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Highmark Health
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Charleston, West Virginia
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members in his/her panel that are enrolled in case management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior
...
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Highmark Health
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Charleston, West Virginia
...
members in his/her panel that are enrolled in case management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior
...
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Highmark Health
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Charleston, West Virginia
...
the multidisciplinary team for case and disease management. They will advise the multidisciplinary ... **
None
SKILLS
Critical Thinking
Case Management
Customer Service
Oral
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Highmark Health
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Charleston, West Virginia
...
. Supports the business partner, interfaces at the Director and Manager levels of the company, provides ... sourcing and other strategic procurement processes such as supplier relationship management, spend
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Highmark Health
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Charleston, West Virginia
...
-functional expert on complex and/or highly visible projects using project management and business expertise ... analytical, testing or project management tools to facilitate project deliverables.
Perform functional
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Highmark Health
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Charleston, West Virginia
...
the multidisciplinary team for case and disease management. They will advise the multidisciplinary ... .
Preferred
None
SKILLS
Critical Thinking
Case Management
Customer
...
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Highmark Health
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Charleston, West Virginia
...
business cases on investment and M&A opportunities for senior management .
Maintain group databases ... capital, and/or management consulting
Preferred
Healthcare experience
...
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Highmark Health
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Charleston, West Virginia
...
Director will provide qualified medical direction and consultation for care delivery and complex case management for our community-based palliative care program. In addition, this role will provide clinical
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Highmark Health
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Charleston, West Virginia
...
members in the organization's condition and case management programs
Bilingual, Spanish speaking ... management department to refer members for additional support and education beyond the job's scope of
...
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Highmark Health
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Charleston, West Virginia
...
**
Perform management responsibilities to include, but are not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity
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Highmark Health
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Charleston, West Virginia
...
responsible for leading large projects and initiatives related to the risk case management and intake ... for outside parties.Prepare and/or provide status reporting to Risk Partners, accountable management
...
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Highmark Health
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Charleston, West Virginia
...
**
Required
Bachelor's Degree in Business Administration/Management, Informations Systems or
...
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Highmark Health
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Charleston, West Virginia
...
then creates the case (data entry) in Highmark's utilization management system for clinical review ... utilization management system.
Use knowledge of process and judgement to evaluate identified cases that
...
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Highmark Health
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Charleston, West Virginia
...
then creates the case (data entry) in Highmark's utilization management system for clinical review ... utilization management system.
Use knowledge of process and judgement to evaluate identified cases that
...
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Highmark Health
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Charleston, West Virginia
...
systems management requirements.
Use appropriate tools, including models of components and interfaces ... effectively will all levels of organization.
Manage expectations of customers, partners and management
...
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Highmark Health
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Charleston, West Virginia
...
technology projects, working with the executive sponsor (Director or higher) and other management as required ... Administration, Management Information Science or closely related field
Substitutions
None
...
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Highmark Health
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Charleston, West Virginia
...
structure.
ESSENTIAL RESPONSIBILITIES
Perform management responsibilities to include ... , rewards and recognition, performance management and staff productivity.Plan, organize, staff, direct and
...
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Highmark Health
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Charleston, West Virginia
...
analytical aspects of the product management lifecycle.
Supporting report writing will include working ... .
Supporting product management will include using regular judgement and discretion to collaborate with
...
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Highmark Health
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Charleston, West Virginia
...
supports one or more analytical aspects of the product management lifecycle, within a sub-product scope ... business integrations points to analyze and manage delivery across the product management lifecycle
...
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Highmark Health
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Charleston, West Virginia
...
& Attendance, and/or Portal Design/Content Management/Case Management and Knowledge
Knowledge and training ... Technology Management as well as Enterprise Process Owners for the assigned functional areas. The incumbent
...
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Highmark Health
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Charleston, West Virginia
...
, pharmaceutical, operational, IT and Performance Management improvement teams to ensure overall goals of the ... , program health and escalating cross-portfolio dependencies, project risks and items for management
...
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Highmark Health
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Charleston, West Virginia
...
business through effective project delivery, maximizing adoption through change management, and ... .
ESSENTIAL RESPONSIBILITIES
Perform management responsibilities to include, but are not limited to
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Highmark Health
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Charleston, West Virginia
...
advises on the implementation plan. The AI Consultant serves as an expert in change management ... stakeholders to drive timely decision making and business case design.
Implementation:Facilitate the
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Highmark Health
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Charleston, West Virginia
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opportunities for referral to a Health Coach/case management, and identification and resolution of quality ... enhanced by Health Coaching/case management interventions.
Employ collaborative interventions which
...
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Highmark Health
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Charleston, West Virginia
...
, monthly, quarterly reports to Senior Management as needed or required showing progress and levels of ... while performing the following functions:
2) Relationship Management
• Must have the
...
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Highmark Health
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Charleston, West Virginia
...
management solutions, and optimizing marketing automation tools to drive personalized, data-driven campaigns ... will report directly to the Director of MarTech and Operations and lead day-to-day optimization
...
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Highmark Health
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Charleston, West Virginia
...
writing test case documents, test plan documents, and test results that adheres to SOC2 standards set ... **
Master's Degree in Information Systems, Business Management or Healthcare Administration
...
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Highmark Health
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Charleston, West Virginia
...
and Director levels of the company, providing leadership in the designated spend category for category ... management, spend performance management, demand and compliance management, internal spend and external
...
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Highmark Health
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Charleston, West Virginia
...
balances functional, service quality and systems management requirements. Uses appropriate tools, including ... organization.
Manages expectations of customers, partners and management.
Participates in customer
...
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Highmark Health
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Charleston, West Virginia
...
and Director levels of the company, providing leadership in the designated spend category for category ... management, spend performance management, demand and compliance management, internal spend and external
...
