1/1/2024.Completion of a pharmacy technician training program or 1 year equivalent experience in lieu of formal training program.ExCPT Pharmacy Technician - National Healthcareer Association (NHA) Preferred 1 year of pharmacy experience in respective area. Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. 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. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
    • 0
    • 0
    Company :Allegheny Health NetworkJob Description : GENERAL OVERVIEW Prepares and serves meals to patients, employees, visitors, and catering customers. Maintains sanitation of equipment and work areas. ESSENTIAL RESPONSIBILITIES Utilizes proper food handling, portioning and food storage techniques according to departmental standards/policy and regulatory guidelines. (20%)Maintains, assembles and stocks adequate levels of food items, products and supplies. (20%)Performs cleaning functions in assigned areas following established schedules and using prescribed methods and appropriate chemicals. Complies with all safety and infection control guidelines. (20%)Interacts and serves patients, visitors, and employees, to ensure continuity of service. (20%)Performs all other duties as assigned but not limited to cashier and/or catering functions and cart transport. (10%) QUALIFICATIONS Preferred Experience in food services preferred. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
    • 0
    • 0
    Company :Allegheny Health NetworkJob Description : GENERAL OVERVIEW Prepares and serves meals to patients, employees, visitors, and catering customers. Maintains sanitation of equipment and work areas. ESSENTIAL RESPONSIBILITIES Utilizes proper food handling, portioning and food storage techniques according to departmental standards/policy and regulatory guidelines. (20%)Maintains, assembles and stocks adequate levels of food items, products and supplies. (20%)Performs cleaning functions in assigned areas following established schedules and using prescribed methods and appropriate chemicals. Complies with all safety and infection control guidelines. (20%)Interacts and serves patients, visitors, and employees, to ensure continuity of service. (20%)Performs all other duties as assigned but not limited to cashier and/or catering functions and cart transport. (10%) QUALIFICATIONS Preferred Experience in food services preferred. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
    • 0
    • 0
    Company :Allegheny Health NetworkJob Description : GENERAL OVERVIEW: Functions in an expanded role as a professional nurse practitioner at West Penn and Jefferson Regional Hospitals, performs acts of medical diagnosis or prescription of medical therapeutic or corrective measures in collaboration with and under the direction of a physician licensed to practice medicine. ESSENTIAL RESPONSIBILITIES: Obtain, record, and interpret complete health history, including past medical history, obstetrical history, family history and psychosocial aspects. Perform comprehensive physical assessment of the newborn/neonate, order and interpret laboratory, radiographic, and clinical data when planning and documenting the course of management discussed with the attending Neonatologist. (20%)Perform diagnostic and therapeutic procedures necessary for the care of the patient per established protocols. Discriminate between normal, normal variations, and abnormal deviations by specific screening tests and refer patient with abnormal finding to appropriate healthcare services. (20%)Attend and provide coverage for high risk deliveries and stabilization of neonates, provide transport coverage for sick neonates as warranted per attending physician and appropriately initiates emergency evaluation and treatment. (20%)Coordinate plan of care within area of specialty, and coordinate discharge/transfers, including dictation of discharge and transfer summaries. (10%)Provide support, educate, and communicate with patient, family, interdisciplinary team, and community health services as appropriate. (10%)Participate in QA projects and NICU committees, and demonstrate effective leadership skills while contributing to Department, Division, and Hospital goals. (10%)Responsible for professional development. (10%)Perform other duties as assigned or required. QUALIFICATIONS: Minimum MSN from the practicing State Board of Nursing Approved Master’s Program.National board certified neonatal nurse practitioner (NCC National Certification Corporation). NCC Certification not required for Nurse Practitioners licensed prior to 02/07/2005.Certified Registered Nurse Practitioner (CRNP) License.Registered Nurse (RN) License.Drug Enforcement Agency Licensure within 60 days of hire.Prescriptive Authority within 60 days of hire.Neonatal Resuscitation Program (NRP) Certification or Neonatal Resuscitation Program (NRP) Instructor Certification.CPR – American Heart AssociationAct 34 Criminal Background Clearance CertificateAct 33 Child Abuse Clearance CertificateAct 73 FBI Fingerprinting Criminal Background Clearance CertificatePreferred 1 year in Level III neonatal intensive care unit as CRNP. Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. 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. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
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    • 0
    Company :Allegheny Health NetworkJob Description : GENERAL OVERVIEW: This job identifies and manages medical and surgical problems within the Physician Assistant's scope of practice in a surgical setting. Monday through Friday daylight position with no call or holidays, and that this position will likely require travel to department locations within the Pittsburgh area. ESSENTIAL RESPONSIBILITIES: Obtains complete medical history and physical data on patients. (30%)Performs physical exams, documents in the medical record, orders appropriate laboratory & diagnostic procedures and established presumptive diagnosis as defined in the written agreement between the PA and the supervising physician(s). Assists in the OR by serving as first or second assistant during surgical procedures. (20%)Provides appropriate patient care to include completing daily patient care rounds on surgical patients, recording patient medical history and physical assessment, developing therapeutic care plan, ordering diagnostic tests, interpreting test results, discharge planning and providing accurate medical record documentation for surgical patients. (10%)Communicates with attending physician regarding plan of care and involves physician in clinical decision making of any issues that are outside the Physician Assistant's knowledge base or scope of practice. (10%)Educates patients and family members regarding health and illness prevention, medication and treatment instructions, and recommends community resources as needed. (10%)Prepares written prescription orders for drugs as defined in the written agreement between the PA and the supervising physician(s). (10%)Triages patient telephone calls. (10%)Performs all other duties as assigned or required. QUALIFICATIONS: Minimum BA/BS Degree in Physician Assistant Studies.Current PA Physician Assistant LicenseBoard eligible. PA-C required or board eligible (License and certification required within 90 days of employment. Ongoing successful recertification (NCCPA) as a PA-C)CPR – American Heart AssociationAct 34 Criminal Background Clearance CertificateAct 33 Child Abuse Clearance CertificateAct 73 FBI Fingerprinting Criminal Background Clearance Certificate Preferred ACLS certification1-3 years’ experience. Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. 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. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
    • 0
    • 0
    Company :Allegheny Health NetworkJob Description : GENERAL OVERVIEW: The Advanced Practice Providers at Allegheny Health Network are an integral part of the care delivery system working together to provide a healing environment, by placing our customers first. The APP provides primary or acute healthcare services for acute or chronic health conditions in specific populations in accordance with applicable scope and standards of practice and with the policies, values, and mission of the organization. This position sees patients in the Skilled Nursing Facilities and the hours are flexible ESSENTIAL RESPONSIBILITIES: Perform complete, detailed and accurate histories, review patient records and perform complete physical examinations. (30%)Order laboratory, radiological and diagnostic studies appropriate for complaint, age, race, gender and physical condition of the patient. Interpret and evaluate patient data to determine patient treatment plan. (5%)Make medical diagnoses and institute appropriate therapy within applicable scope and standards of practice. (5%)Appropriate understanding and timely documentation to support medical coding and billing. (5%)Provide instructions and guidance regarding medical care matters to patients and/or family. (5%)Record and report pertinent information in EMR and to attending physician of record. (5%)Perform hospital rounds and document appropriate patient progress notes; accurately transcribe and execute specific orders at the direction of the attending physician of record. (5%)Institute emergency measures and emergency treatment or appropriate stabilization measures in acute patient situations such as cardiac arrest, hemorrhage, or shock. (5%)Identify and inform the attending physician of record of all significant changes to the patient’s ongoing condition in a timely manner. (5%)Maintain mandatory professional continuing education. (5%)Active participant of medical education to student learners and professional staff, as supported by knowledge base. (5%)Active participant in patient safety, quality improvement processes and patient engagement and satisfaction. (5%)Maintain compliance with the medical staff office. (5%)Maintain professional practice consistent with the organizational and advanced practice mission statements. (5%)Specialty specific procedures and expectations as stated with privileging and job agreement. (5%) QUALIFICATIONS: Minimum Graduate from an ARC-PA accredited program OR Graduate from a Pennsylvania Board of Nursing Approved Master’s or Post Master’s program Current Pennsylvania Physician Assistant License OR Current Pennsylvania CRNP license and current Pennsylvania RN licenseCRNPs must obtain Pennsylvania Prescriptive Authority license within 60 days of hireNational Board Certification for Nurse Practitioners through the American Academy of Nurse Practitioners (AANP) or American Nurses Credentialing Center (ANCC) CPR – American Heart AssociationAct 34 Criminal Background Clearance CertificateAct 33 Child Abuse Clearance CertificateAct 73 FBI Fingerprinting Criminal Background Clearance Certificate Preferred 1-3 years department specific experienceACLS certificationDEA license Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. 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. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
    • 0
    • 0
    Company :Allegheny Health NetworkJob Description : GENERAL OVERVIEW: This job provides anesthetic care for patients in the surgical setting. ESSENTIAL RESPONSIBILITIES: Assesses, plans, evaluates, and implements the anesthetic management for all patients presenting for anesthesia care. Provides accurate medical record documentation. (45%)Provides continuous observation of patients under anesthetic care and corrects abnormal patient responses. Involves attending physician regarding plan of care and involves physician in clinical decision making of any issues that are outside the CRNA's knowledge base or scope of practice. (35%)Participates, develops, and implements performance and/or quality improvement initiatives. (10%)Adheres to the legal and ethical standards of nursing and of the American Association of Nurse Anesthetists. Follows appropriate safety standards and ensures compliance with all regulatory agencies. (5%)Acts as a clinical resource to interdisciplinary health care team. May serve as a mentor to new staff or students. (5%)Performs other duties as assigned or required. QUALIFICATIONS: Minimum Current PA RN licenseCertification as a Registered Nurse Anesthetist by the National Board of Certification and Recertification for Nurse AnesthetistsCPR – American Heart AssociationAct 34 Criminal Background Clearance CertificateAct 33 Child Abuse Clearance CertificateAct 73 FBI Fingerprinting Criminal Background Clearance CertificatePediatric Advanced Life Support (PALS) - American Heart Association.Advanced Cardiac Life Support (ACLS) - American Heart AssociationPreferred Previous CRNA experience Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. 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. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
    • 0
    • 0
    Company :Allegheny Health NetworkJob Description : GENERAL OVERVIEW: This job provides primary, or acute and/or behavioral healthcare services for certain acute or chronic health conditions in specific populations in accordance with applicable scope and standards of practice and with the policies, values, and mission of the organization. This position involves a rotation of shifts, including weekends and holidays. ESSENTIAL RESPONSIBILITIES: Provides appropriate patient care to include recording patient medical history and physical assessment, developing therapeutic care plan, ordering diagnostic tests, interpreting test results, discharge planning and providing accurate medical record documentation. (35%)Communicates and coordinates patient care with patient, family, community health services and interdisciplinary team. Involves attending physician regarding plan of care and involves physician in clinical decision making of any issues that are outside the CRNP's knowledge base or scope of practice. (15%)Prepares written prescription orders for drugs and controlled substances, administers medication and injections, sutures wounds and provides wound care. (10%)Educates patients and family members regarding health and preventive medicine, medications prescribed, treatment instructions and recommends community resources as appropriate. (10%)Triages patient telephone calls, provides monitoring and continuity of care. (10%)Participates, develops, and implements performance and/or quality improvement initiatives. Ensures compliance with all regulatory agencies. (10%)Serves as the clinical expert and acts as a clinical resource. (10%)May perform other duties such as daily rounding of patients, manage outpatient concerns and any other duty specific to specialty. QUALIFICATIONS: Minimum MSN from the practicing State Board of Nursing Approved Master’s ProgramNational Board Certification for Nurse Practitioners through the American Academy of Nurse Practitioners (AANP) or American Nurses Credentialing Center (ANCC)Current State Certified Registered Nurse Practitioner LicenseCurrent State RN LicensePrescriptive Authority from the practicing state within 60 days of hireDrug Enforcement Agency Licensure within 60 days of hireCPR – American Heart AssociationAct 34 Criminal Background Clearance CertificateAct 33 Child Abuse Clearance CertificateAct 73 FBI Fingerprinting Criminal Background Clearance Certificate Preferred Post Master’s program, DNPACLS certificationFor Behavioral Health areas: Board Certified Psychiatric and Mental Health Nurse Practitioner (PMHNP-BC) by American Nurses Credentialing Center (ANCC), obtained within 2 years of hire. Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. 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. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
    • 0
    • 0
    Company :Allegheny Health NetworkJob Description : GENERAL OVERVIEW: Provides a wide variety of administrative and staff support services to the organizational unit. ESSENTIAL RESPONSIBILITIES: Performs advanced administrative support such as calendar management, creates PowerPoint presentations and collects and prepares data. (35%)Acts as key support to staff within the department and coordinates activities that enhance department operations, ensures work flow and distributes work to lower level support staff. (20%)Performs clerical duties to facilitate daily operations such as scheduling, phone triage, filing, typing, faxing, and mail. (20%)Administers programs and/or processes specific to the operating unit served. (15%)Serves as administrative liaison with others, within and outside the company, regarding administrative issues. (10%)Performs other duties as assigned or required. QUALIFICATIONS: Minimum 2 years secretarial/administrative experienceDemonstrated competency in word processing, spreadsheets, database, e-mail, and Microsoft Windows/Office applicationsRequires critical thinking skills, decisive judgment and the ability to work with minimal supervision Preferred Associate's DegreeSupervisory experience Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. 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. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
    • 0
    • 0
    Company :Allegheny Health NetworkJob Description : GENERAL OVERVIEW: Provides front desk support for the facility. Provides a first impression for all who visit of extraordinary customer service. Answers phones, greets visitors, distributes mail, copies and faxes, signs for packages and various general administrative duties. ESSENTIAL RESPONSIBILITIES: Operates telephone to answer, screen and/or forward calls, providing information, taking messages, or scheduling appointments. (40%)Greets persons entering facility, determines nature and purpose of visit, and directs or escorts them to specific destinations. (30%)Performs administrative support tasks, such as filing, maintaining records and information/document transmission. (10%)Collects, sorts, distributes and prepares incoming and outgoing mail. (10%)Provides information about establishment, such as location of departments or offices, employees within the organization, or services provided. (10%)Performs other duties as assigned or required. QUALIFICATIONS: Minimum High school diploma or GED; or one – three months related experience and/or training; or equivalent combination of education and experience.Excellent customer service and organizational skills. Preferred Experience with various computer software programs.0-1 years’ experience. Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. 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. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
    • 0
    • 0
    Company :Allegheny Health NetworkJob Description : GENERAL OVERVIEW: Completes one or more of the following processes (scheduling, pre-registration, financial clearance, authorization and referral validation and pre-serviceability estimations and collections) within Patient Access and creates the first impression of AHN's services to patients and families and other external customers. Articulates information in a manner that patients, guarantors and family members understand so they know what to expect and understand their financial responsibilities. Assumes clinical and financial risk of the organization when collecting and documenting information on behalf of the patient. Benefits include: $1,000 Sign-On Bonus*Sign-On bonus is for External Hires onlyRecipient must stay with AHN for a minimum of 1 yearRe-Hires may not have worked for AHN within the previous 12 months to qualifyBenefits go into effect the 1st of the month following the start dateMedical (Highmark Insurance)Dental (United Concordia)Vision ESSENTIAL RESPONSIBILITIES: Conducts scheduling, and preregistration functions, validates patient demographic data, identifies and verifies medical benefits, accurate plan code and COB order. Obtains limited clinical data based on service required. Corrects and updates all necessary data to assure timely, accurate bill submission. (30%)Verifies insurance information through payor contacts via telephone, online resources, or electronic verification system. Identifies payor authorization/referral requirements. Provides appropriate documentation and follow up to physician offices, case management department, and payors regarding authorization/referral deficiencies. (20%)Identifies all patient financial responsibilities, calculates estimates, collects liabilities and post payment transactions as appropriate in the ADT system and performs daily reconciliation. Identifies self-pay and complex liability calculations and escalates account to Financial Counselors as appropriate. (20%)Delivers positive patient experience. Cooperates with and maintains excellent working relationships with patients, AHN leadership and staff, physician offices and designated external agencies or vendors. Performs any written or verbal communication necessary to exchange information with designated contacts and promote working relationships. (10%)Maintains focus on attaining productivity standards, recommending innovative approaches for enhancing performance and productivity when appropriate. (10%)Adheres to AHN organizational policies and procedures for relevant location and job scope. Completes and/or attends mandatory training and education sessions within approved organizational guidelines and timeframes. (10%)Performs other duties as assigned or required. QUALIFICATIONS: Minimum High school diploma or GED; or one – three months related experience and/or training; or equivalent combination of education and experience.One previous year of related experience, preferably within a medical setting, financial services setting, and/or a demanding customer service environmentExperience operating a PC and using software applications Preferred Medical terminology and obtaining insurance verificationsCall/Service Center experience Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. 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. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
    • 0
    • 0
    Company :Allegheny Health NetworkJob Description : GENERAL OVERVIEW: Completes one or more of the following processes (scheduling, pre-registration, financial clearance, authorization and referral validation and pre-serviceability estimations and collections) within Patient Access and creates the first impression of AHN's services to patients and families and other external customers. Articulates information in a manner that patients, guarantors and family members understand so they know what to expect and understand their financial responsibilities. Assumes clinical and financial risk of the organization when collecting and documenting information on behalf of the patient. Benefits include: $1,000 Sign-On Bonus*Sign-On bonus is for External Hires onlyRecipient must stay with AHN for a minimum of 1 yearRe-Hires may not have worked for AHN within the previous 12 months to qualifyBenefits go into effect the 1st of the month following the start dateMedical (Highmark Insurance)Dental (United Concordia)VisionPaid Time Off (18 days with 6 paid holidays)401K plan (with match) ESSENTIAL RESPONSIBILITIES: Conducts scheduling, and preregistration functions, validates patient demographic data, identifies and verifies medical benefits, accurate plan code and COB order. Obtains limited clinical data based on service required. Corrects and updates all necessary data to assure timely, accurate bill submission. (30%)Verifies insurance information through payor contacts via telephone, online resources, or electronic verification system. Identifies payor authorization/referral requirements. Provides appropriate documentation and follow up to physician offices, case management department, and payors regarding authorization/referral deficiencies. (20%)Identifies all patient financial responsibilities, calculates estimates, collects liabilities and post payment transactions as appropriate in the ADT system and performs daily reconciliation. Identifies self-pay and complex liability calculations and escalates account to Financial Counselors as appropriate. (20%)Delivers positive patient experience. Cooperates with and maintains excellent working relationships with patients, AHN leadership and staff, physician offices and designated external agencies or vendors. Performs any written or verbal communication necessary to exchange information with designated contacts and promote working relationships. (10%)Maintains focus on attaining productivity standards, recommending innovative approaches for enhancing performance and productivity when appropriate. (10%)Adheres to AHN organizational policies and procedures for relevant location and job scope. Completes and/or attends mandatory training and education sessions within approved organizational guidelines and timeframes. (10%)Performs other duties as assigned or required. QUALIFICATIONS: Minimum High school diploma or GED; or one – three months related experience and/or training; or equivalent combination of education and experience.One previous year of related experience, preferably within a medical setting, financial services setting, and/or a demanding customer service environmentExperience operating a PC and using software applications Preferred Medical terminology and obtaining insurance verificationsCall/Service Center experience Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. 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. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
    • 0
    • 0
    Company :Allegheny Health NetworkJob Description : GENERAL OVERVIEW: Completes one or more of the following processes (scheduling, pre-registration, financial clearance, authorization and referral validation and pre-serviceability estimations and collections) within Patient Access and creates the first impression of AHN's services to patients and families and other external customers. Articulates information in a manner that patients, guarantors and family members understand so they know what to expect and understand their financial responsibilities. Assumes clinical and financial risk of the organization when collecting and documenting information on behalf of the patient. Benefits include: $1,000 Sign-On Bonus*Sign-On bonus is for External Hires onlyRecipient must stay with AHN for a minimum of 1 yearRe-Hires may not have worked for AHN within the previous 12 months to qualifyBenefits go into effect the 1st of the month following the start dateMedical (Highmark Insurance)Dental (United Concordia)VisionPaid Time Off (18 days with 6 paid holidays)401K plan (with match) ESSENTIAL RESPONSIBILITIES: Conducts scheduling, and preregistration functions, validates patient demographic data, identifies and verifies medical benefits, accurate plan code and COB order. Obtains limited clinical data based on service required. Corrects and updates all necessary data to assure timely, accurate bill submission. (30%)Verifies insurance information through payor contacts via telephone, online resources, or electronic verification system. Identifies payor authorization/referral requirements. Provides appropriate documentation and follow up to physician offices, case management department, and payors regarding authorization/referral deficiencies. (20%)Identifies all patient financial responsibilities, calculates estimates, collects liabilities and post payment transactions as appropriate in the ADT system and performs daily reconciliation. Identifies self-pay and complex liability calculations and escalates account to Financial Counselors as appropriate. (20%)Delivers positive patient experience. Cooperates with and maintains excellent working relationships with patients, AHN leadership and staff, physician offices and designated external agencies or vendors. Performs any written or verbal communication necessary to exchange information with designated contacts and promote working relationships. (10%)Maintains focus on attaining productivity standards, recommending innovative approaches for enhancing performance and productivity when appropriate. (10%)Adheres to AHN organizational policies and procedures for relevant location and job scope. Completes and/or attends mandatory training and education sessions within approved organizational guidelines and timeframes. (10%)Performs other duties as assigned or required. QUALIFICATIONS: Minimum High school diploma or GED; or one – three months related experience and/or training; or equivalent combination of education and experience.One previous year of related experience, preferably within a medical setting, financial services setting, and/or a demanding customer service environmentExperience operating a PC and using software applications Preferred Medical terminology and obtaining insurance verificationsCall/Service Center experience Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. 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. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
    • 0
    • 0
    Company :Allegheny Health NetworkJob Description : GENERAL OVERVIEW: This job performs prescribed Sonography procedures at a technical level not requiring constant supervision. Competently performs a variety of technical procedures that require independent judgment and initiative. ESSENTIAL RESPONSIBILITIES: Positions patient and performs imaging procedure(s). Analyzes results and identifies issues with the quality of imaging results. Takes appropriate action to resolve image quality issues, including repositioning patient and repeating procedure. Enters, transmits and reports scan results. (50%)Reviews patient history and physician's orders. Educates patient regarding procedures, equipment and exam to ensure patient's understanding and cooperation. (20%)When ordered, prepares and administers contrast media and/or medications within scope of practice. Monitors patient condition continually and reports/responds to changes in status as appropriate. (15%)Prepares equipment and supplies. Selects appropriate exposure factors and imaging parameters. Implements safety standards and performs appropriate quality control procedures on equipment. Troubleshoots, resolves, and/or reports equipment malfunctions as necessary. (15%)Performs other duties as assigned.QUALIFICATIONS: Minimum Associate’s degree or equivalent from a two-year college or technical school; or six months to one year of relevant experience and/or education as determined by the company in lieu of associate’s degreeRegistered Diagnostic Medical Sonographer (RDMS) or Sonography-RT(S) or Vascular Sonography- RT(VS) certification and registration via the American Registry of Radiologic Technologists (ARRT) or Breast (BS) via the American Registry of Radiologic Technologists (ARRT) earned prior to 2011 or Registered Vascular Specialist (RVS) certification via Cardiovascular Credentialing International (CCI) is required within 12 months of hire. Technologists who have been performing ultrasound prior to and continuously since October 1996 AND have been evaluated by a responsible physician to assure competence are not required to obtain certification. Employees in an Ultrasound role prior to July 1, 2022 who do not have certifications are not required to obtain them. CPR – American Heart AssociationAct 34 Criminal Background Clearance CertificateAct 33 Child Abuse Clearance CertificateAct 73 FBI Fingerprinting Criminal Background Clearance CertificatePreferred Prior sonography experienceDisclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. 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. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
    • 0
    • 0
    Company :Allegheny Health NetworkJob Description : GENERAL OVERVIEW: Actively assesses the competence of other technologists via quality reviews. Takes an active role in educating and developing less experienced technicians. Assures functioning of the department is within ICAEL standards. ESSENTIAL RESPONSIBILITIES: Assists in the educational development of all cardiac and vascular technologists with the goal being registry. Assures ICAEL educational requirements are met. Provides feedback on sonographers’ performance. Acts as a resource and educator to those learning to scan. (65%)Responsible for day-to-day operations of cardiac sonography department including schedule coordination and on-call schedule. (15%)Recognizes the need for contrast imaging and may administer if trained and verified as competent per laboratory protocol. (5%)Operates the laboratory ultrasound systems, information systems and databases and enters all required demographic and other data. (15%)Performs other duties as assigned or required. QUALIFICATIONS: Minimum Associate’s Degree or equivalent from two-year college or technical school; or six months to one year related experience and/or training; or equivalent combination of education and experience.Registered Diagnostic Medical Sonographer (RDCS), or ARRT or CCI Registered Technologist, or ARDMS certified or eligible. Must obtain certification within one year of employment.CPR – American Heart AssociationAct 34 Criminal Background Clearance CertificateAct 33 Child Abuse Clearance CertificateAct 73 FBI Fingerprinting Criminal Background Clearance CertificatePreferred 3 to 5 years’ experience performing echocardiograms.RDCS certification through American Registry for Diagnostic Medical SonographyMay require PA driver's license. Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. 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. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
    • 0
    • 0
    Company :Allegheny Health NetworkJob Description : GENERAL OVERVIEW: This job serves non-billable functions within the CHILL Workshop. These responsibilities include serving students, school district employees and student families. Responsibilities with students include facilitating support groups, school clubs, assemblies, and skill building education that tie into the program goals and curriculum. Responsibilities for school district employees include facilitating professional development, classroom consultations, school district employee support groups, and skill building education that tie into the program goals and curriculum. For families, responsibilities include facilitating family educational seminars, and other family communication as needed. ESSENTIAL RESPONSIBILITIES: Student skill building education. (20%)Facilitating student support groups and clubs. (20%)School district staff skill building education. (20%)School district staff professional development. (10%)Facilitating school district employee support groups. (10%)Classroom consultations for school district staff. (5%)Facilitating family education seminars. (5%)Facilitating school assemblies. (5%)Other family communication as needed. (5%) QUALIFICATIONS: Minimum Bachelor’s degree in Education, Psychology, or related field1 - 3 years providing behavioral health support to students in a school setting1 - 3 years providing behavioral health support to students within a behavioral health program setting0 - 1 years providing professional development to educators or related professional group0 - 1 years knowledge of Mindful Awareness, DBT and CBTCPR – American Heart Association Act 34 Criminal Background Clearance Certificate Act 33 Child Abuse Clearance Certificate Act 73 FBI Fingerprinting Criminal Background Clearance Certificate Preferred Master’s degree in Education, Psychology, or related field Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. 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. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
    • 0
    • 0
    Company :Allegheny Health NetworkJob Description : GENERAL OVERVIEW: This job serves non-billable functions within the CHILL Workshop. These responsibilities include serving students, school district employees and student families. Responsibilities with students include facilitating support groups, school clubs, assemblies, and skill building education that tie into the program goals and curriculum. Responsibilities for school district employees include facilitating professional development, classroom consultations, school district employee support groups, and skill building education that tie into the program goals and curriculum. For families, responsibilities include facilitating family educational seminars, and other family communication as needed. ESSENTIAL RESPONSIBILITIES: Student skill building education. (20%)Facilitating student support groups and clubs. (20%)School district staff skill building education. (20%)School district staff professional development. (10%)Facilitating school district employee support groups. (10%)Classroom consultations for school district staff. (5%)Facilitating family education seminars. (5%)Facilitating school assemblies. (5%)Other family communication as needed. (5%) QUALIFICATIONS: Minimum Bachelor’s degree in Education, Psychology, or related field1 - 3 years providing behavioral health support to students in a school setting1 - 3 years providing behavioral health support to students within a behavioral health program setting0 - 1 years providing professional development to educators or related professional group0 - 1 years knowledge of Mindful Awareness, DBT and CBTCPR – American Heart Association Act 34 Criminal Background Clearance Certificate Act 33 Child Abuse Clearance Certificate Act 73 FBI Fingerprinting Criminal Background Clearance Certificate Preferred Master’s degree in Education, Psychology, or related field Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. 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. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
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