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Highmark Health’s businesses proudly serve a broad spectrum of health-related needs including health insurance, health care delivery, population health management, dental solutions, reinsurance solutions, and innovative, technology solutions.
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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 Company’s Handbook of Privacy Policies and Practices and Information Security Policy.
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Will work to develop efficient processes and will apply actuarial techniques and statistical analysis to several functions which may include insurance premium and pricing development, claim trend analysis, experience studies, medical economics, profitability analysis, wellness studies, predictive modeling, provider efficiency, provider contracting analysis or claim reserving.
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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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1 - 3 years in the Health Insurance Industry. Participate in the full software development life cycle by actively participating on Agile scrum teams in various roles, including, but not limited to, Scrum Master, Business Technical Analyst, User Interface designer, Capability Manager, or Tester, based upon experience and need.
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1 - 3 years in Lean/Six Sigma experience. The Open Framework Group (TOGAF) Bachelor's Degree in Business Management, Information Systems, or closely related field. Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations.
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Information Technology Infrastructure Library (ITIL) Effectively communicate with team members, customers, partners and management, including assisting with or conducting requirement walkthroughs and sprint reviews, reporting project status, enabling vendor solutions and providing accurate and concise documentation.
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Uses functional and organizational knowledge to mentor junior resources. Work with customers, Software Engineers, Architects, Capability Managers, and other team members to capture capability needs and drive quality business solutions.
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Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity ( This job supports one or more analytical aspects of the application product life cycle, within a sub-product scope (one or more application components.
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Project Management Professional (PMP) If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. Create and maintain deliverables such as business vision, requirements and personalization to different clients, and user interface design.
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For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org. Builds organizational and platform knowledge in one or more disciplines to advance professional track career.
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Requires thorough understanding of end systems impact of changes across multiple systems. Works primarily out-of-the office selling products/services (sales employees) California Consumer Privacy Act Employees, Contractors, and Applicants Notice.
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3 - 5 years in the Health Insurance Industry. Participate in the full software development life cycle by actively taking a lead role on agile scrum teams in various roles, including, but not limited to, Scrum Master, Business Technical Analyst, User Interface designer, Capability Manager, or Tester, based upon experience and need.
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3 - 5 years in Lean/Six Sigma. Create and maintain deliverables such as business vision, requirements, testing plan, testing schedule, testing scenarios, testing outcomes, user task analysis, wire framing, usability testing, personalization to different clients, and user interface design.
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insurance job Company: Highmark Health in West-columbia, South Carolina
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