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Client Advising Consultant

Highmark Inc.
Philadelphia, PA
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Company : Highmark Inc. Job Description : JOB SUMMARY This job works in ...
Details
Summary
About the job:
close partnership with sales, marketing and product management to drive purchase and/or adoption of innovative Organization products and services (i.e. spending account, transparency, value based benefits, clinical platform, health advocate, etc). The incumbent plans and delivers client presentations in conjunction with sales, works with marketing and product to understand product positioning vs. competitors, messaging, features – and works consultatively with clients to meet their wants and needs. Additionally, for large...
Location:
Philadelphia, PA
Job Type:
Full-Time
Permanent
Occupation:
Market Research Analysts and Marketing Specialists
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
6
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

Senior CRM Analyst

Highmark Inc.
Pittsburgh, PA
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Company : Highmark Inc. Job Description : JOB SUMMARY This job is ...
Details
Summary
About the job:
responsible for a variety of facets of managing the customer Relationship Management (CRM) Tool and processes used by the Sales team. Ensures Sales Staff is set-up and trained in the use of the CRM tool, and drives usage and overall effectiveness of the tool. This job can expect to evolve over time as CRM technology advances. The incumbent reports to the leader of Sales Enablement. ESSENTIAL RESPONSIBILITIES - Maintain user access to the CRM tool ensuring roles and profiles are set-up and assigned correctly, as well as creating...
Location:
Pittsburgh, PA
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

Senior Risk Partner - Compliance Officer

Highmark Inc.
Parkersburg, WV
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Company : Highmark Inc. Job Description : JOB SUMMARY This job is ...
Details
Summary
About the job:
responsible for planning, designing, implementing, and maintaining the Compliance Program and its related policies to ensure the business acts within the parameters of federal and state laws, regulations, and regulatory guidance. The incumbent is also responsible for the administration, interpretation, and enforcement of the Compliance Program including auditing/monitoring operational processes, conducting or overseeing compliance investigations, and ensuring that adequate training takes place under the Compliance Program. In...
Location:
Parkersburg, WV
Job Type:
Part-Time
Full-Time
Permanent
Occupation:
Compliance Managers
Career Level / Education:
High school diploma or equivalent
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
Certified Facilities Executive
Certified Fraud Examiner
Certified Compliance And Ethics Professional
Workkeys
Applied Math
4
Graphic Literacy
5
Workplace Documents
6
apply
Detailed Job Information

Medical Director, Highmark Health Options (West Virginia)

Highmark Inc.
West Virginia
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Company : Highmark Inc. Job Description : JOB SUMMARY This job plays a ...
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Summary
About the job:
crucial role in the corporation’s success and works closely with all divisions and departments within the corporate structure to provide clinical consultation and support with regard to program development, compliance with accepted medical standards, and practitioner/provider education. The incumbent is an integral part of the utilization management team and assists utilization management staff by direct supervision or as otherwise appropriate to ensure delivery of quality and cost–effective care, member/provider...
Location:
West Virginia
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
Board Certified
Accredited Management Accountant
Total Quality Management certification
Medical License
National Committee for Quality Assurance
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information

Clinical Strategy Consultant

Highmark Inc.
Pittsburgh, PA
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Company : Highmark Inc. Job Description : JOB SUMMARY *This is a hybrid role ...
Details
Summary
About the job:
requiring 3 days a week in office (Camp Hill or Pittsburgh) This job supports the acquisition of new accounts and retention of existing accounts by working directly with client managers within national and regional markets. The incumbent is primarily accountable for the delivery of clinical analysis and strategies for Highmark customers, including healthcare consultants and brokers. Provides and interprets client specific clinical data to facilitate the sale and implementation of optimal clinical interventions that...
Location:
Pittsburgh, PA
Job Type:
Full-Time
Permanent
Occupation:
Sales Representatives, Wholesale and Manufacturing, Technical and Scientific Products
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
5
apply
Detailed Job Information

None Specified

Highmark Inc.
Pittsburgh, PA
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Company : Highmark Health Job Description : JOB SUMMARY This job performs ...
Details
Summary
About the job:
financial and business related research and analysis such as the preparation of forecasts and/or analysis of financial reports, records and trends; develops and maintains spreadsheets and databases to facilitate analysis and reporting; and is responsible for conducting and documenting financial analysis projects. ESSENTIAL RESPONSIBILITIES - Communicate effectively. Display effective communication skills. - Coordinate with other departments, locations, and divisions. - Communicate with other departments and/or outside...
Location:
Pittsburgh, PA
Job Type:
Full-Time
Permanent
Occupation:
Financial and Investment Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
5
Graphic Literacy
5
Workplace Documents
4
apply
Detailed Job Information

Manager Provider Relations

Highmark Inc.
West Virginia
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Company : Highmark Inc. Job Description : JOB SUMMARY This job manages a ...
Details
Summary
About the job:
team of provider relations’ representatives and staff to provide high quality service to providers participating in the organization’s network. The incumbent motivates a team through the creation of a work environment that fosters a service-driven approach. The incumbent is accountable for developing positive and strategic relationships with providers and community partners and serves as the point of contact for the department. ESSENTIAL RESPONSIBILITIES - Manage team of provider relations representatives and support...
Location:
West Virginia
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
High school diploma or equivalent
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Risk Partner-Commercial

Highmark Inc.
Pittsburgh, PA
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Company : Highmark Inc. Job Description : JOB SUMMARY This job is ...
Details
Summary
About the job:
responsible for implementing, executing and maintaining the Compliance Program and its related policies to ensure the businesses act within the parameters of federal and state laws, regulations, and regulatory guidance. The incumbent is also responsible for the administration, interpretation, and enforcement of the Compliance Program including auditing/monitoring operational processes, conducting or overseeing compliance investigations, and ensuring that adequate training takes place under the Compliance Program. In this...
Location:
Pittsburgh, PA
Job Type:
Full-Time
Permanent
Occupation:
Compliance Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
Certified Fraud Examiner
Certified Financial Examiner
Certified Public Accountant
Certified Internal Auditor
Workkeys
Applied Math
4
Graphic Literacy
5
Workplace Documents
4
apply
Detailed Job Information

Sales Strategy Program Manager

Highmark Inc.
Pittsburgh, PA
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Company : Highmark Inc. Job Description : JOB SUMMARY This job assists in ...
Details
Summary
About the job:
the creation, execution, and oversight of the Medicare sales and distribution strategy through partnering with sales leadership and other matrix partners. The incumbent focuses on assessing opportunities within each respective region and on building the necessary capabilities to ensure strategic matrix partners' alignment and execution of strategies to grow membership. Works collaboratively across multiple functional areas to align resources and effort around achievement of the plan. ESSENTIAL RESPONSIBILITIES - Partner...
Location:
Pittsburgh, PA
Job Type:
Full-Time
Permanent
Occupation:
Marketing Managers
Career Level / Education:
High school diploma or equivalent
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information

Medical Case Manager

Highmark Inc.
Delaware
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Company : Highmark Inc. Job Description : JOB SUMMARY This job assures that ...
Details
Summary
About the job:
members with complex medical and/or psychosocial needs have access to high quality, cost-effective health care. Assists in the holistic assessment, planning, arranging, coordinating, monitoring, evaluation of outcomes and activities necessary to facilitate member access to healthcare services. Advocates for the most appropriate care plan using sound clinical judgment; accurate planning, and collaboration with internal and/or external customers and contacts. Follows established regulatory guidelines, policies, and...
Location:
Delaware
Job Type:
Full-Time
Permanent
Occupation:
Clinical Nurse Specialists
Career Level / Education:
Associate's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
Certified Registered Nurse
Workkeys
Applied Math
5
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information
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