... , PA location or our Buffalo, NY location. This job works collaboratively to support of all risk ... . Lead development of project plans to support risk assessment and decisioning in coordination with ...

... strategies and interpret contract language and risk. Provides support to markets regarding any terminations ... , organize, staff, direct and control the day-to-day operations of the department; develop and implement ...

... works collaboratively to support of all risk and compliance assessment activities of Highmark Health ... -needed; documents and reports results. Lead development of project plans to support risk assessment ...

... division goals and values. Apply corporate, professional, and industry knowledge & insight to all tasks ... decision support to team members and executive management. Consider alternate points of view on issues ...

... and recognition, performance management and staff productivity. Plan, organize, staff, direct and ... . Effectively present information and provide decision support to team members and executive management ...

... mentor less experienced staff and provide decision support to team members while initiating and leading ... customer needs. Effectively and confidently present information and provide decision support to team ...

... technology space. This role requires a professional dedicated to staying on top of the latest Gen AI research ... support applications they are responsible for supporting. Current skill set are reviewed every other year ...

... appropriately referred to other health care support systems or community resources based on identified needs ... effectively and efficiently. Direct patient/caregiver teaching/care as appropriate for Pharmacy Services ...

... and utilizing data/analytics in conjunction with professional clinical judgement to identify the right ... resources for additional support. For assigned case load, create care plans to address members ...

... solutions and ensure provider receives the necessary support and resources to carry out the solutions. Coordinate in a matrixed liaison role with operations and support areas to ensure the appropriate development ...

... outcome in a timely manner. Patients are appropriately referred to other health care support systems ... reimbursement status of patients. Uses equipment and supplies effectively and efficiently. Direct ...

... in various coding applications and electronic medical record systems to support departmental goals ... LICENSES or CERTIFICATIONS Required (any of the following) Certified Professional ...

... in various coding applications and electronic medical record systems to support departmental goals ... LICENSES or CERTIFICATIONS Required (any of the following) Certified Professional ...

... support medical coding and billing. Provide instructions and guidance regarding medical care matters ... mandatory professional continuing education. Active participant of medical education to student ...

... /leadership and be a source of support that ensures successful product delivery and operational excellence in production, including leadership and support for application development and change management activities ...