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1 - 5 of 5 matches in 0.01 seconds
Clinical Quality Management Analyst (JC141757728)
Last Updated: 2019-05-24
Employer: Highmark Health
Location: Wilmington, DE

Company :

Gateway Health Plan

Job Description :

JOB SUMMARY

This job works with appropriate departments in the areas of compliance, process improvement and member/provider satisfaction for all product lines. Reviews, researches and responds to customer complaints relating to quality of medical care and service. Recommends and/or implements process improvements…

Complex Case Manager (JC141834566)
Last Updated: 2019-05-24
Employer: Highmark Health
Location: Home, DE

Company :

Highmark Inc

Job Description :

JOB SUMMARY

This job has primary ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member panel and utilizing data/analytics in conjunction with professional clinical judgement…

Clinical Care Coordinator - Utilization Management (RN Delaw (JC141757695)
Last Updated: 2019-05-24
Employer: Highmark Health
Location: Home, DE

Company :

Gateway Health Plan

Job Description :

JOB SUMMARY

This job works directly with providers in a variety of health care settings to appropriately identify members with chronic conditions and/or gaps in care that can be positively impacted related to quality and care costs. The incumbent’s responsibilities could include…

Clinical Quality Mgt Analyst (JC141757730)
Last Updated: 2019-05-24
Employer: Highmark Health
Location: Wilmington, DE

Company :

Gateway Health Plan

Job Description :

JOB SUMMARY

This job works with appropriate departments in the areas of compliance, process improvement and member/provider satisfaction for all product lines. Reviews, researches and responds to customer complaints relating to quality of medical care and service. Recommends and/or implements process improvements…

Client Manager-Large Group Wilmington, DE (JC141681048)
Last Updated: 2019-05-24
Employer: Highmark Health
Location: Wilmington, DE

Company :

Highmark Bcbsd Inc.

Job Description :

I. GENERAL OVERVIEW:

Responsible for managing a book of business and the business relationship as a strategic consultant for existing accounts directly or through intermediaries. Responsible for renewing accounts and selling new products and services to existing accounts to ensure retention…

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