Highmark Health

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job provides direct care to patients and assists with non-direct patient care unit coordination. The incumbent in this position is expected to perform basic nursing procedures related to care and comfort of patient's in stable condition, and have knowledge of patient population needs in the assigned work area. In addition, the incumbent is expected to assist the RN in the care of acutely ill patients. He/she is expected to practice medical asepsis, respect the dignity and privacy with every patient and family, and to maintain objectivity during patient care. He/she is expected to know and adhere to all basic hospital policies and procedures, and respond appropriately during emergency situations. He/she is expected to maintain the patient/family environment and perform general unit upkeep. He/she is expected to use accurate verbal and written communication, and to document patient care...

Company : Highmark Inc. Job Description : JOB SUMMARY This role provides strategic leadership, vision, and direction for the Learning Services department, aligning initiatives with organizational goals and driving transformation. The incumbent is responsible for developing and implementing high-level learning strategies and training plans, leveraging deep business and operational understanding to design innovative, impactful, and scalable learning solutions that address critical business challenges and opportunities. This position leads learning transformation projects, including the adoption of new methodologies and technologies, and oversees the comprehensive change management strategies to ensure successful implementation and impact of new learning initiatives. The incumbent drives operational excellence through the strategic use of analytics to measure program effectiveness, identify trends, and make data-driven decisions, implementing continuous improvement...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job 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. Trains and assists other team members as necessary. 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...

Company : Allegheny Health Network Job Description : Date Posted: 20260320 Location: Allegheny General Hospital Department: CICU Status: Weekend Shift: 48 hours every two weeks Scheduled between 11am Friday and 7am Monday, per policy Orientation may require full time work for a concentrated period of time Rotation with rotating weekends and holiday per policy Union: Yes THE UNIT: Allegheny General’s Cardiac ICU is a 24 Bed Unit Advanced Heart Failure accreditation LVAD accreditation, Pulmonary Hypertension certification and transplant accreditation. Allegheny General Hospital: AGH is a Level I Shock Trauma Center 5 state of the art ICU’s State of the art Cancer Center 550+ Beds ALLEGHENY HEALTH NETWORK: At AHN, employees trust working together and place patients at the center of all they do. This 9 Hospital system, a part of Highmark Health, is transforming the future of healthcare by providing highly effective services to...

Company : Allegheny Health Network Job Description : Date Posted: 20260320 Location: Allegheny General Hospital Department: 11A Tele Status: Weekend Shift: 48 hours every two weeks Scheduled between 11am Friday and 7am Monday, per policy Orientation may require full time work for a concentrated period of time Rotation with rotating weekends and holiday per policy Union: Yes THE UNIT: Allegheny General’s 11A unit is 24 beds. Advanced Heart Failure accreditation, LVAD accreditation, Pulmonary Hypertension certification and transplant accreditation. This unit is cardiac telemetry, specializing in the care of cardiac patients. Specifically advanced heart failure, pulmonary HTN, LVAD, and post EP and cardiac procedural patients. Allegheny General Hospital: AGH is a Level I Shock Trauma Center 5 state of the art ICU’s State of the art Cancer Center 550+ Beds ALLEGHENY HEALTH NETWORK: At AHN, employees trust working together...

Company : Allegheny Health Network Job Description : INPATIENT POST-SURGERY West Penn’s Inpatient Post Surgery Unit is a 38 bed, non-monitored, post-surgical unit providing post-op care for bariatric, esophageal, gynecological oncology, surgical oncology, urology and GI patients following the PACU. Most patients stay on the unit for 4-5 days. WEST PENN HOSPITAL: West Penn Hospital has Magnet® recognition, private patient rooms, free employee parking and a generous benefit package (for full-time and part-time status employees). ALLEGHENY HEALTH NETWORK: At AHN, employees trust working together and place patients at the center of all they do. This 9 Hospital system, a part of Highmark Health, is transforming the future of healthcare by providing highly effective services to customers, patients and communities. AHN has commitment and dedication to being inclusive, valuing fresh perspectives, and offering the best growth and educational...

Company : Allegheny Health Network Job 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...

Company : Allegheny Health Network Job Description : This role is part of Union SEIU-Q state licensure required Join the AHN Allegheny Valley Hospital Rehab team and our newly expanded inpatient rehabilitation unit! This state-of-the-art unit was designed to support recovery for patients with complex medical, neurological, and orthopedic needs. GENERAL OVERVIEW: Conducts physical therapy treatment programs under the supervision of a Physical Therapist; effectively communicates and collaborates with patients, families, and members of the health care team ESSENTIAL RESPONSIBILITIES: Provides physical therapy interventions based upon the plan of care written by a physical therapist utilizing standard, and possibly specialized, physical therapy techniques and skills as appropriate for the age and condition of the patient. Completes documentation to comply with department, hospital, and regulatory standards. Participates in departmental...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Directs all administrative and fiscal components for patient access points including inpatient, outpatient, emergency and ancillary registration, scheduling, pre-registration, cash management/posting, and bed management where applicable. ESSENTIAL RESPONSIBILITIES: Effectively manages human resources and expenses, achieving both department productivity standards and budget objectives. Supervises staff, evaluates work, and recommends and implements approved disciplinary action. (35%) Works with all hospital departments and corporate leadership for the purpose of facilitating problem resolution, development of policies, processes and programs, coordination of services and organization cohesiveness. Actively involved in carrying out financial clearance policies and patient eligibility assistance insurance verification including financial review, interaction with financial counselors,...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job provides direct care to patients and assists with non-direct patient care unit coordination. The incumbent in this position is expected to perform basic nursing procedures related to care and comfort of patients in stable condition, and have knowledge of patient population needs in the assigned work area. In addition, the incumbent is expected to assist the RN in the care of acutely ill patients. They is expected to practice medical asepsis, respect the dignity and privacy with every patient and family, and to maintain objectivity during patient care. They are expected to know and adhere to all basic hospital policies and procedures, and respond appropriately during emergency situations. They is expected to maintain the patient/family environment and perform general unit upkeep. They is expected to use accurate verbal and written communication, and to document patient care appropriately in...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: The Registered Nurse assesses human responses and plans, implements and evaluates nursing care for individuals or families for whom the nurse is responsible. The Registered Nurse is fully responsible for all actions as a licensed nurse and is accountable to patients for the quality of care delivered. ESSENTIAL RESPONSIBILITIES: The registered nurse provides leadership in a professional practice setting. Team player who contributes to building the team by helping others succeed through role modeling and mentoring. Assigns or delegates tasks based on the needs of the patient and skill level of the RN, LPN or support staff. Assigns duties and lunches for staff when performing charge role. Considers maintenance of a safe environment, patient condition, complexity of the intervention and predictability of the outcome. Provides peers with both verbal and written feedback regarding...

Company : HM Insurance Group Job Description : JOB SUMMARY Responsible for administration of the producer compliance and commission payment, ownership of system and monitoring of licensure and quoting activity of sales personnel. Collecting and processing producer appointment paperwork, facilitate set-up and ongoing maintenance of system agreement, and issuing producer commission payments based upon premium receipt. This role is based in Pittsburgh, PA ESSENTIAL RESPONSIBILITIES Ensure commission payments are issued accurately and timely. Coordinate renewal of producer’s appointments with sales personnel Monitor expiration of producer’s licenses and appointments Process internal license applications and monitor that license to ensure they remain active. Run various reports Other duties as assigned or requested. EDUCATION Required Bachelor's Degree Substitutions 6 years of related and progressive experience in lieu of...

Company : Highmark Inc. Job Description : JOB SUMMARY This job manages the team that is responsible for the outcomes of providers contracted in the Organization's gain/risk share arrangements. This group is comprised of highly skilled experts in clinical workflow transformation. Their goal is to achieve specific targets set in the individual gain/risk share contracts, and they are strategically focused on those data gaps that will result in the greatest ROI for the Organization. Further, in a matrix management environment, the incumbent will be responsible for ensuring 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. The incumbent will be responsible for the overall clinical support needed to ensure entities success in new value-based reimbursement...

Company : Allegheny Health Network Job 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. 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...

Company : Highmark Inc. Job Description : JOB SUMMARY This role provides strategic leadership, vision, and direction for the Learning Services department, aligning initiatives with organizational goals and driving transformation. The incumbent is responsible for developing and implementing high-level learning strategies and training plans, leveraging deep business and operational understanding to design innovative, impactful, and scalable learning solutions that address critical business challenges and opportunities. This position leads learning transformation projects, including the adoption of new methodologies and technologies, and oversees the comprehensive change management strategies to ensure successful implementation and impact of new learning initiatives. The incumbent drives operational excellence through the strategic use of analytics to measure program effectiveness, identify trends, and make data-driven decisions, implementing continuous improvement...

Company : Highmark Inc. Job Description : JOB SUMMARY This job is responsible for supporting the work of the department projects and initiatives related to the regulatory intake, implementation, and assurance activities of Highmark Health in support of a broad range of frameworks and oversight bodies including NIST, HITRUST, PCI, HIPAA, SOC, MAR, CMS, JCAHO, NCQA, the BCBSA, etc. The incumbent will partner with the Senior Analyst and Lead analyst to support their work with the organizational risk and business partners, the technology organization, and global delivery teams to meet Highmark Health’s mission requirements in a manner consistent with the enterprise risk appetite. The incumbent must have a proactive mindset and approach, and feel comfortable working in a highly matrixed environment. ESSENTIAL RESPONSIBILITIES Take part in team projects or initiatives involving a global team of specialists. Coordinate with impacted departments to identify...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Research Fellow is a full-time temporary advanced scholarly appointment (not to exceed five years) to conduct advanced independent and/or directed research programs. The research fellow will conduct translational research projects at the direction of the principal investigator or program director. The role of a research fellow requires detailed knowledge of a technical field, process, or discipline. Work shall include developing, implementing, and executing research plans, data collection and analysis as well as documenting research findings in concise yet complete technical reports. A research fellow must be able to rapidly identify trends in data or shortcomings in experimental design, so that random adjustments may be made without the direct daily supervision of a principal investigator. ESSENTIAL RESPONSIBILITIES: Conduct high fidelity experimentation in line with the objectives of the...

Company : Allegheny Health Network Job 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...

Company : Highmark Inc. Job Description : JOB SUMMARY This role involves support of Highmark’s diversified businesses, including dental, vision, and pharmacy lines of business. This position involves investigating factual situations, conducting independent legal research and analysis, and providing creative, well-reasoned solutions. The successful candidate will offer timely and accurate legal advice and prepare effective documents based on federal, state, and other applicable laws and regulations relevant to the Corporation and its affiliates. This is a senior-level attorney role that requires advanced legal skills and a proven ability to deliver or oversee business-oriented, effective, and efficient legal services. Key responsibilities include project management and strategic counseling on significant projects or matters for specific units of the Corporation. The ideal candidate will possess deep knowledge of the Corporation’s business, maintain...

Company : Highmark Inc. Job Description : JOB SUMMARY This role involves support of Highmark’s diversified businesses, including dental, vision, and pharmacy lines of business. This position involves investigating factual situations, conducting independent legal research and analysis, and providing creative, well-reasoned solutions. The successful candidate will offer timely and accurate legal advice and prepare effective documents based on federal, state, and other applicable laws and regulations relevant to the Corporation and its affiliates. This is a senior-level attorney role that requires advanced legal skills and a proven ability to deliver or oversee business-oriented, effective, and efficient legal services. Key responsibilities include project management and strategic counseling on significant projects or matters for specific units of the Corporation. The ideal candidate will possess deep knowledge of the Corporation’s business, maintain...

Company : Allegheny Health Network Job Description : (2) 12-hour shifts, Weekends Only Emergency Department The ED is a 24-bed department, including 2 pediatric beds and 2 mental health beds. We are not a trauma center. AHN Wexford Hospital AHN Wexford Hospital in Wexford, PA is the newest full-service, clinician-led hospital in the Allegheny Health Network. The new AHN hospital provides world-class health care closer to home for residents in the North Hills communities of Pittsburgh. The state of the art, all-private 160-bed hospital opened in September 2021 and provides comprehensive care to patients of all ages. Allegheny Health Network At AHN, employees trust working together and place patients at the center of all they do. This 9 Hospital system, a part of Highmark Health, is transforming the future of healthcare by providing highly effective services to customers, patients and communities. AHN has commitment and dedication to being inclusive,...

Company : Allegheny Health Network Job Description : $1,000 Sign-On Bonus *Sign-On bonus is for External Hires only Recipient must stay with AHN for a minimum of 1 year Re-Hires may not have worked for AHN within the previous 12 months to qualify GENERAL OVERVIEW: Under the direction of the provider and as a member of the health care team, assists in coordinating the examination, treatment and health care planning for patients. Assists with other office functions to support patient care and office operations. Follows all established protocols, policies, procedures and standardized workflows. ESSENTIAL RESPONSIBILITIES: Using the team based approach, assists in the coordination of patient care under supervision of the health care provider. Prepares and rooms patients within the clinical practice setting according to standardized work flows. Accurately obtains patient vital signs, documents patient information, patient history, tobacco, and...

Company : Allegheny Health Network Job Description : Job Description At AHN, employees trust working together and place patients at the center of all they do. This 9 Hospital system, a part of Highmark Health, is transforming the future of healthcare by providing highly effective services to customers, patients and communities. AHN has commitment and dedication to being inclusive, valuing fresh perspectives, and offering the best growth and educational opportunities to employees. Allegheny Valley Hospital is a 188 bed community, union hospital serving the surrounding neighborhoods of Natrona Heights. AHN Allegheny Valley’s Orthopedics unit provides a vast array of care to patients. We see patients with orthopedics procedures (knees, hips, spine, ankle), providing exceptional post-operative care for pain, mobility, and education. They also care for general Med/Surg patients, as well as 2 beds for inpatient hospice and end of life care. They see a wide range of...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Provides care to women and their families throughout their lifespan. 1 position available at Jefferson Hospital 1 position available at Forbes Hospital ESSENTIAL RESPONSIBILITIES: Performs procedures within the scope of midwifery practice as defined by the American College of Nurse Midwives and outlined in the practice guidelines. (50%) Performs assessments of physical, psychosocial and educational needs. (25%) Provides diagnosis and order appropriate treatment and medication. (25%) Performs other duties as assigned or required. QUALIFICATIONS: Minimum Graduate of Nurse Midwife Program accredited by the Accreditation Commission for Midwifery Education (ACME) Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC). Certification from American Midwifery Certification Board (AMCB)...