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Highmark Health
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Harrisburg, Pennsylvania
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position will work with management to develop strategies for complex and unusual sales opportunities, as ... management. This sales position will work primarily through producers, such as brokers and TPAs, particularly
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Highmark Health
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Harrisburg, Pennsylvania
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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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Harrisburg, Pennsylvania
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patient, and then creates the case (data entry) in Highmark's utilization management system for clinical ... utilization management system.
Use knowledge of process and judgement to evaluate identified cases that
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Highmark Health
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Harrisburg, Pennsylvania
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requirements testing (e.g. testing plan, scenarios, documentation, defect management) to ensure minimal ... project lifecycle.
Effectively communicate with team members, customers, partners and management
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Highmark Health
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Harrisburg, Pennsylvania
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. testing plan, scenarios, documentation, defect management) to ensure minimal production defects are ... exemplary manner with team members, customers, partners and management, including assisting with or
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Highmark Health
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Harrisburg, Pennsylvania
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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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Harrisburg, Pennsylvania
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passionate and experienced Director Data & Analytic Product Portfolio to help with the transformation of our ... **
Perform management responsibilities to include, but are not limited to: involved in hiring and termination
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Highmark Health
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Harrisburg, Pennsylvania
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may also review UM requests; provide consultation into the case and disease management identification ... Formularies, utilization management programs, and case/ disease management initiatives; providing clinical
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Highmark Health
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Harrisburg, Pennsylvania
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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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Harrisburg, Pennsylvania
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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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Harrisburg, Pennsylvania
...
identify impact.
ESSENTIAL RESPONSIBILITIES
Perform management responsibilities to ... , rewards and recognition, performance management and staff productivity.Plan, organize, staff, direct and
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Highmark Health
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Harrisburg, Pennsylvania
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Company :
Highmark Health
Job Description :
JOB SUMMARY
As part of t
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Highmark Health
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Harrisburg, Pennsylvania
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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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Harrisburg, Pennsylvania
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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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Harrisburg, Pennsylvania
...
, scenarios, documentation, defect management) to ensure minimal production defects are realized and ... communicate with team members, customers, partners and management, including assisting with or conducting
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Highmark Health
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Harrisburg, Pennsylvania
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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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Harrisburg, Pennsylvania
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implements effective complimentary utilization and case management strategies for an assigned member panel ... . The incumbent conducts outreach to members enrolled in case management including but is not limited to
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Highmark Health
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Harrisburg, Pennsylvania
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current case related information on all applicable case management tracking systems.
Provide ... closure of the case. Conduct audits for proactive and investigative purposes to comply with internal audit
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Highmark Health
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Harrisburg, Pennsylvania
...
implements effective complimentary utilization and case management strategies for an assigned member panel ... . The incumbent conducts outreach to members enrolled in case management including but is not limited to
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Highmark Health
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Harrisburg, Pennsylvania
...
implements effective complimentary utilization and case management strategies for an assigned member panel ... . The incumbent conducts outreach to members enrolled in case management including but is not limited to
...
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Highmark Health
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Harrisburg, Pennsylvania
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outcomes including health behavior changes.
Collaborate with Case Management Specialists, Management ... the role and responsibility of Case Management and the unique needs of the populations served in order
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Highmark Health
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Harrisburg, Pennsylvania
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Business case justification, Conflict management, Health insurance, Excellent multi-tasker, Innovation ... and executes a comprehensive strategy to apply the HCS network management model to new verticals or
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Highmark Health
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Harrisburg, Pennsylvania
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incumbent will manage an active case load of 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
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Highmark Health
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Harrisburg, Pennsylvania
...
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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Harrisburg, Pennsylvania
...
incumbent will manage an active case load of 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
...
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Highmark Health
-
Harrisburg, Pennsylvania
...
incumbent will manage an active case load of 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
...
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Highmark Health
-
Harrisburg, Pennsylvania
...
incumbent will manage an active case load of 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
...
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Highmark Health
-
Harrisburg, Pennsylvania
...
, scenarios, documentation, defect management) to ensure minimal production defects are realized and ... communicate with team members, customers, partners and management, including assisting with or conducting
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Highmark Health
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Harrisburg, Pennsylvania
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/Chronic Condition Management, Behavioral Health, and Complex Case Management.
Collaborate with the ... .
Document all case management services and intervention in the electronic health record.
Adhere to all
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Highmark Health
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Harrisburg, Pennsylvania
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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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