NewPrimary Care Physician (FM or IM Physician) Cross Country SearchPrimary Care Physician (FM or IM Physician)Pittsburgh, PA$200,000–$250,000 / yearThis is a full-time role that blends medical practice with compassionate advocacy, ideal for providers who want to focus on long-term relationships, preventive care, and improved quality of life—without the pressure of productivity quotas or fee-for-service billing. Our capitated care model allows providers to focus on quality over quantity, and our interdisciplinary approach promotes collaboration, proactive care, and trust-based relationships with participants and families.
PA or CRNP (ACNP), Nights - Critical Care Medicine - UPMC Children's Hospital of Pittsburgh UPMC - University of Pittsburgh Medical CenterPA or CRNP (ACNP), Nights - Critical Care Medicine - UPMC Children's Hospital of PittsburghPittsburgh, PAdiv>University of Pittsburgh Physicians is hiring a Full-Time Nights Physician Assistant or Peds Acute Care Certified Registered Nurse Practitioner to help support Critical Care Medicine.. Ability to establish and maintain positive, caring relationships with executives, managers, physicians, non-physician providers, ancillary and support staff, other departments, and patients/families.
PA or CRNP (ACNP), Night - Critical Care Medicine - Neurovascular ICU UPMC - University of Pittsburgh Medical CenterPA or CRNP (ACNP), Night - Critical Care Medicine - Neurovascular ICUPittsburgh, PAp style="background-color:white;margin:0in;vertical-align:baseline">Position Specifics: Management of critically ill patients, Primarily night ICU coverage, CCM APP coverage for Neurovascular ICUs, Procedures including intubation, central lines, arterial lines. OAPP: If practicing in an outpatient or other non-inpatient setting, APPs can use one of the certifications above or use a business unit approved certification which is relevant, and value added to the practice setting.
NewPA or CRNP, Complete Primary Care Associates UPMC - University of Pittsburgh Medical CenterPA or CRNP, Complete Primary Care AssociatesPittsburgh, PAul>Ability to establish and maintain positive, caring relationships with executives, managers, physicians, non-physician providers, ancillary and support staff, other departments, and patients/families. Demonstrates a basic knowledge of research, how it affects practice and who/what resources are available to assist with evidence-based practice by asking questions, demonstrating interest, participating in journal clubs.
Advanced Practice Provider - Float Monogram HealthAdvanced Practice Provider - FloatPittsburgh, Pennsylvaniap>Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders.
NewSupervisor Advanced Practice Provider - Neonatal Highmark IncSupervisor Advanced Practice Provider - NeonatalWexford, PAIn 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. Current Pennsylvania Physician Assistant License OR Current Pennsylvania CRNP license and Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC).
Psychiatric Provider — PMHNP / PA-C Altheda Medical CenterPsychiatric Provider — PMHNP / PA-CMcKees Rocks, PennsylvaniaRemote$120,000–$135,000div>We believe providers do their best work when they have the right systems behind them: reliable administrative support, thoughtful workflows, technology that reduces unnecessary burden, and a care model that prioritizes both patient experience and provider sustainability.. This role is best suited for a provider who values clinical quality, patient continuity, strong documentation, schedule stability, and working within a supportive outpatient medical practice..Provider Network Advocate University of Pittsburgh Medical CenterProvider Network AdvocatePittsburgh, PAInvestigations and outreach will include provider payment issues, configuration issues, special outreach projects and HEDIS, HCC, CDPS, MA P4P, and CMS Stars improvement initiatives. Purpose: The UPMC Health Plan is looking for someone who enjoys investigating medical claims issues, supporting providers, and build strong partnerships to fill the role of Provider Network Advocate!Advanced Practice Provider Monogram Health IncAdvanced Practice ProviderPAMonogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patients healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram health takes a comprehensive and personalized approach to a persons health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders.Provider Contract Analyst Highmark IncProvider Contract AnalystPAThe analyst will be heavily involved in provider-facing activities such as assisting with the Helion Provider Help Desk to answer questions related to Utilization Management and claims processing, collaborating with the development team to draft agreements, and assisting with health plan contract negotiations. 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.Supervisor Provider Data Quality Management Highmark IncSupervisor Provider Data Quality ManagementPAIn 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. Understanding of software applications used Highmark Wholecare, such as Managed Health Care System, CACTUS, OnBase Document Management and/or OnBase Workflow.Advanced Practice Provider - Float Monogram Health IncAdvanced Practice Provider - FloatPittsburgh, PAp>Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient's healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram health takes a comprehensive and personalized approach to a person's health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders.Manager Financial Investigations and Provider Review Highmark IncManager Financial Investigations and Provider ReviewPittsburgh, PAli>3 years" experience in (1) provider overpayment identification and settlement and/or (2) fraud, waste and abuse (FWA) investigations including interactions with federal, state, and local law enforcement and regulatory agencies including negotiating Provider/Facility overpayment settlements and/or (3) audit consulting experience in the healthcare field with strong relationship and project management skills. Strong and effective verbal and written communication skills; Effectively presents complex topics in a concise manner to audiences at various levels and various sizes; Demonstrates the ability to effectively persuade others to listen, commit, and act on a new approach.NewBehavioral Health Advanced Practice Provider (NP/PA) New Directions Mental HealthBehavioral Health Advanced Practice Provider (NP/PA)Pittsburgh, PA$120,000–$165,000 / yearFull timep>Join us at New Directions Mental Health, a member of Transformations Care Network (TCN), as we embark on an exciting journey to empower Advanced Practice Providers like you in making a difference. Innovative Treatment: In addition to traditional treatment, we are proponents of interventional psychiatry including TMS, Ketamine, Esketamine and your interest is welcome.Provider Network Advocate - Ancillary Network University of Pittsburgh Medical CenterProvider Network Advocate - Ancillary NetworkPittsburgh, PAp>Purpose: The UPMC Health Plan is seeking a partner to fulfill the role of Provider Network Advocate to support network growth through provider onboarding, network management, and strategic initiatives that enhance provider quality and performance. Investigations and outreach will include provider payment issues, configuration issues, special outreach projects and HEDIS, HCC, CDPS, MA P4P, and CMS Stars improvement initiatives.Provider Relations Liaison Highmark IncProvider Relations LiaisonWorking at Home, PAAnalyze and develop network retention strategies for follow up services to providers by establishing and maintaining contact and rapport with dental staff members, office managers, insurance coordinators, hygienists and dentists throughout an assigned territory by scheduling face-to-face meetings with dental offices. Communicate and maintain effective working relationships both internally and externally (providers, dental industry, organized dentistry and dental consultants) keeping management informed on related healthcare industry issues/topics.Provider Network Manager Sr Elevance Health IncProvider Network Manager SrPAp>Minimum requirements: Requires a BA/BS degree and a minimum of 5 years' experience in contracting, provider relations, provider servicing; experience should include prior contracting experience; or any combination of education and experience, which would provide an equivalent background. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.NewNurse Practitioner or Physician Assistant Advanced Practice Provider CORE Occupational MedicineNurse Practitioner or Physician Assistant Advanced Practice ProviderPAp>We are looking for experienced Nurse Practitioners or Physician Assistants (Advanced Practice Providers) to join our team in the Shippingport, PA, area. Our nationwide occupational medicine platform provides the full spectrum of occupational medicine services to numerous Fortune 500 companies and other industry leaders.NewNurse Practitioner or Physician Assistant (Advanced Practice Provider) CORE LLCNurse Practitioner or Physician Assistant (Advanced Practice Provider)PAp>We are looking for experienced Nurse Practitioners or Physician Assistants (Advanced Practice Providers) to join our team in the Shippingport, PA, area. Our nationwide occupational medicine platform provides the full spectrum of occupational medicine services to numerous Fortune 500 companies and other industry leaders.Advanced Practice Provider (APP/NP) Monogram Health Professional ServicesAdvanced Practice Provider (APP/NP)Pittsburgh, PA$140,000 / yearPart timep>Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders.Quality Improvement Provider Strategist - Hybrid University of Pittsburgh Medical CenterQuality Improvement Provider Strategist - HybridPittsburgh, PAThis role integrates quality strategy, analytics, and performance intelligence to translate complex data- including measure specifications and UPMC Health Plans Primary Care Physician value-based quality incentive programs- into clear, actionable strategies that drive consistent and effective execution across the provider network. As the subject matter expert (SME for quality programs such as Medicare Stars, HEDIS, and DHS initiatives, the Quality Improvement Strategist ensures accurate interpretation, alignment, and application across Medicare, Medicaid, and Commercial products.Provider Integration Consultant Highmark IncProvider Integration ConsultantPittsburgh, PAul>Serve as a Subject Matter Expert to market executives, senior leadership, and matrixed partners to provide project management consultation for provider initiatives, strategy development, and product solutions. 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.Care Concierge Specialist - Remote tenavistaffingCare Concierge Specialist - RemotePittsburgh, PARemoteThis role serves as a key connection point between members, providers, and health plan operations teams to help ensure a smooth and supportive healthcare experience. The ideal candidate is organized, proactive, and comfortable guiding members through benefits, appointments, referrals, and care coordination needs while delivering a high level of customer service.Clinical Medical Assistant, Q-Care Penn Highlands HealthcareClinical Medical Assistant, Q-CarePAp>Completion of a Clinical Medical Assistant program or Completion of a Medical Assistant program with eligibility to sit for NCCT certification or NHA certification. Please note We certify through the National Center for Competency Testing NCCT.The web address is www.ncctinc.com.NewCare Coordinator # 26-14831 US Tech Solutions, Inc.Care Coordinator # 26-14831Pittsburgh, PATo know more about US Tech Solutions, please visit www.ustechsolutions.com . Experience:3+ years of experience in healthcare case management, patient support, care coordination, reimbursement, utilization review, social services, nursing, or related healthcare fields.NewCare Coordinator #26-15136 US Tech Solutions, Inc.Care Coordinator #26-15136Pittsburgh, PATo know more about US Tech Solutions, please visit www.ustechsolutions.com. Experience:3+ years of experience in healthcare case management, patient support, care coordination, reimbursement, utilization review, social services, nursing, or related healthcare fields.NewCare Coordinator # 26-14825 US Tech Solutions, Inc.Care Coordinator # 26-14825Pittsburgh, PATo know more about US Tech Solutions, please visit www.ustechsolutions.com . Experience:3+ years of experience in healthcare case management, patient support, care coordination, reimbursement, utilization review, social services, nursing, or related healthcare fields.NewCare Coordinator # 26-14818 US Tech Solutions, Inc.Care Coordinator # 26-14818Pittsburgh, PA$24–$25 / hourTo know more about US Tech Solutions, please visit www.ustechsolutions.com . Experience:3+ years of experience in healthcare case management, patient support, care coordination, reimbursement, utilization review, social services, nursing, or related healthcare fields.UM Care Manager (RN University of Pittsburgh Medical CenterUM Care Manager (RNPittsburgh, PACurrent licensure either in the state where the facility is located or, if the facility is in a state covered by the multistate Nursing Licensure Compact (NLC agreement, a multistate license issued by a participating NLC state. Hires and current employees working on an out-of-state NLC license who later change their residency to the state where the facility is also located will have 60 days upon changing their residency to apply for licensure within that state.Customer Service Representative- Health Care Concierge - Must be located in Pittsburgh, or Surrounding Area University of Pittsburgh Medical CenterCustomer Service Representative- Health Care Concierge - Must be located in Pittsburgh, or Surrounding AreaPittsburgh, PAp>This is a high‑volume, 100% phone‑based role where you'll spend your entire scheduled shift assisting members back‑to‑back in a highly technical, fast‑paced call center environment providing clear, compassionate, and knowledgeable support. Holiday Coverage: Availability to work certain holidays is required, including New Year's Day and Martin Luther King Jr.PATIENT SERVICES ASSOCIATE - PRIMARY CARE GROVE CITY Independence Health SystemPATIENT SERVICES ASSOCIATE - PRIMARY CARE GROVE CITYGrove City, PAActively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below.PATIENT SERVICES ASSOCIATE - PRIMARY CARE ZELIENOPLE Independence Health SystemPATIENT SERVICES ASSOCIATE - PRIMARY CARE ZELIENOPLEPAp>Actively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below.Patient Care Technician - PCT Fresenius Medical CarePatient Care Technician - PCTAliquippa, Pennsylvaniaul>Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization Quality Enhancement Goals (QEP).REGISTERED NURSE RN FLOAT POOL (CRITICAL CARE) Independence Health SystemREGISTERED NURSE RN FLOAT POOL (CRITICAL CARE)PAp>• Working alone - N/A • Working in cramped quarters - OCCASIONAL • Constant interruptions - FREQUENT • Working with hands in water - FREQUENT • Use of power tools - N/A • Working on ladders/scaffolding - N/A • Exposure to vibration - N/A • Exposure to dust - N/A • Exposure to noise(constant) - OCCASIONAL • Exposure to electrical energy(outlets, etc) - N/A • Exposure to temperature changes(heat, cold, humidity), that require special clothing - N/A • Exposure to slippery walking surfaces - OCCASIONAL • Exposure to solvents, grease, oils - N/A • Exposure to radiant energy, i.e. computer terminal (more than 4 hours per shift) - FREQUENT • Working with bloodborne pathogens - FREQUENT. Medium 3.6 - 6.3 House work (mopping, scrubbing), health club exercising, treadmill work, stretching, yoga, walk/run-play with children, aerobic class, dancing, carrying bucket/wood, auto body repair, shoveling snow, golf (carrying clubs).Primary Care Sales Representative - Pittsburgh, PA IQVIA Holdings IncPrimary Care Sales Representative - Pittsburgh, PAPittsburgh, PA$100,000–$120,000 / yearContinuously enhance understanding of customer needs, market landscape, competitors, segments, account dynamics, disease areas, product knowledge, clinical insights, and sales expertise; share relevant market intelligence with field teams, brand team, and sales management to foster alignment, anticipate market changes, and refine brand strategy and execution. Demonstrated history of success in sales within relevant therapeutic areas; prior experience in pharmaceutical industry roles such as physician/account-based selling, training, managed health care, specialty pharmacy, or marketing is preferred.LPN - PRIMARY CARE SLIPPERY ROCK Independence Health SystemLPN - PRIMARY CARE SLIPPERY ROCKPAul>Actively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice.LPN - PRIMARY CARE - ZELIENOPLE Independence Health SystemLPN - PRIMARY CARE - ZELIENOPLEPAul>Actively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice.Behavioral Health UM Care Manager (RN - Part Time University of Pittsburgh Medical CenterBehavioral Health UM Care Manager (RN - Part TimePittsburgh, PAp>The Utilization Management (UM Care Manager is responsible for utilization review of health plan services and assessment of member's barriers to care, as well as actively working with providers and assessing members to ensure a safe and coordinated discharge from an inpatient setting. Current licensure either in the state where the facility is located or, if the facility is in a state covered by the multistate Nursing Licensure Compact (NLC agreement, a multistate license issued by a participating NLC state.Pharmaceutical Sales Rep - Primary Care (Entry Level) Pharmagen IncPharmaceutical Sales Rep - Primary Care (Entry Level)Pittsburgh, PA$84,150–$109,700 / yearli>Calling on territory healthcare providers and informing those healthcare providers about the features and benefits of our products, explaining the characteristics, uses, dosages, value add programs for our HCP's and their patients as well as the ability to effectively communicate other relevant educational information as directed by management in order to grow market share; Consistently develop a partnership selling style that includes an ability to use all available promotional literature and selling tools (excel based reports, market share & usage reports, etc,) during sales calls as assigned; Educate, develop and maintain strong relationships with assigned territory healthcare providers and their staff, to further the progress of the company business; Pharmaceutical Sales Rep QUALIFICATIONS: Must be authorized to be employed in the United States. PharmaGen is healthcare leader in Pharmaceutical Sales Rep management, product launches, clinical communication, scientific marketing, Pharmaceutical Rep services, Contract Sales Organizational implementation, physician detailing, as well as clinical and packaging services.EMERGENCY CARE TECH - EMERGENCY DEPARTMENT Independence Health SystemEMERGENCY CARE TECH - EMERGENCY DEPARTMENTPAIf no phlebotomy training upon hire, must successfully complete on the job phlebotomy training including a minimum of 100 successful blood draws by completion of the introductory period. Responsible to safely access, transport, and handle single dose medications to include prescription and non-prescription medications.CARE SUPPORT SPECIALIST - FASTERCARE BUTLER CASUAL Independence Health SystemCARE SUPPORT SPECIALIST - FASTERCARE BUTLER CASUALSlippery Rock, PAActively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below.PA or CRNP (ACNP, Night - Critical Care Medicine - Neurovascular ICU University of Pittsburgh Medical CenterPA or CRNP (ACNP, Night - Critical Care Medicine - Neurovascular ICUPittsburgh, PAp>OAPP: If practicing in an outpatient or other non-inpatient setting, APPs can use one of the certifications above or use a business unit approved certification which is relevant, and value added to the practice setting. Ability to establish and maintain positive, caring relationships with executives, managers, physicians, non-physician providers, ancillary and support staff, other departments, and patients/families.PA or CRNP, Western Psych Hospital - Primary Care University of Pittsburgh Medical CenterPA or CRNP, Western Psych Hospital - Primary CarePittsburgh, PAul>Ability to establish and maintain positive, caring relationships with executives, managers, physicians, non-physician providers, ancillary and support staff, other departments, and patients/families. Staff/Senior Level: The Staff or Senior Advanced Practice Provider (APP is a Physician Assistant or Certified Registered Nurse Practitioner and a member of the care delivery team.PA or CRNP (ACNP, Critical Care Medicine - UPMC Children's Hospital of Pittsburgh University of Pittsburgh Medical CenterPA or CRNP (ACNP, Critical Care Medicine - UPMC Children's Hospital of PittsburghPittsburgh, PAAbility to establish and maintain positive, caring relationships with executives, managers, physicians, non-physician providers, ancillary and support staff, other departments, and patients/families. The APP manages and provides patient care activities for a group of patients and their families through the application of independent judgment, communication, and collaboration with all team members.Part-Time PA or CRNP (ACNP, Night - Staff or Senior - Critical Care Medicine - Trauma ICU University of Pittsburgh Medical CenterPart-Time PA or CRNP (ACNP, Night - Staff or Senior - Critical Care Medicine - Trauma ICUPittsburgh, PAli>OAPP: If practicing in an outpatient or other non-inpatient setting, APPs can use one of the certifications above or use a business unit approved certification which is relevant, and value added to the practice setting. Ability to establish and maintain positive, caring relationships with executives, managers, physicians, non-physician providers, ancillary and support staff, other departments, and patients/families.PA or CRNP (ACNP, Nights - Critical Care Medicine - UPMC Children's Hospital of Pittsburgh University of Pittsburgh Medical CenterPA or CRNP (ACNP, Nights - Critical Care Medicine - UPMC Children's Hospital of PittsburghPittsburgh, PAul>Ability to establish and maintain positive, caring relationships with executives, managers, physicians, non-physician providers, ancillary and support staff, other departments, and patients/families. The APP manages and provides patient care activities for a group of patients and their families through the application of independent judgment, communication, and collaboration with all team members.CRNP, Senior - UPMC Your Care University of Pittsburgh Medical CenterCRNP, Senior - UPMC Your CarePittsburgh, PAul>Ability to establish and maintain positive, caring relationships with executives, managers, physicians, non-physician providers, ancillary and support staff, other departments, and patients/families. Staff/Senior Level: The Staff or Senior Advanced Practice Provider (APP is a Physician Assistant or Certified Registered Nurse Practitioner and a member of the care delivery team.Direct Care Worker MerakeyDirect Care WorkerPAp>The Direct Support Professional (DSP) plays a vital role in enhancing the quality of life for individuals with developmental intellectual or physical disabilities by providing compassionate and personalized support. Benefits: Merakey offers generous benefits that promote well-being, financial security, and work-life balance, including: • Comprehensive medical, dental, and vision coverage, plus access to healthcare advocacy support.Prehospital Care Coordinator (EMT/Paramedic) Allegheny Valley Hospital Highmark IncPrehospital Care Coordinator (EMT/Paramedic) Allegheny Valley HospitalNatrona Heights, PAp>Preferred Bachelors degree in Emergency Medicine Management Education Public Administration or Emergency Management Advanced Cardiac Life Support Instructor Pediatric Advanced Life Support Instructor Basic Life Support Instructor Prehospital or International Trauma Life Support Prehospital or International Trauma Life Support Instructor 5-7 years paramedic or PHRN with progressive managerial responsibilities. Establishes and maintains comprehensive stakeholder relationships with local regional state and federal assets and assists and advises EMS and hospital emergency personnel communications personnel community based organizations and the public on matters pertaining to prehospital medicine.Medical Assistant Certified Senior - Primary Care Mobile Clinic - Pittsburgh - Full Time Highmark IncMedical Assistant Certified Senior - Primary Care Mobile Clinic - Pittsburgh - Full TimePittsburgh, PAli>Newly hired medical assistants must complete training and/or attempt testing within 30 days of hire; newly hired medical assistants must obtain certification within 120 days of hire. In collaboration with the care team nurse, provides follow up with patient at designated intervals via patient preferred method (telephone, electronic, written) in accordance with prescribed provider instructions.123Similar Job SearchesCare Manager JobsDirect Support Professional JobsHealth Services Manager JobsPractice Manager Jobs
Provider Network Advocate University of Pittsburgh Medical CenterProvider Network AdvocatePittsburgh, PAInvestigations and outreach will include provider payment issues, configuration issues, special outreach projects and HEDIS, HCC, CDPS, MA P4P, and CMS Stars improvement initiatives. Purpose: The UPMC Health Plan is looking for someone who enjoys investigating medical claims issues, supporting providers, and build strong partnerships to fill the role of Provider Network Advocate!
Advanced Practice Provider Monogram Health IncAdvanced Practice ProviderPAMonogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patients healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram health takes a comprehensive and personalized approach to a persons health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders.
Provider Contract Analyst Highmark IncProvider Contract AnalystPAThe analyst will be heavily involved in provider-facing activities such as assisting with the Helion Provider Help Desk to answer questions related to Utilization Management and claims processing, collaborating with the development team to draft agreements, and assisting with health plan contract negotiations. 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.
Supervisor Provider Data Quality Management Highmark IncSupervisor Provider Data Quality ManagementPAIn 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. Understanding of software applications used Highmark Wholecare, such as Managed Health Care System, CACTUS, OnBase Document Management and/or OnBase Workflow.
Advanced Practice Provider - Float Monogram Health IncAdvanced Practice Provider - FloatPittsburgh, PAp>Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient's healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram health takes a comprehensive and personalized approach to a person's health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders.
Manager Financial Investigations and Provider Review Highmark IncManager Financial Investigations and Provider ReviewPittsburgh, PAli>3 years" experience in (1) provider overpayment identification and settlement and/or (2) fraud, waste and abuse (FWA) investigations including interactions with federal, state, and local law enforcement and regulatory agencies including negotiating Provider/Facility overpayment settlements and/or (3) audit consulting experience in the healthcare field with strong relationship and project management skills. Strong and effective verbal and written communication skills; Effectively presents complex topics in a concise manner to audiences at various levels and various sizes; Demonstrates the ability to effectively persuade others to listen, commit, and act on a new approach.
NewBehavioral Health Advanced Practice Provider (NP/PA) New Directions Mental HealthBehavioral Health Advanced Practice Provider (NP/PA)Pittsburgh, PA$120,000–$165,000 / yearFull timep>Join us at New Directions Mental Health, a member of Transformations Care Network (TCN), as we embark on an exciting journey to empower Advanced Practice Providers like you in making a difference. Innovative Treatment: In addition to traditional treatment, we are proponents of interventional psychiatry including TMS, Ketamine, Esketamine and your interest is welcome.
Provider Network Advocate - Ancillary Network University of Pittsburgh Medical CenterProvider Network Advocate - Ancillary NetworkPittsburgh, PAp>Purpose: The UPMC Health Plan is seeking a partner to fulfill the role of Provider Network Advocate to support network growth through provider onboarding, network management, and strategic initiatives that enhance provider quality and performance. Investigations and outreach will include provider payment issues, configuration issues, special outreach projects and HEDIS, HCC, CDPS, MA P4P, and CMS Stars improvement initiatives.
Provider Relations Liaison Highmark IncProvider Relations LiaisonWorking at Home, PAAnalyze and develop network retention strategies for follow up services to providers by establishing and maintaining contact and rapport with dental staff members, office managers, insurance coordinators, hygienists and dentists throughout an assigned territory by scheduling face-to-face meetings with dental offices. Communicate and maintain effective working relationships both internally and externally (providers, dental industry, organized dentistry and dental consultants) keeping management informed on related healthcare industry issues/topics.
Provider Network Manager Sr Elevance Health IncProvider Network Manager SrPAp>Minimum requirements: Requires a BA/BS degree and a minimum of 5 years' experience in contracting, provider relations, provider servicing; experience should include prior contracting experience; or any combination of education and experience, which would provide an equivalent background. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
NewNurse Practitioner or Physician Assistant Advanced Practice Provider CORE Occupational MedicineNurse Practitioner or Physician Assistant Advanced Practice ProviderPAp>We are looking for experienced Nurse Practitioners or Physician Assistants (Advanced Practice Providers) to join our team in the Shippingport, PA, area. Our nationwide occupational medicine platform provides the full spectrum of occupational medicine services to numerous Fortune 500 companies and other industry leaders.
NewNurse Practitioner or Physician Assistant (Advanced Practice Provider) CORE LLCNurse Practitioner or Physician Assistant (Advanced Practice Provider)PAp>We are looking for experienced Nurse Practitioners or Physician Assistants (Advanced Practice Providers) to join our team in the Shippingport, PA, area. Our nationwide occupational medicine platform provides the full spectrum of occupational medicine services to numerous Fortune 500 companies and other industry leaders.
Advanced Practice Provider (APP/NP) Monogram Health Professional ServicesAdvanced Practice Provider (APP/NP)Pittsburgh, PA$140,000 / yearPart timep>Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders.
Quality Improvement Provider Strategist - Hybrid University of Pittsburgh Medical CenterQuality Improvement Provider Strategist - HybridPittsburgh, PAThis role integrates quality strategy, analytics, and performance intelligence to translate complex data- including measure specifications and UPMC Health Plans Primary Care Physician value-based quality incentive programs- into clear, actionable strategies that drive consistent and effective execution across the provider network. As the subject matter expert (SME for quality programs such as Medicare Stars, HEDIS, and DHS initiatives, the Quality Improvement Strategist ensures accurate interpretation, alignment, and application across Medicare, Medicaid, and Commercial products.
Provider Integration Consultant Highmark IncProvider Integration ConsultantPittsburgh, PAul>Serve as a Subject Matter Expert to market executives, senior leadership, and matrixed partners to provide project management consultation for provider initiatives, strategy development, and product solutions. 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.
Care Concierge Specialist - Remote tenavistaffingCare Concierge Specialist - RemotePittsburgh, PARemoteThis role serves as a key connection point between members, providers, and health plan operations teams to help ensure a smooth and supportive healthcare experience. The ideal candidate is organized, proactive, and comfortable guiding members through benefits, appointments, referrals, and care coordination needs while delivering a high level of customer service.
Clinical Medical Assistant, Q-Care Penn Highlands HealthcareClinical Medical Assistant, Q-CarePAp>Completion of a Clinical Medical Assistant program or Completion of a Medical Assistant program with eligibility to sit for NCCT certification or NHA certification. Please note We certify through the National Center for Competency Testing NCCT.The web address is www.ncctinc.com.
NewCare Coordinator # 26-14831 US Tech Solutions, Inc.Care Coordinator # 26-14831Pittsburgh, PATo know more about US Tech Solutions, please visit www.ustechsolutions.com . Experience:3+ years of experience in healthcare case management, patient support, care coordination, reimbursement, utilization review, social services, nursing, or related healthcare fields.
NewCare Coordinator #26-15136 US Tech Solutions, Inc.Care Coordinator #26-15136Pittsburgh, PATo know more about US Tech Solutions, please visit www.ustechsolutions.com. Experience:3+ years of experience in healthcare case management, patient support, care coordination, reimbursement, utilization review, social services, nursing, or related healthcare fields.
NewCare Coordinator # 26-14825 US Tech Solutions, Inc.Care Coordinator # 26-14825Pittsburgh, PATo know more about US Tech Solutions, please visit www.ustechsolutions.com . Experience:3+ years of experience in healthcare case management, patient support, care coordination, reimbursement, utilization review, social services, nursing, or related healthcare fields.
NewCare Coordinator # 26-14818 US Tech Solutions, Inc.Care Coordinator # 26-14818Pittsburgh, PA$24–$25 / hourTo know more about US Tech Solutions, please visit www.ustechsolutions.com . Experience:3+ years of experience in healthcare case management, patient support, care coordination, reimbursement, utilization review, social services, nursing, or related healthcare fields.
UM Care Manager (RN University of Pittsburgh Medical CenterUM Care Manager (RNPittsburgh, PACurrent licensure either in the state where the facility is located or, if the facility is in a state covered by the multistate Nursing Licensure Compact (NLC agreement, a multistate license issued by a participating NLC state. Hires and current employees working on an out-of-state NLC license who later change their residency to the state where the facility is also located will have 60 days upon changing their residency to apply for licensure within that state.
Customer Service Representative- Health Care Concierge - Must be located in Pittsburgh, or Surrounding Area University of Pittsburgh Medical CenterCustomer Service Representative- Health Care Concierge - Must be located in Pittsburgh, or Surrounding AreaPittsburgh, PAp>This is a high‑volume, 100% phone‑based role where you'll spend your entire scheduled shift assisting members back‑to‑back in a highly technical, fast‑paced call center environment providing clear, compassionate, and knowledgeable support. Holiday Coverage: Availability to work certain holidays is required, including New Year's Day and Martin Luther King Jr.
PATIENT SERVICES ASSOCIATE - PRIMARY CARE GROVE CITY Independence Health SystemPATIENT SERVICES ASSOCIATE - PRIMARY CARE GROVE CITYGrove City, PAActively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below.
PATIENT SERVICES ASSOCIATE - PRIMARY CARE ZELIENOPLE Independence Health SystemPATIENT SERVICES ASSOCIATE - PRIMARY CARE ZELIENOPLEPAp>Actively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below.
Patient Care Technician - PCT Fresenius Medical CarePatient Care Technician - PCTAliquippa, Pennsylvaniaul>Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization Quality Enhancement Goals (QEP).
REGISTERED NURSE RN FLOAT POOL (CRITICAL CARE) Independence Health SystemREGISTERED NURSE RN FLOAT POOL (CRITICAL CARE)PAp>• Working alone - N/A • Working in cramped quarters - OCCASIONAL • Constant interruptions - FREQUENT • Working with hands in water - FREQUENT • Use of power tools - N/A • Working on ladders/scaffolding - N/A • Exposure to vibration - N/A • Exposure to dust - N/A • Exposure to noise(constant) - OCCASIONAL • Exposure to electrical energy(outlets, etc) - N/A • Exposure to temperature changes(heat, cold, humidity), that require special clothing - N/A • Exposure to slippery walking surfaces - OCCASIONAL • Exposure to solvents, grease, oils - N/A • Exposure to radiant energy, i.e. computer terminal (more than 4 hours per shift) - FREQUENT • Working with bloodborne pathogens - FREQUENT. Medium 3.6 - 6.3 House work (mopping, scrubbing), health club exercising, treadmill work, stretching, yoga, walk/run-play with children, aerobic class, dancing, carrying bucket/wood, auto body repair, shoveling snow, golf (carrying clubs).
Primary Care Sales Representative - Pittsburgh, PA IQVIA Holdings IncPrimary Care Sales Representative - Pittsburgh, PAPittsburgh, PA$100,000–$120,000 / yearContinuously enhance understanding of customer needs, market landscape, competitors, segments, account dynamics, disease areas, product knowledge, clinical insights, and sales expertise; share relevant market intelligence with field teams, brand team, and sales management to foster alignment, anticipate market changes, and refine brand strategy and execution. Demonstrated history of success in sales within relevant therapeutic areas; prior experience in pharmaceutical industry roles such as physician/account-based selling, training, managed health care, specialty pharmacy, or marketing is preferred.
LPN - PRIMARY CARE SLIPPERY ROCK Independence Health SystemLPN - PRIMARY CARE SLIPPERY ROCKPAul>Actively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice.
LPN - PRIMARY CARE - ZELIENOPLE Independence Health SystemLPN - PRIMARY CARE - ZELIENOPLEPAul>Actively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice.
Behavioral Health UM Care Manager (RN - Part Time University of Pittsburgh Medical CenterBehavioral Health UM Care Manager (RN - Part TimePittsburgh, PAp>The Utilization Management (UM Care Manager is responsible for utilization review of health plan services and assessment of member's barriers to care, as well as actively working with providers and assessing members to ensure a safe and coordinated discharge from an inpatient setting. Current licensure either in the state where the facility is located or, if the facility is in a state covered by the multistate Nursing Licensure Compact (NLC agreement, a multistate license issued by a participating NLC state.
Pharmaceutical Sales Rep - Primary Care (Entry Level) Pharmagen IncPharmaceutical Sales Rep - Primary Care (Entry Level)Pittsburgh, PA$84,150–$109,700 / yearli>Calling on territory healthcare providers and informing those healthcare providers about the features and benefits of our products, explaining the characteristics, uses, dosages, value add programs for our HCP's and their patients as well as the ability to effectively communicate other relevant educational information as directed by management in order to grow market share; Consistently develop a partnership selling style that includes an ability to use all available promotional literature and selling tools (excel based reports, market share & usage reports, etc,) during sales calls as assigned; Educate, develop and maintain strong relationships with assigned territory healthcare providers and their staff, to further the progress of the company business; Pharmaceutical Sales Rep QUALIFICATIONS: Must be authorized to be employed in the United States. PharmaGen is healthcare leader in Pharmaceutical Sales Rep management, product launches, clinical communication, scientific marketing, Pharmaceutical Rep services, Contract Sales Organizational implementation, physician detailing, as well as clinical and packaging services.
EMERGENCY CARE TECH - EMERGENCY DEPARTMENT Independence Health SystemEMERGENCY CARE TECH - EMERGENCY DEPARTMENTPAIf no phlebotomy training upon hire, must successfully complete on the job phlebotomy training including a minimum of 100 successful blood draws by completion of the introductory period. Responsible to safely access, transport, and handle single dose medications to include prescription and non-prescription medications.
CARE SUPPORT SPECIALIST - FASTERCARE BUTLER CASUAL Independence Health SystemCARE SUPPORT SPECIALIST - FASTERCARE BUTLER CASUALSlippery Rock, PAActively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below.
PA or CRNP (ACNP, Night - Critical Care Medicine - Neurovascular ICU University of Pittsburgh Medical CenterPA or CRNP (ACNP, Night - Critical Care Medicine - Neurovascular ICUPittsburgh, PAp>OAPP: If practicing in an outpatient or other non-inpatient setting, APPs can use one of the certifications above or use a business unit approved certification which is relevant, and value added to the practice setting. Ability to establish and maintain positive, caring relationships with executives, managers, physicians, non-physician providers, ancillary and support staff, other departments, and patients/families.
PA or CRNP, Western Psych Hospital - Primary Care University of Pittsburgh Medical CenterPA or CRNP, Western Psych Hospital - Primary CarePittsburgh, PAul>Ability to establish and maintain positive, caring relationships with executives, managers, physicians, non-physician providers, ancillary and support staff, other departments, and patients/families. Staff/Senior Level: The Staff or Senior Advanced Practice Provider (APP is a Physician Assistant or Certified Registered Nurse Practitioner and a member of the care delivery team.
PA or CRNP (ACNP, Critical Care Medicine - UPMC Children's Hospital of Pittsburgh University of Pittsburgh Medical CenterPA or CRNP (ACNP, Critical Care Medicine - UPMC Children's Hospital of PittsburghPittsburgh, PAAbility to establish and maintain positive, caring relationships with executives, managers, physicians, non-physician providers, ancillary and support staff, other departments, and patients/families. The APP manages and provides patient care activities for a group of patients and their families through the application of independent judgment, communication, and collaboration with all team members.
Part-Time PA or CRNP (ACNP, Night - Staff or Senior - Critical Care Medicine - Trauma ICU University of Pittsburgh Medical CenterPart-Time PA or CRNP (ACNP, Night - Staff or Senior - Critical Care Medicine - Trauma ICUPittsburgh, PAli>OAPP: If practicing in an outpatient or other non-inpatient setting, APPs can use one of the certifications above or use a business unit approved certification which is relevant, and value added to the practice setting. Ability to establish and maintain positive, caring relationships with executives, managers, physicians, non-physician providers, ancillary and support staff, other departments, and patients/families.
PA or CRNP (ACNP, Nights - Critical Care Medicine - UPMC Children's Hospital of Pittsburgh University of Pittsburgh Medical CenterPA or CRNP (ACNP, Nights - Critical Care Medicine - UPMC Children's Hospital of PittsburghPittsburgh, PAul>Ability to establish and maintain positive, caring relationships with executives, managers, physicians, non-physician providers, ancillary and support staff, other departments, and patients/families. The APP manages and provides patient care activities for a group of patients and their families through the application of independent judgment, communication, and collaboration with all team members.
CRNP, Senior - UPMC Your Care University of Pittsburgh Medical CenterCRNP, Senior - UPMC Your CarePittsburgh, PAul>Ability to establish and maintain positive, caring relationships with executives, managers, physicians, non-physician providers, ancillary and support staff, other departments, and patients/families. Staff/Senior Level: The Staff or Senior Advanced Practice Provider (APP is a Physician Assistant or Certified Registered Nurse Practitioner and a member of the care delivery team.
Direct Care Worker MerakeyDirect Care WorkerPAp>The Direct Support Professional (DSP) plays a vital role in enhancing the quality of life for individuals with developmental intellectual or physical disabilities by providing compassionate and personalized support. Benefits: Merakey offers generous benefits that promote well-being, financial security, and work-life balance, including: • Comprehensive medical, dental, and vision coverage, plus access to healthcare advocacy support.
Prehospital Care Coordinator (EMT/Paramedic) Allegheny Valley Hospital Highmark IncPrehospital Care Coordinator (EMT/Paramedic) Allegheny Valley HospitalNatrona Heights, PAp>Preferred Bachelors degree in Emergency Medicine Management Education Public Administration or Emergency Management Advanced Cardiac Life Support Instructor Pediatric Advanced Life Support Instructor Basic Life Support Instructor Prehospital or International Trauma Life Support Prehospital or International Trauma Life Support Instructor 5-7 years paramedic or PHRN with progressive managerial responsibilities. Establishes and maintains comprehensive stakeholder relationships with local regional state and federal assets and assists and advises EMS and hospital emergency personnel communications personnel community based organizations and the public on matters pertaining to prehospital medicine.
Medical Assistant Certified Senior - Primary Care Mobile Clinic - Pittsburgh - Full Time Highmark IncMedical Assistant Certified Senior - Primary Care Mobile Clinic - Pittsburgh - Full TimePittsburgh, PAli>Newly hired medical assistants must complete training and/or attempt testing within 30 days of hire; newly hired medical assistants must obtain certification within 120 days of hire. In collaboration with the care team nurse, provides follow up with patient at designated intervals via patient preferred method (telephone, electronic, written) in accordance with prescribed provider instructions.