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Sales Support Undergraduate Intern

Highmark Health
Columbus, OH
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**Company :**United Concordia Dental**Job Description :****SUMMARY OF JOB ...
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Summary
About the job:
RESPONSIBILITIES**This job has the goal of providing the opportunity to acquire practical experience through direct exposure to the related business line(s) and to develop the next generation of diverse business professionals. To that end, the program will provide hands-on training and experience in the business line, expose the various career opportunities in the business line and related areas, and prepare participants for positions in the business.Typical responsibilities include, providing services to the day-to-day...
Location:
Columbus, OH
Job Type:
Part-Time
Full-Time
Internship
Occupation:
Business Operations Specialists, All Other
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
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Detailed Job Information

Product Evaluation Research Manager

Highmark Health
Columbus, OH
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**Company :**Highmark Health**Job Description :****JOB SUMMARY*****If living ...
Details
Summary
About the job:
within a 50 mile radius of a Highmark location (PA, DE, WV or NY) this is hybrid role in office 3 days a week.**This role is part of the Solutions Insights and Validation (SIV) team within the larger Product and Health Experience (PHE) organization. PHE aims to deliver exceptional health experiences through user-friendly products and solutions using the power of data and innovative features to engage customers and clinicians. This role oversees the design and execution of Measurement and Evaluation Plans (MEPs) for...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Market Research Analysts and Marketing Specialists
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
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Detailed Job Information

Lead Customer Service Representative

Highmark Health
Columbus, OH
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**Company :**Highmark Inc.**Job Description :****JOB SUMMARY**This job ...
Details
Summary
About the job:
handles customer inquiries by telephone and/or email and/or in person from individual members, groups, providers and brokers in a customer service center. Troubleshoots and resolves customer complaints. Ensures that responses to inquiries are completed timely and according to established service and quality standards. Typically acts as a lead (e.g. provides subject-matter direction to and assists in orienting and training other representatives).**ESSENTIAL RESPONSIBILITIES**+ Resolve customer inquiries and complaints via...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Customer Service Representatives
Career Level / Education:
High school diploma or equivalent
Salary:
Middle Income Jobs ($30K-$49K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

Program Manager

Highmark Health
Columbus, OH
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**Company :**Highmark Health**Job Description :****GENERAL OVERVIEW**This ...
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Summary
About the job:
job is responsible for the successful definition, implementation and delivery of complex programs that requires cross-functional collaboration and interdependencies between a group of projects and/or related activities within the constraint of scope, quality, time and budget and under circumstances involving multiple moderate-probability, moderate-impact risk factors. Manages a matrix group of employees and contractors who serve on project teams and/or within departmental work groups to achieve a coordinated...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Information Technology Project Managers
Career Level / Education:
High school diploma or equivalent
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
Project Management Professional
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information

Associate Hierarchical Condition Category (HCC) Coding Specialist

Highmark Health
Columbus, OH
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**Company :**Highmark Inc.**Job Description :****JOB SUMMARY**This job will ...
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Summary
About the job:
deliver value to the Health Plan and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and/or Affordable Care Act (ACA) using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, and Centers for Medicare and Medicaid Services (CMS) coding guidelines. Works closely with team members, and leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Medical Records Specialists
Career Level / Education:
Postsecondary nondegree award
Salary:
Middle Income Jobs ($30K-$49K)
Certifications / Licenses:
Certified Rehabilitation Counselor
ICD-10 / ICD-9
Certified Coding Specialist
Registered Health Information Technician
Certified Radiology Coder
Certified Professional Coder
Workkeys
Applied Math
3
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

Senior Hierarchical Condition Category (HCC) Coding Specialist

Highmark Health
Columbus, OH
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**Company :**Highmark Inc.**Job Description :****JOB SUMMARY**This job will ...
Details
Summary
About the job:
deliver value to the Health Plan and its beneficiaries enrolled in risk-adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA) through Hierarchical Condition Category (HCC) coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and support of Risk Adjustment Data Validation (RADV) audits. Works closely with colleagues, leadership, enterprise matrix partners (such as quality and compliance), and/or...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Medical Records Specialists
Career Level / Education:
Postsecondary nondegree award
Salary:
Upper Middle Income Jobs ($50K-$79K)
Certifications / Licenses:
ICD-10 / ICD-9
Certified Radiology Coder
Certified Professional Coder
Certified Coding Specialist
Registered Health Information Technician
Certified Rehabilitation Counselor
Workkeys
Applied Math
3
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

Business Process Analyst - Data and Operations

Highmark Health
Columbus, OH
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**Company :**Highmark Health**Job Description :****JOB SUMMARY**This job ...
Details
Summary
About the job:
provides expertise for standard to moderately complex problem solving and in-depth understanding of system functionality. The incumbent reviews significant amounts of information and analyzes processes to support business unit needs. May troubleshoot errors, conduct impact analyses, and/or solve data rejection. Performs business analyses in one or more operational areas. Identifies process gaps and recommends process improvements for efficiencies. May provide guidance to Associate level employees.**ESSENTIAL...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

Lead Network Support Representative

Highmark Health
Columbus, OH
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**Company :**Helion**Job Description :****JOB SUMMARY**This role provides ...
Details
Summary
About the job:
new and existing customers with the best possible service related to help desk inquiries, service requests, billing inquiries and other customer requests. Determines whether to return, deny or pay claims following organizational policies and procedures. Provides direction on corrective actions needed including but not limited to processed claims, using enrollment, benefit and historical claim processing information. This job will perform post-payment reviews and advise on corrective adjustments as deemed appropriate....
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Customer Service Representatives
Career Level / Education:
Associate's degree
Salary:
Upper Middle Income Jobs ($50K-$79K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

Manager Data Analysis & Testing - Medicaid Segment

Highmark Health
Columbus, OH
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**Company :**enGen**Job Description :****JOB SUMMARY**The job understands ...
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Summary
About the job:
healthcare data end-to-end and oversees the analysis and delivery of analytic data for the enterprise. The incumbent is responsible for the scope, planning, and delivery of analytic data efforts for Enterprise Analytics. Understands healthcare data from end-to-end and the analysis, testing and delivery needs of analytic data for the Organization. Oversees requirements solicitation, and testing of analytic delivery systems and collaborates with engineering and quality teams on cross-functional efforts, in this role the...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

DesignOps Manager

Highmark Health
Columbus, OH
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**Company :**Highmark Health**Job Description :****JOB SUMMARY*****This is a ...
Details
Summary
About the job:
hybrid role requiring 3 days a week in office if living within a 50 mile radius of a hub office located in PA, WV, DE or NY**This job is part of the Product and Health Experience team and will be a champion for the research- and design-driven and human-centered methods. Our Research and Design Organization exists to gain a deep understanding of the human behaviors, challenges, needs, and unmet needs of those providing, supporting, and receiving care. We use that understanding to lead cross-functional, participatory...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Architectural and Engineering Managers
Career Level / Education:
High school diploma or equivalent
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
Project Management Professional
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information
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