Job ID: J120414
Company: Highmark Inc
Location: Camp Hill, PA, United States
Full/Part Time: Full time
Job Type: Regular
Posted at: Apr 2, 2018
This job monitors day- to- day activities and drives project implementation within a specific health plan team. Supervises the team's work to design, develop, and implement product, client, and group demographic, benefit, and rate coding information for a particular health plan. Works with the team to review and analyze initial entry data, processes, and finalize standard and customized data, resolve client specific customer requests and write clean-up reports. Translates heath plan product information into system configuration. Ensures high-quality, accurate, efficient, customer outcomes. May conduct quality peer reviews to ensure accuracy of system configuration as compared to initial inputs. May also assist with benefit projects, root cause analysis, issue resolution and strategic initiatives. Accountable for identification, documentation, and escalation of risks, defects and issues throughout the work item lifecycle. Assists in the resolution of risks, defects and issues. May provide support for corporate projects, strategic initiatives, benefit enhancements, and application of medical policy. For smaller projects or initiatives may be accountable for project schedule and resource allocation up to and including matrix staff. May have accountability to provide project status back to the appropriate Management group or customer, release co-coordinator and/or various project management office (PMO) groups.
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, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
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