Florida, Camagüey, Cuba · Remote OK
$19/hr–$27/hr
Company :Highmark Inc.Job Description : JOB SUMMARY This position coordinates member and provider outreach activities. The role focuses on completing non‑clinical tasks, including prescriber office outreach, benefits inv…
Skills: Medical Terminology, Pharmaceutical Terminology, Verbal Communication, Written Communication, Organization
Phoenix, Arizona, United States · On-site
$100k–$150k/yr
About the Role: Procures, engages, and reviews complex and non-complex commercial valuation products delivered to the bank to ensure compliance with USPAP, FIRREA, IAEG, and Columbia Bank policy. Communicates with partne…
Skills: Commercial Appraisal Review, USPAP Compliance, FIRREA Regulations, IAEG Guidelines, Collateral Risk Management
Washington, District of Columbia, United States · Remote OK
$85k–$105k/yr
Company Overview At Motorola Solutions, we believe that everything starts with our people. We’re a global close-knit community, united by the relentless pursuit to help keep people safer everywhere. We build and connect …
Skills: Channel Management, Enterprise Software Sales, Salesforce.com, Sandler Selling Process, Strategic Planning
Washington, District of Columbia, United States · Hybrid
$55k–$105k/yr
Summary We are currently hiring a Medical Affairs Coordinator at one of our subsidiary companies called CGS Administrators. CGS has been a proven provider of administrative and business services for state Medicaid agenci…
Skills: Medical Record Review, Policy Analysis, Clinical Expertise, Managed Care, Claims Management
Washington, District of Columbia, United States · Remote OK
$85k–$110k/yr
Company Overview At Motorola Solutions, we believe that everything starts with our people. We’re a global close-knit community, united by the relentless pursuit to help keep people safer everywhere. We build and connect …
Skills: Presales Engineering, Solutions Architecture, Land Mobile Radio, LTE, IP Networking
Washington, District of Columbia, United States · Remote OK
$81k–$108k/yr
External candidates: In order for your application to be correctly processed please sign-in before you apply Internal candidates: Please go to Workday and click "Find Jobs" link under Career Thank you for considering opp…
Skills: Casualty Claims Management, Litigation Management, Negotiation, Coverage Determination, Subrogation
Washington, District of Columbia, United States · Remote OK
$41/hr–$54/hr
External candidates: In order for your application to be correctly processed please sign-in before you apply Internal candidates: Please go to Workday and click "Find Jobs" link under Career Thank you for considering opp…
Skills: Java, Spring Boot, Python, NodeJS, AWS
Washington, District of Columbia, United States · Remote OK
$90k–$120k/yr
External candidates: In order for your application to be correctly processed please sign-in before you apply Internal candidates: Please go to Workday and click "Find Jobs" link under Career Thank you for considering opp…
Skills: Systems Analysis, Data Mapping, SQL, Master Data Management, Agile Methodology
Washington, District of Columbia, United States · Remote OK
$123k–$164k/yr
External candidates: In order for your application to be correctly processed please sign-in before you apply Internal candidates: Please go to Workday and click "Find Jobs" link under Career Thank you for considering opp…
Skills: GLM, Statistical Analysis, SQL, R, Python
Washington, District of Columbia, United States · Remote OK
$70k–$80k/yr
Job Description: Read this part first This is a role for someone who wants to own client success and directly drive retention and revenue. We are looking for an Account Manager to manage a premier book of business and en…
Skills: Account Management, Client Retention, Revenue Growth, Campaign Management, Performance Analysis
Washington, District of Columbia, United States · Remote Solely
$174k–$375k/yr
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate…
Skills: Utilization Review, Medical Policy Implementation, Prior Authorization, Clinical Coding, Reimbursement Expertise
Phoenix, Arizona, United States · Remote OK
$87k–$173k/yr
Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnost…
Skills: Strategic Relationship Management, Value-Based Solution Selling, Distribution Partnership Management, Financial Acumen, Negotiation Skills
Hartford, Connecticut, United States · Remote OK
$17/hr–$31/hr
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate…
Skills: Medical Claims Processing, Root Cause Analysis, Excel, Data Analysis, Aetna Claim Systems
Hartford, Connecticut, United States · Remote OK
$17/hr–$31/hr
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate…
Skills: Medical Claims Processing, Root Cause Analysis, Excel, Data Analysis, Billing
Washington, District of Columbia, United States · On-site
$79k–$171k/yr
Machinery Diagnostics Field Engineer / Rotating Equipment Field Engineer Are you a Field Engineer looking for a new opportunity? Do you want to join the Cordant team? Cordant from Baker Hughes, offers a plant-wide, holis…
Skills: Vibration Analysis, Rotating Machinery Diagnostics, Rotordynamic Analysis, Predictive Maintenance, Machinery Balancing
Washington, District of Columbia, United States · Remote OK
$180k–$200k/yr
Company Overview At Motorola Solutions, we believe that everything starts with our people. We’re a global close-knit community, united by the relentless pursuit to help keep people safer everywhere. We build and connect …
Skills: Program Capture, Relationship Building, Requirements Shaping, Strategic Pursuits, Market Intelligence
Los Angeles, California, United States · Hybrid
About the team The Customer Support team at Rippling is a dedicated group of professionals committed to ensuring that our customers have a seamless experience with our robust Finance, HR, and IT platform. Our team provid…
Skills: Customer Support, Problem Solving, Troubleshooting, SaaS, Time Management
Los Angeles, California, United States · Hybrid
About the team The Customer Support team at Rippling is a dedicated group of professionals committed to ensuring that our customers have a seamless experience with our robust Finance, HR, and IT platform. Our team provid…
Skills: Problem-solving, Attention to detail, Time management, Prioritization, Written communication
Washington, District of Columbia, United States · Remote OK
$75k–$100k/yr
Labcorp is a global leader in laboratory services, providing the insights and answers that help healthcare providers, patients, researchers, pharmaceutical companies and health systems make confident decisions and improv…
Skills: Outside Sales, Consultative Selling, Scientific Acumen, Territory Strategy, Business Development
Washington, District of Columbia, United States · Hybrid
$24/hr–$30/hr
Anticipated End Date: 2026-08-17 Position Title: Wellness & Recovery Specialist Job Description: Wellness & Recovery Specialist Shift: Monday- Friday Location: Virtual: Must live in Nevada or Washington state This role e…
Skills: Care Coordination, Care Management, Psychiatric Discharge Planning, Member Advocacy, Problem Solving
Sign up with Clera and we'll reach out the moment a role actually fits you — no more spraying applications into the void.
Coordinates member and provider outreach to gather non-clinical information, including benefits investigations and formulary research. Acts as a liaison between members, providers, and pharmacy teams to ensure accurate documentation and timely case processing.
Requires a High School diploma, CPhT certification, and registration as a Pharmacy Technician in Pennsylvania or another applicable state. Candidates must have at least 2 years of patient-facing experience in a hospital, retail, or managed care setting.
JOB SUMMARY
This position coordinates member and provider outreach activities. The role focuses on completing non‑clinical tasks, including prescriber office outreach, benefits investigations, and formulary research to ensure timely, accurate information gathering and communication.
ESSENTIAL RESPONSIBILITIES
EXPERIENCE
Required
Preferred
SKILLS
EDUCATION
Required
Preferred
LICENSES or CERTIFICATIONS
Required
Preferred
Language (Other than English):
None
Travel Requirement:
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office- or Remote-based
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)
Never
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.
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 any category protected by applicable federal, state, or local law.
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 the email below.
For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Our mission is to create a remarkable health experience, freeing people to be their best.
Allegheny Health Network is an integrated health care delivery system serving the greater Western Pennsylvania region. More than 2,600 physicians and 21,000 employees serve the system's 16 hospitals as well as its ambulatory medical and surgery centers, Health + Wellness Pavilions, and hundreds of physician practice locations. AHN is a proud part of Highmark Health.
Offices: 4800 Friendship Ave, Pittsburgh, Pennsylvania 15224, US · 2570 Haymaker Rd, Monroeville, Pennsylvania 15146, US · 320 E North Ave, Pittsburgh, Pennsylvania 15212, US · 12351 Perry Hwy, Wexford, Pennsylvania 15090, US · 1301 Carlisle St, Natrona Heights, Pennsylvania 15065, US
