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Highmark Health
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Raleigh, North Carolina
...
part of a physician team, ensures that utilization management responsibilities are performed in ... .
Participate as a member of the CMDM multidisciplinary team. Attend huddles and grand rounds. Advise
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Highmark Health
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Raleigh, North Carolina
...
reporting. (10%)
Supports team with interfacing of disparate systems to a centralized report writer and ... in Business, Health Information Management, or a Clinical degree, or relevant experience and/or
...
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Highmark Health
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Raleigh, North Carolina
...
technologies, guiding the team in becoming proficient and self-reliant in utilizing these tools for a range of ... experience in implementing and managing AI technologies in a marketing context
5 years of experience
...
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Highmark Health
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Raleigh, North Carolina
...
application staff and business areas regarding database implementations, which could include a customized in-house database and/or a third party application package. Establish automated monitor mechanism for space
...
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Highmark Health
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Raleigh, North Carolina
...
or more analytical aspects of the application product life cycle, within a sub-product scope (one or ... not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of
...
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Highmark Health
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Raleigh, North Carolina
...
and responsibilities of work performed by employees within this job title. It may not contain a ... expectations 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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Raleigh, North Carolina
...
standard and occasional non-standard customer inquiries, comments, and concerns by applying a seamless and ... .
ESSENTIAL RESPONSIBILITIES
Engages with customers in a confident and compelling manner
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Highmark Health
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Raleigh, North Carolina
...
, providers and brokers in a customer service center. Troubleshoots and resolves customer complaints ... communication in a timely and accurate manner.
Prepare adjustments for services not properly processed
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Highmark Health
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Raleigh, North Carolina
...
Dietitian Wellness Coach**
This job has primary ownership and oversight over a specified panel of ... supported by a multi-disciplinary team and will use clinical judgment to refer members to appropriate multi
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Highmark Health
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Raleigh, North Carolina
...
will be a strategic thinker with a passion for innovation and a track record of driving organizational ... responsibility and authority.
Process Optimization and Work Management:
Develop and execute a
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Highmark Health
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Raleigh, North Carolina
...
primary ownership and oversight over a specified panel of members that range in health status/severity and ... 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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Raleigh, North Carolina
...
responsible for managing a book of business and the business relationship as a strategic consultant for ... relationship by advocating for escalated services issues in a timely and professional manner; taking
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Highmark Health
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Raleigh, North Carolina
...
optimization. Develops and implements Revenue Cycle regulatory program through a structure that promotes ... cycle liaison for the most complex clinical departments and practices and acting with a high degree of
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Highmark Health
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Raleigh, North Carolina
...
* must be a US citizen and must also pass a background check.
This job turns ... champion the adoption of analytics as a tool for organizational change, and to serve as trusted advisors
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Highmark Health
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Raleigh, North Carolina
...
that solve real-world problems? Do you thrive in a collaborative environment, pushing the boundaries of innovation with cutting-edge technology? If so, we invite you to join our AI Platforms and Services team as a
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Highmark Health
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Raleigh, North Carolina
...
Gastroenterology (GI) experience preferred.
This job has primary ownership and oversight over a specified ... supported by a multi-disciplinary team and will use clinical judgment to refer members to appropriate multi
...
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Highmark Health
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Raleigh, North Carolina
...
. This role will be accountable for leveraging a deep understanding of business and customer problems to ... experiences and drive business outcomes. The incumbent will be a key driver in shaping the future of our
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Highmark Health
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Raleigh, North Carolina
...
**
Function as a primary contact for members with behavioral health needs with the depth of engagement ranging ... system to establish short and long-term goals. Establish a plan for regular telephonic contact with each
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Highmark Health
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Raleigh, North Carolina
...
**
Understand the department's and the company's strategic roadmap and competitive position, and develops a ... responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory
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Highmark Health
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Raleigh, North Carolina
...
finance organization with a specific focus in business processes including:
Data Analytics ...
Bachelor of Science in Computer Science with a Concentration in Data Analytics
Bachelor of Business
...
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Highmark Health
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Raleigh, North Carolina
...
baccalaureate program.
PREFERRED QUALIFICATIONS
Pursuing a degree in business, healthcare ... learn
Ability to be organized and work in a fast-paced environment
**ESSENTIAL JOB FUNCTIONS
...
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Highmark Health
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Raleigh, North Carolina
...
-to-day activities of a stop loss underwriter.
SUMMARY OF JOB RESPONSIBILITIES
This ... responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory
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Highmark Health
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Raleigh, North Carolina
...
Company :
Highmark Health
Job Description :
JOB SUMMARY
We are on a ... operational systems focusing on delivering a Person-360 ecosystem. These patterns and platforms will serve as
...
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Highmark Health
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Raleigh, North Carolina
...
current MDM team, evolving into a high functioning Person360 team. In this role, you will establish the ... business value. On a daily basis, you will be oversee priority, scope and validation of work that is
...
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Highmark Health
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Raleigh, North Carolina
...
Company :
Highmark Health
Job Description :
JOB SUMMARY
We are on a ... operational systems focusing on delivering a Person-360 ecosystem. These patterns and platforms will serve as
...
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Highmark Health
-
Raleigh, North Carolina
...
Company :
Highmark Health
Job Description :
JOB SUMMARY
We are on a ... 360 solution effectively meets individuals’ needs and drives business value. You are a detail-oriented
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Highmark Health
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Raleigh, North Carolina
...
this role, you will collaborate with a cross-functional group of designers, product managers, and brand ... Design, or Digital Content Creation in a relevant field
Substitutions
6 years of
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Highmark Health
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Raleigh, North Carolina
...
Company :
enGen
Job Description :
JOB SUMMARY
This job takes a lead ... and capabilities that span the organization. This individual will help create a blueprint of the
...
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Highmark Health
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Raleigh, North Carolina
...
the company. The incumbent will have a direct impact on the strategy, architecture and innovation ... needs into a relatable narrative that enhances decision making. They will act as a driver for
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Highmark Health
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Raleigh, North Carolina
...
Company :
enGen
Job Description :
JOB SUMMARY
This job takes a lead ... and capabilities that span the organization. This individual will help create a blueprint of the
...
