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Highmark Health
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Salem, Oregon
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clinical needs. The incumbent assesses health management needs of the assigned member panel and utilizing ... intervention for each member. The incumbent will be supported by a multi-disciplinary team and will use
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Highmark Health
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Salem, Oregon
...
clinical needs. The incumbent assesses health management needs of the assigned member panel and utilizing ... intervention for each member. The incumbent will be supported by a multi-disciplinary team and will use
...
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Highmark Health
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Salem, Oregon
...
Preferred
None
EXPERIENCE
Required
1 - 3 years of Customer Service ... regulatory compliance requirements and service level agreements. The requests may come via fax or phone, and
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Highmark Health
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Salem, Oregon
...
Preferred
None
EXPERIENCE
Required
1 - 3 years of Customer Service ... regulatory compliance requirements and service level agreements. The requests may come via fax or phone, and
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Highmark Health
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Salem, Oregon
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. Enhance department influence by providing responsive service and understanding customer needs ... based on team member abilities & interests while providing opportunities to learn through formal and
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Highmark Health
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Salem, Oregon
...
**
None
SKILLS
Critical Thinking
Case Management
Customer Service
Oral ... the requested treatment of service. Depending on the nature of the case, telephonic peer to peer
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Highmark Health
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Salem, Oregon
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could be a result of internal/external audits, member/provider phone calls, other insurance information ... , reviews history records and determines benefit eligibility for service. Reviews payment levels to arrive
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Highmark Health
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Salem, Oregon
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the requested treatment of service. Depending on the nature of the case, telephonic peer to peer ... all times. In addition to utilization review, the incumbent participates as the physician member of
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Highmark Health
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Salem, Oregon
...
plays a critical role in digital product management and delivery for Highmark Health’s customer and/or ...
Ability to lead and influence others within a matrixed organization
Leads with a customer and
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Highmark Health
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Salem, Oregon
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member health and service outcomes. This involves action plan development, timelines, large-scale complex ... facing strategy to ensure the Organization meets its STARS targets as applicable in all service regions
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Highmark Health
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Salem, Oregon
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join our AI Services and Platform team and drive the development of innovative AI (generative and ... . Candidate will be an integral member of an agile software engineer team responsible for building scalable
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Highmark Health
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Salem, Oregon
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service levels. Contact vendor support when necessary to facilitate application development and client ... or from site-to-site
Rarely
Works primarily out-of-the office selling products/services
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Highmark Health
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Salem, Oregon
...
performance/satisfaction and member satisfaction. Responds to customer inquiries and offers interventions and ... efficiency in the delivery of care management services.
Respect the member’s right to privacy, sharing
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Highmark Health
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Salem, Oregon
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complex application development services typically as part of a project team or in an application support ... customer requirements that adhere to Highmark IT standards and policies. Developers provide general
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Highmark Health
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Salem, Oregon
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procurement services and expertise in the designated spend category for category strategy/plans, strategic ... priority business executives, serves as a key member of the business unit leadershipteam to support
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Highmark Health
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Salem, Oregon
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customers and business stakeholders in order to: Understand customer and stakeholder needs, business ... and govern delivery of customer needs, and ensure on-time, quality delivery. The incumbent identifies
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Highmark Health
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Salem, Oregon
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with customers and business stakeholders in order to: Understand moderate to complex customer and ... delivery partners to verify and govern delivery of customer needs, and ensure on-time, quality delivery
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Highmark Health
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Salem, Oregon
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incumbent requires a hardworking, organized, analytical team member who can manage multiple projects. The ... selling products/services (sales employees)
Never
Physical work site required
Yes
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Highmark Health
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Salem, Oregon
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from site-to-site
Rarely
Works primarily out-of-the office selling products/services ... information, cardholder data, or other confidential customer information that must be protected at all times
...
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Highmark Health
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Salem, Oregon
...
/services (sales employees)
Never
Physical work site required
Yes
Lifting: up to ... to covered information, cardholder data, or other confidential customer information that must be
...
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Highmark Health
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Salem, Oregon
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lead in providing more complex application development services typically as part of a project team or ... systematic solutions to meet customer requirements that adhere to Highmark IT standards and policies
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Highmark Health
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Salem, Oregon
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Customer Data Platform with Salesforce Marketing Cloud. You will be responsible for architecting and ... based on customer capability requirements. Facilitate development of more complex enterprise business
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Highmark Health
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Salem, Oregon
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departments. This includes leveraging cutting-edge customer experience platforms, implementing robust data ... customer engagement, streamline marketing processes, and deliver measurable business outcomes. This role
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Highmark Health
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Salem, Oregon
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development services typically as a of a project team or in an application support role. Developers analyze, design, code, test and implement systematic solutions to meet customer requirements that adhere to
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Highmark Health
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Salem, Oregon
...
in clearly defining, with the customer, more complex requirements, deliverables and timeframes ... -site
Rarely
Works primarily out-of-the office selling products/services (sales employees
...
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Highmark Health
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Salem, Oregon
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customer journeys and will work to resolve fragmented access points and applications. Will direct the design of internally developed services within the platform, while ensuring that all integrated digital
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Highmark Health
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Salem, Oregon
...
.
Analyze member risk and engage internal departments to manage this risk.
Support other internal ...
Works primarily out-of-the office selling products/services (sales employees)
Never
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Highmark Health
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Salem, Oregon
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an integral member of an agile software engineer team responsible for building scalable software ... , HTML5, CSS, Google Cloud Platform or Amazon Web Services.
5 years of understanding of web services
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Highmark Health
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Salem, Oregon
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delivering cohesive, customer-centric marketing experiences across our digital channels, including web ... business objectives and guide User Experience (UX) design teams in developing customer-centric digital
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Highmark Health
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Salem, Oregon
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member of an agile scrum team responsible for writing, executing, analyzing and testing our software ... incumbent will be responsible for taking a software quality and customer view of software solutions so that
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