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Highmark Health
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Concord, New Hampshire
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, provide root cause analysis and corrective action plan, verify delivery of customer needs, and ensure ... projects (which are cross functional, with potential regulatory risk exposure, customer service & financial
...
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Highmark Health
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Concord, New Hampshire
...
pricies quotes and analyzes the structure of a contract for a group based on claims experience ... experience to determine what benefits can be offered and to set the rates. Prepares a variety of reports and
...
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Highmark Health
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Concord, New Hampshire
...
Degree if Licensed Behavioral Health Professional or Licensed Social Work
Substitutions
None
Preferred
None
EXPERIENCE
Required
5 years of Post
...
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Highmark Health
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Concord, New Hampshire
...
conjunction with professional clinical judgement to identify the right clinical intervention for each member ... , and federal law standards and are within the care manager’s professional discipline.
For assigned
...
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Highmark Health
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Concord, New Hampshire
...
and corrective action plans; Verify delivery of customer needs, and Ensure quality delivery. The ... in one or more disciplines to advance professional track career. Uses functional and organizational
...
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Highmark Health
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Concord, New Hampshire
...
and corrective action plans; Verify delivery of customer needs, and Ensure quality delivery. The ... in one or more disciplines to advance professional track career. Uses functional and organizational
...
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Highmark Health
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Concord, New Hampshire
...
member satisfaction. Responds to customer inquiries and offers interventions and/or alternatives ... established industry and corporate standards and are within the care manager’s professional discipline
...
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Highmark Health
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Concord, New Hampshire
...
areas. Functions as the business owner for all customer implementation and maintenance for all group and ... technology support. Accountable for high quality customer satisfaction and outcomes across multiple health
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Highmark Health
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Concord, New Hampshire
...
Medicine (DO)
Required
None
Preferred
None
EXPERIENCE
Minimum
5 years of Board Certified Physician experience
Preferred
5 years related
...
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Highmark Health
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Concord, New Hampshire
...
, Mathematics, Marketing, or Industrial Engineering or four years of relevant experience and/or education as determined by the company in lieu of bachelor's degree
Preferred
None
**EXPERIENCE
...
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Highmark Health
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Concord, New Hampshire
...
**
Master's Degree in Computer Science, Computer Engineering or a related field
**EXPERIENCE ... preferred), and experience with at least two of the following: React, Angular v4+, NodeJS, NoSQL databases
...
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Highmark Health
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Concord, New Hampshire
...
:**
This job builds and maintains hospital, professional, and ASC contracts in Epic. Identifies underpaid ... RESPONSIBILITIES**
Provides support to senior analysts in building hospital, professional, and ASC
...
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Highmark Health
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Concord, New Hampshire
...
professional accounting work involving compilation, consolidation, and analysis of accounting and finance ... experience.
Other duties as assigned or requested.
EDUCATION
**Required
...
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Highmark Health
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Concord, New Hampshire
...
promotes professional development of staff
• Assigns tasks, schedules work and establishes priorities ...
EXPERIENCE
Required
3 years of experience as a developer
Experience with Project
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Highmark Health
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Concord, New Hampshire
...
engagement analytics, personalization, immersive experiences and customer experience enhancement ... marketing & experience team, driving innovation and efficiency through the strategic use of generative AI
...
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Highmark Health
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Concord, New Hampshire
...
, healthcare or related field preferred.
EXPERIENCE
Required
3 years HCC coding ...
LICENSES or CERTIFICATIONS
Required (any of the following)
Certified Professional
...
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Highmark Health
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Concord, New Hampshire
...
plans; Verify delivery of customer needs, and Ensure quality delivery. The incumbent identifies ... disciplines to advance professional track career. Uses functional and organizational knowledge to mentor
...
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Highmark Health
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Concord, New Hampshire
...
professional contacts. Maintains membership in appropriate professional organizations and publications. Attends ... applicable.
Other duties as assigned.
EXPERIENCE
Required
5 years of
...
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Highmark Health
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Concord, New Hampshire
...
prices quotes and analyzes the structure of a contract for a group based on claims experience ... , participation percentage, type of industry, characteristics of employee groups, or past claim experience to
...
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Highmark Health
-
Concord, New Hampshire
...
experience and/or education as determined by the company in lieu of bachelor's degree
Preferred
None
EXPERIENCE
Required
3 years in a procurement role
1 year in
...
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Highmark Health
-
Concord, New Hampshire
...
, Mathematics, Marketing, or Industrial Engineering or four years of relevant experience and/or education as determined by the company in lieu of bachelor's degree
Preferred
None
**EXPERIENCE
...
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Highmark Health
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Concord, New Hampshire
...
Physician (CCS-P)
Certified Coding Associate (CCA)
Certified Professional Coder (CPC ... information, cardholder data, or other confidential customer information that must be protected at all times
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Highmark Health
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Concord, New Hampshire
...
superficial explanations. Review the appropriateness of the results in light of experience and industry ... . Enhance department influence by providing responsive service and understanding customer needs
...
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Highmark Health
-
Concord, New Hampshire
...
**
Master’s Degree if Licensed Behavioral Health Professional or Licensed Social Work
Substitutions
None
Preferred
None
EXPERIENCE
Required
5 years of
...
-
Highmark Health
-
Concord, New Hampshire
...
**
Master’s Degree if Licensed Behavioral Health Professional or Licensed Social Work
Substitutions
None
Preferred
None
EXPERIENCE
Required
5 years of
...
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Highmark Health
-
Concord, New Hampshire
...
and utilizing data/analytics in conjunction with professional clinical judgement to identify the right ... Nursing
EXPERIENCE
Required
7 years of any combination of clinical, case
...
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Highmark Health
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Concord, New Hampshire
...
technology space. This role requires a professional dedicated to staying on top of the latest Gen AI research ... researching, identifying and internally marketing enabling technologies based on customer capability
...
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Highmark Health
-
Concord, New Hampshire
...
and utilizing data/analytics in conjunction with professional clinical judgement to identify the right ... Nursing
EXPERIENCE
Required
7 years of any combination of clinical, case
...
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Highmark Health
-
Concord, New Hampshire
...
and utilizing data/analytics in conjunction with professional clinical judgement to identify the right ... Nursing
EXPERIENCE
Required
7 years of any combination of clinical, case
...
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Highmark Health
-
Concord, New Hampshire
...
and utilizing data/analytics in conjunction with professional clinical judgement to identify the right ... Nursing
EXPERIENCE
Required
7 years of any combination of clinical, case
...
