Top 3430 Application integration specialist Jobs in Pennsylvania

Clinical Client Integration Specialist - Remote
Highmark Inc. —Pennsylvania
- $86,400 - $138,600 a year
- Full-time
- Remote
- Nursing
- RN License
- 5 years
10d
Regulatory Affairs Specialist
Copperhead Chemical Company Inc. —Tamaqua, PA
- Full-time
- Background check
- 5 years
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Field Expert II - Marine
Voith Group —York, PA
- Spanish
- 5 years
- Word processing
- Tuition reimbursement
- 401(k) matching
Licensed Professional Counselor
Headway —Pennsylvania
- Up to $115 an hour
- Remote
- Private practice
- Master's degree
- Senior level
Shutdown Specialist
Carpenter Technology —Reading, PA
- Full-time
- Microsoft Outlook
- 5 years
- Senior level
- Disability insurance
- Health insurance
Noregon Sales Professional
Noregon Systems Inc —Harrisburg, PA
- Extended hours
- Background check
- Computer literacy
- Research
- Health insurance
- Dental insurance
Quick Apply
Licensed Professional Counselor
Headway —Philadelphia, PA
- Up to $115 an hour
- Remote
- Private practice
- Master's degree
- Senior level
Licensed Professional Counselor
Headway —Harrisburg, PA
- Up to $115 an hour
- Remote
- Private practice
- Master's degree
- Senior level
Licensed Professional Counselor
Headway —Scranton, PA
- Up to $115 an hour
- Remote
- Private practice
- Master's degree
- Senior level
Lead Controls Systems Specialist - OSI PI
The Hershey Company —Lancaster, PA
- Online Application
- Bachelor of Science
- Engineering
- Basic math
Community Recovery Specialist (PIER)
Resources for Human Development —Quakertown, PA
- $20 an hour
- Full-time
- 18 years or older
- Psychiatry
- Working with individuals with disabilities
- Paid time off
Quick Apply
Bilingual Customer Support Specialist (Onsite-Pittsburgh)
Blink Health —Pittsburgh, PA
- 10 hour shift
- Spanish
- English
- High school diploma or GED
- Free parking
- Commuter assistance
Quick Apply
Call Center Specialist | Hiring Now | Onsite- Pittsburgh
Blink Health —Pittsburgh, PA
- Full-time
- HIPAA
- High school diploma or GED
- In-person
- Free parking
- Commuter assistance
Quick Apply
Government Procurement Specialist
NEPA Alliance —Pittston, PA
- $40,000 - $45,000 a year
- Full-time
- Mid-level
- Driver's License
- Bachelor's degree
- Paid jury duty
- Disability insurance
Quick Apply
10d
Sales Specialist (New Accounts)
JHR Solutions LLC —Moon Township, PA
- $45,000 - $60,000 a year
- Full-time
- Marketing
- Mid-level
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
4d
Pump Specialist
Harrington Industrial Plastics —Cranberry Township, PA
- Full-time
- Bachelor of Science
- Adults
- Mid-level
- Paid jury duty
- Health savings account
Quick Apply
Clinical Education Specialist
HoverTech International —Allentown, PA
- Full-time
- Background check
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply
8d
Field Service Specialist
SafeinHome —Allentown, PA
- $58,656 a year
- Full-time
- Research
- Mid-level
- Windows
- Health insurance
- Dental insurance
Quick Apply
Territorial Vehicle Acquisition Specialist I
webuyanycar.com USA —Morton, PA
- From $40,000 a year
- Full-time
- High school diploma or GED
- Driver's License
- Entry level
- Wellness program
- Paid holidays
Quick Apply
Community Recovery Specialist (PIER) - Morning Shift
Resources for Human Development —Quakertown, PA
- $20 an hour
- Full-time
- Psychiatry
- Working with individuals with disabilities
- Mid-level
- Paid time off
Quick Apply

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Clinical Client Integration Specialist - Remote

Highmark Inc. -
Pennsylvania

Apply Now

Job Details

Full-time
$86,400 - $138,600 a year
10 days ago

Qualifications

Employee relationship building

Full Job Description

Company :

Highmark Inc.

Job Description :

JOB SUMMARY

This job is responsible for the overall clinical support of account and sales specific activities within the Clinical Services division. The incumbent works with leaders in clinical services and sales/account management as a liaison, developing collaborative relationships across departments such as sales, actuary, underwriting, product and marketing to provide clinical content research for clients, clinical expertise for high-cost reporting, RFP responses, preparation for client meetings, and tracking of performance guarantees including participation in strategies to improve outcomes.

ESSENTIAL RESPONSIBILITIES

Develop collaborative relationships across various departments such as sales, actuary, product, marketing and others, as identified. Actively collaborate with account managers, clinical sales consultants, and other key stakeholders in preparation for client meetings. Support sales when prepping for client meetings. Provide support for sales finalist meetings from a clinical services perspective by providing the clinical insight into value to members and clients. This is a client-supporting role.
Support the clinical management team to assure that there are clear expectations for Case Managers & Disease Managers as it relates to specific models and client accounts. Provide new client implementation and ongoing support for clinical teams for buy-up products. Work with clinical managers to coach nurses on identified opportunities specific to client expectations.
Serve as primary leader in coordination and preparation for client audits and clinical reviews assuring that all requirements established by the client including contractual obligations are met and staff involved in any onsite reviews are adequately prepared and coached.
Work with the Member Listening System (MLS) team to align new cohorts or changes in existing cohorts to maintain contractual agreements.
Liaison between Sales and Clinical teams to field sales and client requests for case management referrals, metrics and case escalations, and success stories.
Analyze, synthesize, and provide clinical detail on High-Cost Claims & Authorization reports leveraging many systems and programs.
Serve as the clinical subject matter expert for RFPs. Work with the clinical writing team to support the strategy in submissions.
Manage the day-to-day performance operations for all Well 360 Products
Obtain, monitor and analyze data, monitor the performance of the buy up models.
Other duties as assigned or requested.

EDUCATION

Required

Bachelor's Degree in Nursing or clinical-related field OR relevant experience and/or education as determined by the company in lieu of bachelor’s degree

Preferred

None

EXPERIENCE

Required

5 years of clinical or managed care experience

Preferred

Health insurance experience

LICENSES OR CERTIFICATIONS

Required

None

Preferred

Registered Nurse (RN)

SKILLS

Written & Oral Presentation Skills
Analytical Skills
Relationship-builder with Unsurpassed Interpersonal Skills
Project Management
Reporting
Sales Support
Leadership

Languages (other than English)

None

Travel Requirement

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-Based

Physical work site required

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range Minimum:

$86,400.00

Pay Range Maximum:

$138,600.00

Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

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 any category protected by applicable federal, state, or local law.

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.

For accommodation requests, please contact HR Services Online at [email protected]

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Apply Now

Refine Your Search

application integration specialist jobs in pennsylvania

Clinical Client Integration Specialist - Remote

Regulatory Affairs Specialist

Field Expert II - Marine

Licensed Professional Counselor

Shutdown Specialist

Noregon Sales Professional

Licensed Professional Counselor

Licensed Professional Counselor

Licensed Professional Counselor

Lead Controls Systems Specialist - OSI PI

Community Recovery Specialist (PIER)

Bilingual Customer Support Specialist (Onsite-Pittsburgh)

Call Center Specialist | Hiring Now | Onsite- Pittsburgh

Government Procurement Specialist

Sales Specialist (New Accounts)

Pump Specialist

Clinical Education Specialist

Field Service Specialist

Territorial Vehicle Acquisition Specialist I

Community Recovery Specialist (PIER) - Morning Shift

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