implementation of the strategic business and functional infrastructure of the underlying systems that support the respective business..., personalization to different plans, and user interface design and design requirements for systems setup, configurations and onboarding...
Highmark Health, and supporting the assigned Willow IP Epic application(s). Responsibilities include business/systems analysis, requirements..., conducts routine maintenance, updates systems with new functionality to meet the end user's needs, and implements new...
Highmark Health, and supporting the assigned Epic application(s). Responsibilities include business/systems analysis, requirements definition..., updates systems with new functionality to meet the end user's needs, and implements new technologies. Provides guidance...
Highmark Healthon requirements and outcomes. The incumbent delivers data profiling, conducts testing and systems validation to troubleshoot data... and analytic value of derived data is met. Provides guidance and education for Associate and Intermediate staff. Responsible...
Highmark HealthRequired None Preferred None SKILLS Ability to use computer systems, electronic tools, and applications Ability to manage... information, cardholder data, or other confidential customer information that must be protected at all times. In connection...
Highmark Health, practices, organizations and systems. Maintains knowledge of emerging technologies and best in class industry business trends... less complex systems, solutions, networks, infrastructure elements, or processes. Selects appropriate design standards, methods...
Highmark Healthand anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation... and electronic medical record systems to support departmental goals. Adheres to CMS Guidelines for Coding and Highmark’s Policy...
Highmark Healthupdates and report any issues or technical difficulties to lead developers on a regular basis. Mentor other associate... Engineering or a related field EXPERIENCE Required 5 years proficiency in design and analysis of algorithms, data...
Highmark Healthreview to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding... systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets...
Highmark Healthreview to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding... systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets...
Highmark Healthcredentialing and/or recredentialing data for accuracy based on licensing requirements and various insurer payer requirements... as they are identified in a timely manner. Maintains systems/applications used in the enrollment processes. ESSENTIAL RESPONSIBILITIES...
Highmark Healthindustry knowledge to define & diagnose a problem, outline data requirements for a study or analysis, and devise insightful... for appropriate positions, processes, and systems which can reasonably be adopted. Displays an ongoing commitment to continuous...
Highmark Healthreview to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems... to determine appropriate ICD codes for diagnoses and procedures. (60%) Abstracts data elements to satisfy statistical requests...
Highmark Healthdevelopers on a regular basis. Mentor other associate and intermediate software engineers as needed. Other duties as assigned... proficiency in design and analysis of algorithms, data structures, and design patterns in the building and deploying of scalable...
Highmark Healthand support CI/CD pipelines for both on-prem data center and cloud solutions Consult with application owners to optimize builds... platform and have a good understanding of Cobol , JCL, DB2 CICS programs. 3 years of Unix Operating Systems 2 years...
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