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Highmark Health
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Frankfort, Kentucky
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• Receive, review and make determinations regarding physician reviewer assignments for medical management ... Management & Policy (MM&P) and Member Grievance Departments.
• Responsible for management of
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Highmark Health
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Frankfort, Kentucky
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/design from product inception through administration and market implementation. Responsible for ... , operations, communications, marketing, etc across the entire organization. This position also oversees
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Highmark Health
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Frankfort, Kentucky
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responsible for activities related to managing and monitoring partner plan services agreements. Oversees all ... , regulatory, compliance, privacy, and other units as necessary for contract related tasks. Participate in
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Highmark Health
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Frankfort, Kentucky
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plays a critical role in digital product management and delivery for Highmark Health’s customer and/or ... communication skills.
ESSENTIAL RESPONSIBILITIES
Responsible for the future planning of
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Highmark Health
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Frankfort, Kentucky
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responsible for screening, reviewing, evaluating online entry, correcting errors and/or performing quality ... interact with customers. Responsible for the timely and accurate completion of claims adjustments which
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Highmark Health
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Frankfort, Kentucky
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establish and evangelize the vision and strategy for assigned digital products, clearly articulate the “why ... development, and data & analytics counterparts to align and coordinate efforts for effective delivery
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Highmark Health
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Frankfort, Kentucky
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captures all inbound requests for utilization review from providers and pharmacies. The incumbent assesses the request, conducts all necessary research such as verifying benefit coverage for the patient, and
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Highmark Health
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Frankfort, Kentucky
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Technology Management as well as Enterprise Process Owners for the assigned functional areas. The incumbent ... opportunities. The incumbent will partner with the business to gather requirements documentation for various
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Highmark Health
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Frankfort, Kentucky
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captures all inbound requests for utilization review from providers and pharmacies. The incumbent assesses the request, conducts all necessary research such as verifying benefit coverage for the patient, and
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Highmark Health
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Frankfort, Kentucky
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for all aspects of the tax compliance function and tax accounting function, including the performance ... RESPONSIBILITIES**
Responsible for government mandated tax filings for Highmark Health and subsidiaries
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Highmark Health
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Frankfort, Kentucky
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, locations and departments to improve Stars and/or Quality Rating outcomes for Medicare Advantage across ... , program health and escalating cross-portfolio dependencies, project risks and items for management
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Highmark Health
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Frankfort, Kentucky
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for all aspects of the tax compliance function and tax accounting function, including the performance ... RESPONSIBILITIES**
Responsible for government mandated tax filings for Highmark Health and subsidiaries
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Highmark Health
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Frankfort, Kentucky
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facilitate analysis and reporting; and is responsible for conducting and documenting financial analysis ... financial reports and records.
Provide reasoning for variances and make recommendations relative to the
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Highmark Health
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Frankfort, Kentucky
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primary integrated case manager for members with mental health/substance use and co-morbid chronic medical ... ; Develop plans of care; Establish a plan for contact to review progress/assess needs; Communicate with
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Highmark Health
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Frankfort, Kentucky
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coordination of work, and managing performance. Responsible for the oversight of the daily operations. Controls expenses within the operating unit and is responsible for meeting budget goals. Actively involved
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Highmark Health
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Frankfort, Kentucky
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differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health ... need assistance completing the application process, please contact number below.
For
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Highmark Health
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Frankfort, Kentucky
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Economics Consultant is responsible for the development, coordination and management of medical economics ... with ambiguity yet unstoppable drive to create order out of chaos
Passion for evolving
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Highmark Health
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Frankfort, Kentucky
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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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Frankfort, Kentucky
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RESPONSIBILITIES**
This position is responsible for the following:
• Responsible for generating new business revenue and retaining profitable business for HMIG's Stop Loss line of business
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Highmark Health
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Frankfort, Kentucky
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responsible for leading large projects and initiatives related to the risk case management and intake ... communicate compliance requirements into business and technical requirements for impacted stakeholders and
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Highmark Health
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Frankfort, Kentucky
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The Registered Nurse assesses human responses and plans, implements and evaluates nursing care for individuals or families for whom the nurse is responsible. The Registered Nurse is fully responsible for all
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Highmark Health
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Frankfort, Kentucky
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Sponsorship is not an option for this position **
This job is an integral member of an agile scrum team responsible for writing, executing, analyzing and testing our software products, in order to build
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Highmark Health
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Frankfort, Kentucky
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directs and manages Information Security and Risk Management (ISRM) services for the enterprise. This ... Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its
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Highmark Health
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Frankfort, Kentucky
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transform the post-password digital experience for the people we serve who are seeking care. The incumbent ... platform. Will work with the our Design Systems Team, Digital Design for Core and Coverage, as well as our
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