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Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
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Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law.
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Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD-10 diagnoses and HCC disease categories.
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Bachelors in BA or High School diploma or GED with Six years experience in sales, marketing selling group products, such as Life/AD&D, STD, LTD, DBL, Stop Loss and Vision Insurance products, as well as understanding the concepts of risk, underwriting, actuarial, pricing, loss ratio, and regulations.
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CLU or other industry recognized certifications such as HIAA, CEBS, CBP, etc. The incumbent will work through distribution channels of existing and new producers, joint venture partners including Blue Plans, and work with other partners in the promotion of a core product line: Employer Stop Loss and other lines as determined by management.
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The sales territory will vary, and will be defined by the Senior Vice President of Sales. This position requires the incumbent to work in collaboration and communicate with HM Insurance Group (HMIG) Regional Sales Directors and the Senior Vice President of Sales to identify target producers, and then independently develop, manage, and make decisions about the producers and cases that should be worked on, based on potential to generate new business revenue and profitable business for the corporation.
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This job will deliver value to the Health Plan and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and/or Affordable Care Act (ACA) using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, and Centers for Medicare and Medicaid Services (CMS) coding guidelines.
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Being able to work fairly independently with a good amount of self-direction is strongly preferred. GCP Professional Cloud Architect. GCP Professional Data Engineer. 1 year with containerization and container orchestration technologies such as Google Kubernetes Engine (GKE.
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Expertise in working with cloud platforms(GCP preferred - Cloud Functions/Cloud Run, pub/sub, Cloud SQL, Big Query, etc. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Companys Handbook of Privacy Policies and Practices and Information Security Policy.
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This job will focus on process and project implementation partnerships, requirements synthesis on multiple priority projects, and balancing design advocacy with thought leadership and mentoring junior staff to deliver digital product strategies for Highmark Health.
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Provide subject matter expertise, innovative solutions, and detailed requirements to project teams on multiple, complex projects in one or more of the following areas: information architecture, user experience design, user interface design, visual design, content strategy, and/or usability and research.
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2 years experience in multidisciplinary biomedical research laboratory or veterinary clinic. Good working knowledge of anatomy and physiology are essential. ESSENTIAL RESPONSIBILITIESProvides and documents post-surgical animal care including physical exams, diagnostic tests, health treatments and research protocol interventions.
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The Workday HRIS Lead Analyst will be responsible for identifying, planning, developing, testing and deploying new Workday features and enhancements. Expert functional knowledge with the following business functions: Talent Acquisition/Talent Management, HCM/Benefits/Compensation/Leave Administration/Employee Health, Payroll/Time & Attendance, and/or Portal Design/Content Management/Case Management and Knowledge Management.
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5 years in User Experience Design, Service Design, Human-Centered Design. This job will apply their skills in Human-Centered Design, Experience Design and/or Service Design to design solutions that have measurable impact.
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This job leads in providing support across Finance areas within Cloud operations, including but not limited to: Accounts Receivable, Cash Management, General Ledger, Fixed Assets, Allocations and Supply Chain Management.
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Company: Highmark Health
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