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Highmark Health Careers 60 Jobs in Charleston, WV

  • Grievance and Appeals Analyst

    Highmark Health - Charleston, West Virginia
    ... compliance as well as CMS star ratings. Provides support to clinical appeals, facilitating member verbal ... functional walk throughs.May require additional support from more experienced team members. Recommend ...
  • Senior Business Process Analyst

    Highmark Health - Charleston, West Virginia
    ... . The incumbent reviews significant amounts of information and analyzes processes to support business ... information to support those objectives in support of web-based application. Perform moderate to complex ...
  • Associate Account Support Analyst

    Highmark Health - Charleston, West Virginia
    ... .** This job provides account support activities associated with the implementation and administration of ... interaction with producers, clients and sales reps to ensure complete implementation, on-going service and all ...
  • Complex Case Manager RN - (Remote)

    Highmark Health - Charleston, West Virginia
    ... address member needs and/or triaging members to appropriate resources for additional support. For ... Rarely Works primarily out-of-the office selling products/services (Sales employees) Does ...
  • Functional Product Analyst

    Highmark Health - Charleston, West Virginia
    ... capability needs; Identity opportunities and create business cases and cost sheet analysis to support the ... customer/user acceptance criteria. Support various aspects of business analysis, business requirements ...
  • Senior Functional Product Analyst

    Highmark Health - Charleston, West Virginia
    ... cases and perform advanced cost sheet analysis to support the product strategy and evolve the product ... out-of-the office selling products/services (sales employees) Never Physical work site ...
  • Senior HRIS Analyst

    Highmark Health - Charleston, West Virginia
    ... capabilities. The incumbent will support all Enterprise business areas and will be accountable to HR ... . The incumbent will support HR customers with process or system issues related to the functional domain ...
  • Senior Medical Stop Loss Underwriter

    Highmark Health - Charleston, West Virginia
    ... rationale and support to other areas within the organization, clients, and possibly producers regarding one ... . Analyze member risk and engage internal departments to manage this risk. Support other internal ...
  • Director Provider Quality Outcomes

    Highmark Health - Charleston, West Virginia
    ... developing technology and data strategies to support STARs performance, and developing provider incentive ... , implement and execute, the Provider STARs quality strategy, support/develop technology and data strategies ...
  • Director Clinical Strategy

    Highmark Health - Charleston, West Virginia
    ... primarily accountable for leading, optimizing, and transforming the clinical sales strategy and client performance function. The incumbent works alongside PHE and Segment leadership and other sales staff to serve ...
  • Lead Tax Analyst

    Highmark Health - Charleston, West Virginia
    ... selling products/services (sales employees) Never Physical work site required Yes ...
  • Compensation Consultant - Sales and Broad-based

    Highmark Health - Charleston, West Virginia
    ... Sales and broad-based compensation programs and initiatives for the Company and for assigned business ... ** None Preferred CSCP (Certified Sales Compensation Professional) CCP (Certified ...
  • Senior Application Developer

    Highmark Health - Charleston, West Virginia
    ... in an application support role. Developers analyze, design, code, test and implement more complex ... . Developers provide general support to maintain more complex applications that meet the service levels, system ...
  • Senior Medical Stop Loss Underwriter

    Highmark Health - Charleston, West Virginia
    ... rationale and support to other areas within the organization, clients, and possibly producers regarding one ... . Analyze member risk and engage internal departments to manage this risk. Support other internal ...
  • Hierarchical Condition Category (HCC) Coding Specialist

    Highmark Health - Charleston, West Virginia
    ... in various coding applications and electronic medical record systems to support departmental goals ... Works primarily out-of-the office selling products/services (sales employees) Never ...
  • Brand Strategist

    Highmark Health - Charleston, West Virginia
    ... and B-to-B channels. Responsibilities include support/coordination to Manager, Brand Strategy role ... Manager, Brand Strategy, experience and aptitude in helping to support the management of external ...
  • Manager Strategy & Execution

    Highmark Health - Charleston, West Virginia
    ... include providing analytical and strategic leadership to support the organization's goals, developing and ... mentoring a team of projects resources, providing guidance and support to ensure optimal performance and ...
  • Learning & Development Facilitator

    Highmark Health - Charleston, West Virginia
    ... delivers highly complex training courses and workshops in support of workforce development, technology and ... trainers Support/Lead Learning projects including: Creating training assessment surveys, Trending ...
  • Medical Director, Medicaid (Highmark Health Options - West Virginia)

    Highmark Health - Charleston, West Virginia
    ... may be assigned special projects to help support and improve the care of our members ... primarily out-of-the office selling products/services (sales employees) Never Physical work ...
  • Director, Digital Planning & Operations (AHN)

    Highmark Health - Charleston, West Virginia
    ... responsible for directing and managing incoming technology request processes in support of the digital ... , dashboards, etc. Additionally, this role provides issues support to determine a path to resolution ...
  • Senior Artificial Intelligence (AI) Consultant

    Highmark Health - Charleston, West Virginia
    ... .Create and deliver education to individuals and teams to support effective ideation. Work with data ... change impacts in support of the business case.Serve as an advisor and partner for change execution. This ...
  • Decision Support Analyst (Data Engineer)

    Highmark Health - Charleston, West Virginia
    ... incumbent provides analysis in the development and support of projects and data analysis. Determines how decision support systems will provide information required to make effective business decisions; translates ...
  • Product Experience Research Manager

    Highmark Health - Charleston, West Virginia
    ... & relationship building) Support internal process improvement activities and uphold Highmark strategic core ... ability to adopt use of new technologies to support execution of work Clinical knowledge or an ...
  • Medical Director

    Highmark Health - Charleston, West Virginia
    ... may be assigned special projects to help support and improve the care of our members ... Works primarily out-of-the office selling products/services (sales employees) Never ...
  • Senior Analytic Data Engineer

    Highmark Health - Charleston, West Virginia
    ... individually with customers for specific projects and attend with Intermediates for support. Other duties ... office selling products/services (sales employees) Never Physical work site required ...
  • Senior Regulatory Implementation & Assurance Analyst

    Highmark Health - Charleston, West Virginia
    ... activities of Highmark Health in support of a broad range of frameworks and oversight bodies including NIST ... , processes, and technologies deployed across the enterprise. Support all external audits of the ...
  • Customer Service Representative

    Highmark Health - Charleston, West Virginia
    ... . Works independently of support from a senior customer service representative, frequently utilizing the ... office selling products/services (Sales employees) Does Not Apply Physical Work Site ...
  • Manager, Marketing Technologist

    Highmark Health - Charleston, West Virginia
    ... , and AI integration. Ensure these technologies support current and future marketing strategies ... marketing technology roadmaps and ongoing platform support, including feature/function enrichment to meet ...
  • Lead CRM Marketing Developer

    Highmark Health - Charleston, West Virginia
    ... responsible for the setup of campaigns in the Salesforce Marketing Cloud to support the accurate execution of ... marketing strategist and support team. Act as the CRM Champion on the Enterprise CRM Task Force to ...
  • Transplant Care Nurse

    Highmark Health - Charleston, West Virginia
    ... address member needs and/or triaging members to appropriate resources for additional support ... primarily out-of-the office selling products/services (sales employees) Never Physical work ...
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