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Highmark Health
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Honolulu, Hawaii
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located in Delaware**
This job serves as the single point of contact for members to coordinate all ... such as hospital to home, nursing facility to community setting using an integrated care team to
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Highmark Health
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Honolulu, Hawaii
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**
Experience with DSO - Dental Service Organization
3-5 years of experience as Dental Office Manager or ... personnel to act as the intermediary between the organization and UCD. Respond to contractual and payment
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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 ... with review of patient status and plan of care.
Directing and organizing ancillary care as
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Highmark Health
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Honolulu, Hawaii
...
actions as a licensed nurse and is accountable to patients for the quality of care delivered ... with review of patient status and plan of care.
Directing and organizing ancillary care as
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Highmark Health
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Honolulu, Hawaii
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learn, taking action to address performance issues as necessary. Represent the department ... and recognition, performance management and staff productivity. Plan, organize, staff, direct and
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Highmark Health
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Honolulu, Hawaii
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inquiries to determine corrective action including adjusting claims as necessary and takes the corrective ... levels to arrive at final payment determination.
Elevates issues to next level of supervision as
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Highmark Health
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Honolulu, Hawaii
...
actions as a licensed nurse and is accountable to patients for the quality of care delivered ... with review of patient status and plan of care.
Directing and organizing ancillary care as
...
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Highmark Health
-
Honolulu, Hawaii
...
actions as a licensed nurse and is accountable to patients for the quality of care delivered ... with review of patient status and plan of care.
Directing and organizing ancillary care as
...
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Highmark Health
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Honolulu, Hawaii
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Company :
enGen
Job Description :
JOB SUMMARY
As a member of the ... implementing more complex application enhancements, as well as providing general production support, meeting
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Highmark Health
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Honolulu, Hawaii
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Company :
Highmark Health
Job Description :
JOB SUMMARY
As a Digital Product Manager for My Highmark, a site for members to view claims, explore coverage, and find
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Highmark Health
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Honolulu, Hawaii
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services (including infrastructure, application, components and others as necessary). This job provides ... other Architects on methods, communication techniques, and business acumen.
Other duties as
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Highmark Health
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Honolulu, Hawaii
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business partners and suggested edits from senior subject experts.
Act as an ambassador for content ... as early as possible to understand their needs and determine how to improve messaging and position
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Highmark Health
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Honolulu, Hawaii
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business unit to meet performance goals and drive strategic change. The incumbent is tasked with ... hiring and termination decisions, coaching and development, rewards and recognition, performance
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Highmark Health
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Honolulu, Hawaii
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system(s).
Other duties as assigned or requested.
EDUCATION
**Required ... as set forth in the code of business conduct and company policies._
_As a component of job
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Highmark Health
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Honolulu, Hawaii
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optimal member/patient and provider experiences with care delivery. The incumbent serves as a consultative ... priorities, needs, plans and resources.
Serves as a strategic business partner to internal and external
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Highmark Health
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Honolulu, Hawaii
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ensures vendors meet expectations for both quality of services and cost as well as ensure both vendors and ... as Customer Service, Provider Relations, HMHS, Compliance, Sales or others as well as the vendors
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Highmark Health
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Honolulu, Hawaii
...
the request, conducts all necessary research such as verifying benefit coverage for the patient, and ... to prevent compliance and/or downstream process issues.
Other duties as assigned
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Highmark Health
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Honolulu, Hawaii
...
the Organization by communicating and training all affected parties on both standards and tools, as well as promotes leading practices in procurement across the business. Responsible to work with other
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Highmark Health
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Honolulu, Hawaii
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drives and supports all activities related to collecting, analyzing, and reporting on key performance ... effective decision-making and overall tracking of business performance. This job consults with cross
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Highmark Health
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Honolulu, Hawaii
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development using the latest technologies and design patterns. The senior level acts as subject matter expert ... required product features, as well as monitoring technical process against project plan while safeguarding
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Highmark Health
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Honolulu, Hawaii
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position will act as the lead statistician for multiple projects with any level of complexity and will be ... . Serves as an enterprise resource for complex statistical questions, study design considerations, and
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Highmark Health
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Honolulu, Hawaii
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technologies such as, but not limited to: MS SQL Server, SSIS, SAS, Teradata, Oracle, and Informatica ... high performance cloud and big data systems to be used with operational and analytic applications
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Highmark Health
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Honolulu, Hawaii
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collaboratively depending on each event and will serve as a subject matter expert who works to improve security ... through final resolution. (5%)
Other duties as assigned or requested.
**EXPERIENCE
...
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Highmark Health
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Honolulu, Hawaii
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(symptom management, managing signs/symptoms as a complication of treatment plan. The incumbent will be ... .e., realization of member care plan), and other patient outcomes, as applicable, are achieved
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Highmark Health
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Honolulu, Hawaii
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(symptom management, managing signs/symptoms as a complication of treatment plan. The incumbent will be ... .e., realization of member care plan), and other patient outcomes, as applicable, are achieved
...
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Highmark Health
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Honolulu, Hawaii
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(symptom management, managing signs/symptoms as a complication of treatment plan. The incumbent will be ... .e., realization of member care plan), and other patient outcomes, as applicable, are achieved
...
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Highmark Health
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Honolulu, Hawaii
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as Medicare Advantage (MA) and Affordable Care Act (ACA) through Hierarchical Condition Category (HCC ... closely with colleagues, leadership, enterprise matrix partners (such as quality and compliance), and/or
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Highmark Health
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Honolulu, Hawaii
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® departments including Medicare Administration, Enrollments and Provider Relations.
Other duties as ... :_** _This position adheres to the ethical and legal standards and behavioral expectations as set forth in
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Highmark Health
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Honolulu, Hawaii
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implementation of IT Infrastructure components such as operating systems, software tools, and utilities. Takes a lead role in conducting more complex studies of IT Infrastructure performance and traffic analysis
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Highmark Health
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Honolulu, Hawaii
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team to executive levels.
Serve as accountable owner for the sets of products/tools within the ... .
Other duties as assigned.
EDUCATION
Required
Bachelor's Degree in Science
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