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Highmark Health
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Honolulu, Hawaii
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development.
Take a lead role to specify and design large or more complex systems, solutions, networks ... technology, efficient use of resources and integration of multiple systems and technology. Establish policy
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Highmark Health
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Honolulu, Hawaii
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responsible for screening, reviewing, evaluating online entry, correcting errors and/or performing quality ... supervision, as appropriate. (35%)
Meets all production and quality standards, ensuring timeliness and
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Highmark Health
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Honolulu, Hawaii
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requirements that drive the analysis and design of quality technical solutions. Concentrates on providing ... quality assurance of all developed solutions.
Troubleshoot and resolve technical issues related to
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Highmark Health
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Honolulu, Hawaii
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systems. Provide regular, executive summaries/abstracts to Risk Partners, Business Unit leadership, and/or ... & problem management systems, strategic initiative portfolio, etc.), and provide a streamlined, consistent
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Highmark Health
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Honolulu, Hawaii
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outcomes. The incumbent delivers data profiling, conducts testing and systems validation to troubleshoot data anomalies, monitors data management metrics and data loads. Working with data quality teams ensure
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Highmark Health
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Honolulu, Hawaii
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requires a solid understanding of HR and Payroll systems functionality and business process configuration ... ensure business processes execute as planned. Deploy application changes in a timely & quality manner
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Highmark Health
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Honolulu, Hawaii
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solutions. Provides business process, system support and data quality governance through data coordination ... evaluates data management metrics. Recommends ways to strengthen data integrity, quality and availability
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Highmark Health
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Honolulu, Hawaii
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the underlying systems that support the respective business platforms for the Medicaid Business Unit ... analysis, personalization to different plans, and user interface design and design requirements for systems
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Highmark Health
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Honolulu, Hawaii
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balances functional, service quality and systems management requirements. Uses appropriate tools, including ... , practices, organizations and systems. Maintains knowledge of emerging technologies and best in class
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Highmark Health
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Honolulu, Hawaii
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technology support. Accountable for high quality customer satisfaction and outcomes across multiple health ... systems supporting client implementation. Accountable for the implementation of and adherence to
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Highmark Health
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Honolulu, Hawaii
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delivery partners to verify and govern delivery of customer needs, and ensure on-time, quality delivery ... drive quality business solutions. Create and maintain deliverables such as business vision, business
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Highmark Health
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Honolulu, Hawaii
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and govern delivery of customer needs, and ensure on-time, quality delivery. The incumbent identifies ... drive quality business solutions. Create and maintain deliverables such as business vision, business
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Highmark Health
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Honolulu, Hawaii
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will report directly to the Director of MarTech and Operations and lead day-to-day optimization ... , campaign needs, and seamlessly integrate with other corporate systems. Manage the implementation of
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Highmark Health
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Honolulu, Hawaii
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. Ensure that the system architecture balances functional, service quality and systems management ... .
Specify and design large or the most complex systems, solutions, networks, infrastructure elements, or
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Highmark Health
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Honolulu, Hawaii
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(RADV) Audits. Works closely with physicians, team members, Quality, Compliance, partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all
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Highmark Health
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Honolulu, Hawaii
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automation to greatest extent possible. Develop and implement data collection systems and other strategies that optimize statistical efficiency and data quality.
Ensure consistency and accuracy of
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Highmark Health
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Honolulu, Hawaii
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architecture balances functional, service quality and systems management requirements.
Use appropriate ... technical and business problems and integrate AI services into new products or existing systems and
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Highmark Health
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Honolulu, Hawaii
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for taking a software quality and customer view of software solutions so that the developers can build high quality applications to meet the needs of the product vision. The incumbent, and team, will be
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Highmark Health
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Honolulu, Hawaii
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for taking a software quality and customer view of software solutions so that the developers can build high quality applications to meet the needs of the product vision. The incumbent, and team, will be
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Highmark Health
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Honolulu, Hawaii
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maintains quality outcomes (clinical, financial and functional) for the specified panel of members
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Highmark Health
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Honolulu, Hawaii
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complementary digital platforms, focusing on the acceleration of sustainable growth, simplification of systems ... and supporting systems. Provide consultation on capabilities of Salesforce Marketing Cloud to
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Highmark Health
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Honolulu, Hawaii
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of scope, quality, time and budget. Includes the management of a group of internal exempt and/or ... leadership. IT knowledge and financial systems knowledge will be helpful to lead successful projects within
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Highmark Health
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Honolulu, Hawaii
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(RADV) Audits. Works closely with physicians, team members, Quality, Compliance, partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all
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Highmark Health
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Honolulu, Hawaii
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of the member’s care needs across the various service delivery systems and community supports. This ... company, State and Federal requirements related to privacy practices, HIPAA, and quality performance
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Highmark Health
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Honolulu, Hawaii
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actions as a licensed nurse and is accountable to patients for the quality of care delivered ... appropriately referred to other health care support systems or community resources based on identified needs
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Highmark Health
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Honolulu, Hawaii
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availability, performance and quality levels required by their customers. May mentor less experienced team ... understand business requirements that drive the analysis and design of quality technical solutions
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Highmark Health
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Honolulu, Hawaii
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feedback on junior team members' work quality and productivity
Other duties as assigned or requested ... understanding of Cobol , JCL, DB2 CICS programs.
3 years of Unix Operating Systems
2 years of
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Highmark Health
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Honolulu, Hawaii
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levels, system availability, performance and quality levels required by their customers. May mentor less ... members to understand business requirements that drive the analysis and design of quality technical
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Highmark Health
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Honolulu, Hawaii
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product knowledge achieved through a continuously improving set of listening, analysis, quality focus
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Highmark Health
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Honolulu, Hawaii
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and Director levels of the company, providing leadership in the designated spend category for category
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