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Provider Transformation Specialist

Highmark Health
Delaware, OH
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at Highmark Health in Dover, Delaware, United States Company : Highmark Inc. ...
Details
Summary
About the job:
: JOB SUMMARY - This is a hybrid role requiring 3 days a week in office or at provider sites. This role supports the Southeastern PA market ( SEPA ) and will require local travel.** This job is directly responsible for outcomes of providers contracted in the Organization’s gain/risk share arrangements and is a highly skilled expert in practice transformation to achieve the specific targets set in the individual gain/risk share contracts and is strategically focused on those data gaps that will result in the greatest...
Location:
Delaware, OH
Job Type:
Full-Time
Permanent
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
apply
Detailed Job Information

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
apply
Detailed Job Information

Supervisor Intake Coordination

Highmark Health
Delaware, OH
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at Highmark Health in Dover, Delaware, United States Company : Highmark Inc. ...
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Summary
About the job:
: JOB SUMMARY This job supervises and coordinates the day to day activities of the UM Intake Coordination team. The incumbent selects, develops and continuously coaches staff to the highest levels of performance. Motivates and team builds through the creation of a work environment and conditions that contribute to highest levels of performance. ESSENTIAL RESPONSIBILITIES + Perform management responsibilities including, but limited to: involved in hiring and termination decisions, coaching and development, rewards and...
Location:
Delaware, OH
Job Type:
Full-Time
Permanent
Occupation:
First-Line Supervisors of Office and Administrative Support Workers
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
Certifications / Licenses:
National Committee for Quality Assurance
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

DesignOps Manager

Highmark Health
Delaware, OH
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at Highmark Health in Dover, Delaware, United States Company : Highmark ...
Details
Summary
About the job:
Health : JOB SUMMARY This is a 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...
Location:
Delaware, 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
Certified Scrum Master
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information

Lead Customer Service Representative

Highmark Health
Columbus, OH
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**Company :**Highmark Inc.**Job Description :****JOB SUMMARY**This job ...
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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

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

Supervisor Intake Coordination

Highmark Health
Columbus, OH
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**Company :**Highmark Inc.**Job Description :****JOB SUMMARY**This job ...
Details
Summary
About the job:
supervises and coordinates the day to day activities of the UM Intake Coordination team. The incumbent selects, develops and continuously coaches staff to the highest levels of performance. Motivates and team builds through the creation of a work environment and conditions that contribute to highest levels of performance.**ESSENTIAL RESPONSIBILITIES**+ Perform management responsibilities including, but limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
First-Line Supervisors of Office and Administrative Support Workers
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
Certifications / Licenses:
National Committee for Quality Assurance
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

Dental Network Service Representative

Highmark Health
Delaware, OH
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at Highmark Health in Dover, Delaware, United States Company : United ...
Details
Summary
About the job:
Concordia Dental : JOB SUMMARY - Due to Department of Defense ( DOD ) contract requirements, the incumbent who fills this position must be a US citizen and must also pass a background check. ******* This job services United Concordia Dental’s (UCD’s) clients by recruiting, training and servicing quality dental networks in assigned territory in a remote and mobile work environment. Manage network contracts including negotiations, contract development/renewal and financial reimbursement. Meet with dentists and office...
Location:
Delaware, OH
Job Type:
Full-Time
Permanent
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
apply
Detailed Job Information

Intake Coordinator

Highmark Health
Columbus, OH
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**Company :**Highmark Inc.**Job Description :****JOB SUMMARY**This job ...
Details
Summary
About the job:
captures all inbound requests for utilization review from providers and pharmacies. The incumbent assesses the request, conducts all necessary research such as verifying benefit coverage for the patient, and then creates the case (data entry) in Highmark's utilization management system for clinical review. Ensures all accurate information is entered at the onset of the process to ensure adherence to all regulatory compliance requirements and service level agreements. The requests may come via fax or phone, and at times may...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
First-Line Supervisors of Office and Administrative Support Workers
Career Level / Education:
High school diploma or equivalent
Salary:
Middle Income Jobs ($30K-$49K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
3
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information
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