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Manager Decision Support Analytics - Medicaid Operations

Highmark Health
Columbus, OH
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**Company :**enGen**Job Description :****JOB SUMMARY**This job oversees all ...
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Summary
About the job:
daily operations and functions of the department. The incumbent requires an in-depth knowledge of business systems, data warehousing, data collection and reporting. The incumbent will be tasked with ensuring all summary and analysis reporting projects are mechanically, statistically and theoretically accurate. Additionally, the incumbent will be responsible for summarizing, and presenting the results to enhance the organization's understanding of underlying trends, results and implications. Organizes, assigns, and...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
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Detailed Job Information

Clinical Transformation Partner RN

Highmark Health
Columbus, OH
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**Company :**Highmark Health**Job Description :****JOB SUMMARY**This job ...
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Summary
About the job:
works directly with network providers to support key clinical transformation programs with a focus on utilization of appropriate care. The team member works with internal and external stakeholders to ensure adherence to medical policy and member benefits in providing service that is medically appropriate, high quality, and cost effective. The team member will also work with providers to identify specific areas of improvement within the same domain and help providers develop meaningful action plans to improve performance....
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Career Level / Education:
Associate's degree
Salary:
High Income Jobs ($80K-$99K)
Certifications / Licenses:
Certified Registered Nurse
Driver's License
Workkeys
Applied Math
5
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information

Associate Cyber Incident Responder

Highmark Health
Columbus, OH
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**Company :**enGen**Job Description :****JOB SUMMARY**This position manages ...
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Summary
About the job:
and responds to live incidents with team collaboration. This role is the starting point to manage and respond to live cyber security incidents, being encouraged to enhance their skills in digital forensics, incident response, IT security, and incident handling. The Associate Cyber Incident responder will assist in investigations, contribute to project goals, and collaborate with team members to raise the security posture of the enterprise.**ESSENTIAL RESPONSIBILITIES**+ Coordinate and provide technical support to...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Information Security Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
5
Graphic Literacy
6
Workplace Documents
6
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Detailed Job Information

Marketing Underwriter- HMIG

Highmark Health
Columbus, OH
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**Company :**HM Insurance Group**Job Description :****JOB SUMMARY**This job ...
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Summary
About the job:
maintains existing business, generates new business, and grows a profitable book of business which has been underwritten in the group insurance market. The incumbent rates, underwrites and monitors performance of group insurance accounts within the confines of underwriting guidelines, sales, profit, and persistency targets. Works through distribution channels of existing producers, new producers, and joint venture partners and works with sales leadership to create and achieve a sales plan that will effectively meet...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Insurance Underwriters
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
Associate in Risk Management
Certified Property Casualty Underwriter
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information

Digital Product Manager

Highmark Health
Columbus, OH
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**Company :**Highmark Health**Job Description :****JOB SUMMARY**As a Digital ...
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About the job:
Product Manager for My Highmark, a site for members to view claims, explore coverage, and find care, you'll play a pivotal role in representing the customer's voice throughout the product development lifecycle. As part of your role, you will establish and evangelize the vision and strategy for the Login & Registration experience for members, ensuring that it meets the needs of customers. You'll also be expected to work closely with cross-functional teams to drive increased member engagement.In this role, you will...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Marketing Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
7
Graphic Literacy
5
Workplace Documents
5
apply
Detailed Job Information

Manager Provider Contract Development

Highmark Health
Columbus, OH
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**Company :**Highmark Inc.**Job Description :****JOB SUMMARY**This job ...
Details
Summary
About the job:
manages the business process of contract management with internal departments. The incumbent oversees the staff and facilitates the development/editing and interpretation of provider contract language. Accountable for all contracts including multi-market facility and ancillary agreements as well as value based contracts. Works with the Organization's internal legal department to develop recommended contracting strategies and interpret contract language and risk. Provides support to markets regarding any terminations...
Location:
Columbus, OH
Job Type:
Full-Time
Contract
Occupation:
Managers, All Other
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
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Detailed Job Information

Market Underwriter

Highmark Health
Columbus, OH
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**Company :**Highmark Inc.**Job Description :****JOB SUMMARY**This job ...
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Summary
About the job:
serves as the single-point-of-contact for sales teams and assigned customers, delivering insights and recommendations to sales in order to aid customer acquisition/retention while maintaining performance goals. This incumbent will collaborate with cross functional team members on client-level quotes and function as a trusted adviser by providing financial and risk management support to sales as well as strategic insight.**ESSENTIAL RESPONSIBILITIES**+ Understand department and the company'sstrategic goals and competitive...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Insurance Underwriters
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information

Customer Service Representative

Highmark Health
Columbus, OH
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**Company :**Highmark Inc.**Job Description :****JOB SUMMARY**This job ...
Details
Summary
About the job:
resolves standard and occasional non-standard customer inquiries, comments, and concerns by applying a seamless and positive customer experience gained through many recurring cycles of on the job work engagement.**ESSENTIAL RESPONSIBILITIES**+ Engages with customers in a confident and compelling manner, performing the full range of customer service duties and responsibilities, as assigned.+ Strives to resolve customer concerns in a single interaction via telephone, written, or face to face communication.+ Responds to a...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Customer Service Representatives
Career Level / Education:
High school diploma or equivalent
Salary:
Middle Income Jobs ($30K-$49K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

Finance Consultant

Highmark Health
Columbus, OH
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**Company :**Highmark Health**Job Description :****JOB SUMMARY**This job ...
Details
Summary
About the job:
supports the organization through establishing new financial processes, providing complex financial modeling for new business strategies and providing advisory services to business leaders as they evaluate opportunities for Integrated Delivery and Financing System (IDFS) integration. This job will help internal customers throughout the family of companies to assess viability of strategies, evaluate financial results and risks to performance and establish new financial processes to support an evolving business.**ESSENTIAL...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Personal Financial Advisors
Career Level / Education:
Bachelor's degree
Salary:
Upper Middle Income Jobs ($50K-$79K)
Certifications / Licenses:
Certified Public Accountant
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

Strategy Analyst

Highmark Health
Columbus, OH
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**Company :**Highmark Inc.**Job Description :****JOB SUMMARY**Support ...
Details
Summary
About the job:
leadership of Highmark, or its affiliates with a range of strategy activities essential to Highmark's membership and margin goals. Strategy Analysts provide analytical/strategic-thinking and leadership support that enables project teams to: 1) isolate business issues; 2) help design and execute analytics for studying business issues (market research, scenario planning, forecasting, market share, profitability, etc.); 3) develop technical content (competitive intelligence, market trend analysis); 4) support development of...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information
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