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**Company :**HM Health Solutions**Job Description :****JOB SUMMARY**This job ...
Details
Summary
About the job:
supports one or more analytical aspects of the application product life cycle, within a sub-product scope (one or more application components). Uses minimal judgement and discretion to assist in collaboration with customers to understand capability needs, gather project specifications, create business cases and cost sheet analysis, translate high-level business needs into detailed requirements for new capabilities (and change request/enhancements on existing capabilities), analyze data to determine business problems,...
Location:
Ohio
Job Type:
Full-Time
Permanent
Occupation:
Computer Systems Analysts
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
Certifications / Licenses:
Certified Scrum Master
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
**Company :**Highmark Inc.**Job Description :****JOB SUMMARY**This job works ...
Details
Summary
About the job:
in 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). 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 key...
Location:
Ohio
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
**Company :**Allegheny Health Network**Job Description :****JOB ...
Details
Summary
About the job:
SUMMARY**This job is proficient in the coordination of care and manages coordination of care in accordance with recognized standards of practice for Care Management. The incumbent utilizes expertise in care management to promote a collaborative professional environment that supports excellence of care and achievement of optimal resource utilization. Also facilitates appropriate LOS, patient satisfaction and reimbursement for all patients.**ESSENTIAL RESPONSIBILITIES**+ Assumes role in assessment of patient physical, psychosocial,...
Location:
Ohio
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Career Level / Education:
Associate's degree
Salary:
Upper Middle Income Jobs ($50K-$79K)
Certifications / Licenses:
Certification in Cardiopulmonary Resuscitation
Certified Registered Nurse
Workkeys
Applied Math
5
Graphic Literacy
4
Workplace Documents
5
**Company :**HM Health Solutions**Job Description :****JOB SUMMARY**Assists ...
Details
Summary
About the job:
in providing less complex application development services typically as part of a project team or in an application support role. Developers assist, analyze, design, code, test and implement less complex systematic solutions to meet customer requirements that adhere to Highmark IT standards and policies. Developers assist in providing less complex general support to maintain applications that meet the service levels, system availability, performance and quality levels required by their customers.**ESSENTIAL...
Location:
Ohio
Job Type:
Full-Time
Permanent
Occupation:
Computer Systems Analysts
Career Level / Education:
Bachelor's degree
Salary:
Upper Middle Income Jobs ($50K-$79K)
Certifications / Licenses:
Society of Cost Estimating and Analysis
Certified Quality Auditor
Certified Scrum Master
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
**Company :**Highmark Health**Job Description :****JOB SUMMARY**This job ...
Details
Summary
About the job:
defines, plans, and delivers of complex programs that require cross-functional collaboration and management of inter-dependencies between a group of projects and/or related activities within the constraint of scope, quality, time and budget. Includes the management of a group of internal exempt and/or matrixed employees and contractors that serve on the program(s) to deliver solutions for the business.**ESSENTIAL RESPONSIBILITIES**+ Work with business and technical organizations to drive out program strategy and...
Location:
Ohio
Job Type:
Full-Time
Permanent
Occupation:
Managers, All Other
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
**Company :**HM Health Solutions**Job Description :****JOB SUMMARY****** ...
Details
Summary
About the job:
Must be a US Citizen due to data access ****This job supports one or more analytical aspects of the application product life cycle, within a sub-product scope (one or more application components). Uses regular judgement and discretion to collaborate with customers in order to: Understand capability needs; Gather project specifications; Create business cases and cost sheet analysis; Translate high-level business needs into detailed requirements for new capabilities (and change request/enhancements on existing...
Location:
Ohio
Job Type:
Full-Time
Permanent
Occupation:
Computer Systems Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
Certified Scrum Master
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
**Company :**Highmark Inc.**Job Description :****JOB SUMMARY**This job ...
Details
Summary
About the job:
screens, reviews, evaluate online entry, error correction and / or quality control review and final adjudication of paper/electronic claims. Determines whether to return, deny or pay claims following organizational policies and procedures. May include initial entry claims or claims which have suspended. Translate foreign language claims into English using software and code appropriately. Convert foreign currency to US dollar and code charges appropriately. Reviews processed claims and inquiries to determine corrective...
Location:
Ohio
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:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
**Company :**HM Health Solutions**Job Description :****JOB SUMMARY****** ...
Details
Summary
About the job:
Must be a US Citizen due to data access ****This job provides production support application development services typically as a of a project team or in an application support role. Developers analyze, design, code, test and implement systematic solutions to meet customer requirements that adhere to Highmark IT standards and policies. Developers provide general support to maintain applications that meet the service levels, system availability, performance and quality levels required by their customers.**ESSENTIAL...
Location:
Ohio
Job Type:
Full-Time
Permanent
Occupation:
Computer Systems 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
**Company :**Highmark Inc.**Job Description :****JOB SUMMARY**This job is ...
Details
Summary
About the job:
responsible for leading enrollment and billing operations for commercial group, individual and business partner functions. This position is responsible for motivating and cultivating a team to provide excellent service allowing for a consumer centric approach balanced with a cost competitive structure to achieve opportunities for additional business. Directs the technology and operations strategy related to member data exchanges, enrollment and OPL processing. Assess systems, processes and people and make...
Location:
Ohio
Job Type:
Full-Time
Permanent
Occupation:
Managers, All Other
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
**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:
Ohio
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

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State: OH
Company Name: Highmark Health
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