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Appeals Analyst - Delaware (JC170044502)
Last Updated: 2020-10-19
Employer: Highmark Health
Location: Wilmington, DE

Company :

Highmark Bcbsd Inc.

Job Description :

JOB SUMMARY

This job reviews inquiries to determine if they meet the definition of a grievance/appeal; documents, investigates, refers and coordinates grievances and appeals; initiates a case file for each grievance and appeal; ensures compliance with organizational and regulatory requirements for member…

Project Consultant - Business Platform (JC169033183)
Last Updated: 2020-10-19
Employer: Highmark Health
Location: Wilmington, DE

Company :

Highmark Inc

Job Description :

JOB SUMMARY

This job drives quality and execution for the Health Plan business teams’ experience with all technical systems for a given functional area (e.g., Sales). The incumbent acts as the primary “business translator” between executives, professionals, technical leaders, and specialists within the…

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