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The Allegheny Health Network (AHN) Cancer Institute is recruiting full time Medical Oncologist/Hematologist to join our team at Saint Vincent Hospital in Erie, PA! New state-of-the-art Academic Cancer Institute facility with on-site medical oncology and radiation oncology services; dedicated patient supportive services team to include but not limited to nurse navigator, dietitian, social worker and financial counselor.
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Allegheny Health Network's (AHN) Cancer Institute is recruiting full-time Medical Oncologist/Hematologists to join our Pittsburgh area teams. State-of-the-art facilities with on-site medical oncology and radiation oncology services; dedicated patient supportive services team to include but not limited to nurse navigator, dietitian, social worker and financial counselor.
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The Allegheny Health Network (AHN) is recruiting a full-time Medical Director for our clinical cancer genetics program located in Pittsburgh, PA. PhD/MD Graduate of accredited medical school with degree of Doctor of Medicine (MD) or Doctor of Osteopathy (DO.
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Medical Case Manager - Pediatric Shift Care Case Management (Remote) page is loaded Medical Case Manager - Pediatric Shift Care Case Management (Remote) Apply remote type Remote locations PA, Working at Home - Pennsylvania time type Full time posted on Posted 2 Days Ago job requisition id J241637 Company : Highmark Inc. Job Description : JOB SUMMARY.
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Associate Medical Stop Loss Underwriter. 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.
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Senior Medical Stop Loss Underwriter. 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.
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Support other internal initiatives which may include but not limited to fraud detection, corporate compliance, wellness/disease management, and product development efforts. Actively pursuing a professional designation related to the healthcare industry and be willing to complete one course within twelve months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health InsurancePlans (AHIP.
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Analyzes risk factors for new enrollment, annual renewals, and amendments of group insurance contracts or of self-funded plans in conformance with established underwriting policies, practices, and standards.
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Analyzes associated policies, guidelines, market data to continuously improve risk management and gain appropriate enrollment or manage existing membership. Bachelor's Degree in Mathematics, Actuarial Science, Finance, Business, Computer Science or other quantitative analysis discipline.
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5 - 7 years' experience in underwriting of self-funded and converting fully insured prospects to self-funding. 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.
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When necessary, influence other market partners, e.g. brokers and TPA’s. 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.
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Identify when clients do not comply with corporate risk management policies, disclosure rules, or conditions/criteria for enrollment. Identify questionable claim patterns of renewal clients and issues with competitor’s claims experience for prospect clients and develops recommendations to account for these situations.
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Responsible for a book of business of renewing accounts and writing new business at profitable levels to help HMIG achieve overall business targets or assigned volume of new applications or RFP’s. Influence sales team towards the appropriate pricing and structure of each quote.
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Ability to work independently and assume responsibility for projects across a continuum from routine to highly complex. Apply corporate risk management policies and adjust for unusual situations that may not have been considered in the standard pricing formula.
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Complete renewals, prospect quotes, review of lower level analyst work in accordance with production and timeliness standards. Represent departmental perspectives and needs on system development and process improvement teams, as assigned.
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Title: medical Company: Highmark
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