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Highmark Health
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Washington, District Of Columbia
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.Assesses the accuracy of all charging vehicles, including clinical systems and dictionaries, encounter ... %)
Develops and maintains a Quality Audit program and associated reporting. Assists in performance of quality
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Highmark Health
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Washington, District Of Columbia
...
operational systems focusing on delivering a Person-360 ecosystem. These patterns and platforms will serve as ... solutions, and cloud-oriented platforms. Create high performance cloud and big data systems to be used with
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Highmark Health
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Washington, District Of Columbia
...
collection systems and other strategies that optimize statistical efficiency and data quality.
Ensure ... . Ensure the correct first time /quality review processes are utilized and that changes maintain data
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Highmark Health
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Washington, District Of Columbia
...
architected network of systems and connected technological components within the company. Act as a key ... enable and/or alter business processes, practices, organizations and systems. Maintains knowledge of
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Highmark Health
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Washington, District Of Columbia
...
system architecture balances functional, service quality and systems management requirements.
Use ... architected network of systems and connected technological components within the company. Act as a key
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Highmark Health
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Washington, District Of Columbia
...
possible. Develop and implement data collection systems and other strategies that optimize statistical efficiency and data quality.
Ensure consistency and accuracy of information and reporting by identifying
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Highmark Health
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Washington, District Of Columbia
...
requires a solid understanding of HR and Payroll systems functionality and business process configuration ... ensure business processes execute as planned. Deploy application changes in a timely & quality manner
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Highmark Health
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Washington, District Of Columbia
...
ensure performance guarantees and established goals are met and maintained. Monitor calls for quality assurance and compliance.
Research quality issues and responds to error assessments. Maintain
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Highmark Health
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Washington, District Of Columbia
...
, Capability Managers, and other team members to capture capability needs and drive quality business solutions ... strategic programs or initiatives impacting current and existing systems.
Ensure compliance for
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Highmark Health
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Washington, District Of Columbia
...
maintains quality outcomes (clinical, financial and functional) for the specified panel of members
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Highmark Health
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Washington, District Of Columbia
...
operational systems focusing on delivering a Person-360 ecosystem. These patterns and platforms will serve as ... quality technical solutions. Concentrates on providing innovative solutions to more complex business needs
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Highmark Health
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Washington, District Of Columbia
...
, organizations and systems. Maintains knowledge of emerging technologies and best in class industry business ... development.
Take a lead role to specify and design large or more complex systems, solutions, networks
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Highmark Health
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Washington, District Of Columbia
...
of legacy MDM systems, emerging best practices and architecture patterns for modernizing these MDM systems and pattern changes, understanding the market direction to deliver confident recommendations and
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Highmark Health
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Washington, District Of Columbia
...
experiences and scalable design systems
Track record of creating and aiding in the adoption of UX writing tools, copy systems, and frameworks including content research and metrics, addressing user issues
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Highmark Health
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Washington, District Of Columbia
...
requires a solid understanding of HR and Payroll systems functionality and business process configuration ... ensure business processes execute as planned. Deploy application changes in a timely & quality manner
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Highmark Health
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Washington, District Of Columbia
...
inbound Prior Authorization requests.Use multiple software systems and various resource sites to determine ... systems simultaneously
Knowledge of administrative and clerical procedures and systems such as word
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Highmark Health
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Washington, District Of Columbia
...
will report directly to the Director of MarTech and Operations and lead day-to-day optimization ... , campaign needs, and seamlessly integrate with other corporate systems. Manage the implementation of
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Highmark Health
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Washington, District Of Columbia
...
. Ensure that the system architecture balances functional, service quality and systems management ... .
Specify and design large or the most complex systems, solutions, networks, infrastructure elements, or
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Highmark Health
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Washington, District Of Columbia
...
Organization's systems and processes that do not comply with regulations, laws, and standards or do not comply ... processes and systems that will minimize risk, improve performance and productivity, and ensures that the
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Highmark Health
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Washington, District Of Columbia
...
effective consulting, negotiation, and problem solving to ensure a quality customer experience as well as ... **
Bachelor's Degree in Business Administration/Management, Information Technology, Information Systems or
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Highmark Health
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Washington, District Of Columbia
...
accurate and timely data flow across systems.
Oversee risk adjustment processes and ensure ... initiatives: Identify opportunities to enhance data quality, streamline processes, and optimize outcomes
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Highmark Health
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Washington, District Of Columbia
...
architecture balances functional, service quality and systems management requirements.
Use appropriate ... technical and business problems and integrate AI services into new products or existing systems and
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Highmark Health
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Washington, District Of Columbia
...
Company :
Highmark Health
Job Description :
JOB SUMMARY
This job wil
...
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Highmark Health
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Washington, District Of Columbia
...
Company :
Highmark Health
Job Description :
JOB SUMMARY
This job wil
...
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Highmark Health
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Washington, District Of Columbia
...
. The incumbent monitors, improves and maintains quality outcomes (clinical, financial and functional
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Highmark Health
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Washington, District Of Columbia
...
audit quality standards in a consistent manner.
Schedules, delivers, and follows-upto ensure risk ... )
Certified Information Systems Analyst (CISA)
Certified Information Privacy Professional (CIPP
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Highmark Health
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Washington, District Of Columbia
...
for taking a software quality and customer view of software solutions so that the developers can build high quality applications to meet the needs of the product vision. The incumbent, and team, will be
...
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Highmark Health
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Washington, District Of Columbia
...
, and health systems across the Organization's footprint, based on deep understanding and knowledge of ... , and commercial populations with the goal of maximizing quality while reducing healthcare costs
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Highmark Health
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Washington, District Of Columbia
...
delivery partners to verify and govern delivery of customer needs, and ensure on-time, quality delivery ... drive quality business solutions. Create and maintain deliverables such as business vision, business
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Highmark Health
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Washington, District Of Columbia
...
and govern delivery of customer needs, and ensure on-time, quality delivery. The incumbent identifies ... drive quality business solutions. Create and maintain deliverables such as business vision, business
...
