Operations Jobs in Pittsburgh

17,196 Job Information Deloitte Conversational AI and VUI Designer, Consultant - Applied Artificial Intelligence in Pittsburgh Pennsylvania Conversational AI and VUI Designer, Consultant - Applied Artificial Intelligence Limited immigration sponsorship may ..

Job Information Humana Inbound Contact Rep 2 - English OR Bilingual English and Spanish in Pittsburgh Pennsylvania Description The Inbound Contacts Representative 2 represents the company by addressing incoming telephone, digital, ..

Description The Consumer Service Operations Representative 3 is responsible for the daily activities across multiple service functions area, including but not limited to mobile touch point locations in the various markets. ..

Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..

Job Information Humana Social Media Representative 3 - Remote in US in Pittsburgh Pennsylvania Description The Social Media Representative 3 protects company's brand image by monitoring and addressing social media comments ..

Description The Supervisor, Grievances & Appeals manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if a grievance, appeal, or further request is warranted ..

Description The Outbound Contacts Representative 3 represents the company by making outbound contacts to members and/or providers regarding a variety of issues. The Outbound Contacts Representative 3 performs advanced administrative/operational/customer support ..

Description The Bilingual Claims Research and Resolution Representative 2 address customer needs which may include complex financial recovery questions, and resolving issues. Records details of inquiries, comments or complaints, transactions or ..

Job Information Humana Manager, Specialty Pharmacy Sales in Pittsburgh Pennsylvania Description The Manager, Pharmacy Sales - Specialty leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' ..

Description The Supervisor, Grievances & Appeals manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Supervisor, Grievances & Appeals ..

Description The Subrogation Professional 2 iIdentifies, investigates, and collects recoveries from third parties who are legally responsible for paying all or part of medical expenditures for an organization that provides health ..

Description The Supervisor, Grievances & Appeals manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Supervisor, Grievances & Appeals ..

Job Information Humana Supervisor, Grievances & Appeals - Remote, EST or CST in Pittsburgh Pennsylvania Description The Supervisor, Grievances & Appeals manages client medical denials by conducting a comprehensive analytic review ..

Description The Bilingual Claims Research and Resolution Representative 2 address customer needs which may include complex financial recovery questions, and resolving issues. Records details of inquiries, comments or complaints, transactions or ..

Description The Inbound Contacts Representative 1 (Go365 Calls Rep) represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 1 performs operational/customer support/computational tasks. Typically works ..

Job Information Humana Senior Clinic Emerging Markets Trainer, Merger & Acquisition - Remote in Pittsburgh Pennsylvania Description The Senior Clinic Emerging Markets Trainer creates and implements processes and programs to ensure ..

Job Information PNC Bilingual English/Spanish Remote Mortgage Loan Processor Senior in Pittsburgh Pennsylvania Job Profile Position Overview At PNC, our people are our greatest differentiator and competitive advantage in the markets ..

Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Humana, we want to help people everywhere, ..

Job Information Humana Oncology Market Director in Pittsburgh Pennsylvania Description The Market Director, Oncology leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' prescriptions to Humana ..