About Lumen Lumen is guided by our belief that humanity is at its best when technology advances the way we live and work. With 450,000 route fiber miles serving customers in more than 60 countries, we deliver the fastest, most secure global platform for applications and data to help businesses, government and communities deliver amazing experiences. Learn more about Lumen's network, edge cloud, security and communication and collaboration solutions and our purpose to further human progress through technology at news.lumen.com, LinkedIn: /lumentechnologies, Twitter: @lumentechco, Facebook: /lumentechnologies, Instagram: @lumentechnologies and YouTube: /lumentechnologies. The Role Lead IT Systems Engineers are part of the Lumen's Hosting Infrastructure Engineering team. Responsibilities include lifecycle development, technical assessments, implementation engineering, server builds, automation, migrations and/or transition planning and execution, maintenance, project planning,...

**Company :**Highmark Health**Job Description :****JOB SUMMARY**This job owns the setup of campaigns in the Client Relationship Management (CRM) tool to support the accurate execution of audience selection, journey building, and personalization.Employee Referral Payout: Level 2This person can work remotely.**ESSENTIAL RESPONSIBILITIES**+ Own the execution of multi-channel communications through the CRM platform.+ Provide consultation on CRM platform capability to marketing strategist and support team.+ Interpret business requirement documentation in order to sets up campaigns, business rules, and journeys within the CRM tool.+ Ensure ability to deliver campaigns according to pre-defined business rules and segmentation.+ Work with data and analytics team to ensure the necessary data is available to enable personalization.+ Adhere to deadlines for integration of templates, content, lists, tracking tags, etc.+ Quality assurance (test) campaign lists and channel delivery within CRM...

At Kelly ® Professional & Industrial, we're passionate about helping you find a job that works for you. If you ask us, this job looks pretty great. We're seeking Bilingual Call Center Interpreters fluent in Spanish and English for a great work from home job opportunity in (Texas). With us, it's all about finding the job that's just right for you. Why you should apply to be a Bilingual Call Center Interpreter: Work from Home $15 an hour - Long term contract Minimum of 37 hours a week Helping others in your community connect Access to outstanding Kelly perks via What's a typical day as a Remote- Bilingual Call Center Interpreter You'll be: . Handling telephone calls on demand in a quiet home office Help translate Spanish/English conversations for a wide range of industries including Healthcare, Government, Insurance Financial, Travel & Hospitality and government entities Translating Spanish/English conversations that may be both...

Remote, Work from home, United States. This role is part of the Enterprise Data Office and will report to the Director of Analytics Engineering. It is a customer focused role requiring cross coordination between multiple teams. The candidate selected for the role is expected to understand the needs of business and helps define solutions to enterprise-wide business problems through the successful implementation of technology in the support of eviCore's objectives. This role interacts with business executives, vendors and technical staff members to efficiently deliver IT solution. Duties Provides expert content/professional leadership on complex Data Management Strategy & Governance assignments/projects. Contributes to data governance and applies seasoned knowledge to ensure data quality. Contributes to data oversight, data usage, system analysis and data retention to assure data quality standards. Collaborates with other departments to ensure data consistency and quality...

Description The Senior Stars Improvement Clinical Professional develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve quality performance within assigned geographic markets and/or assigned provider relationships. Responsibilities How we Value You: Benefits starting day one of employment Competitive 401k match Generous Paid Time Off accrual Tuition Reimbursement Parental Leave Go365 perks for well-being Responsibilities The Senior Stars Improvement Clinical Professional's work focuses on relationship management, influencing provider group strategy and achieving regional goals. Consult with internal resources to identify opportunities for improving provider/member outcomes related to clinical utilization, disease management program participation, quality care gaps and social determinates of health. Identify both population health and member-level opportunities to improve clinical...

Customer Service Representative - Work from home Boise, ID - Express Scripts Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! * Work From Home Position - Must Reside within 100 miles of Boise, ID* Our people make all the difference in our success! As a Customer Service Representative , you'll assist our members by managing inbound and outbound calls to expedite home delivery of their prescription medication. You'll also help them to better understand why our offerings fit their lifestyle, upselling our services to customers where appropriate. This role is on the front lines with patients, addressing customers with care, detail, and most importantly, empathy. This isn't your typical Customer Service role . How You'll Make A Difference:...

The Sr. CAE is assigned a set of complex / sophisticated clients. They serve clients as the primary contact for all clinical related initiatives, financial /rebate and clinical modeling, trend evaluation, clinical business plan development consultation-presentation, implementation and oversight, results evaluation, and follow-up related to the comprehensive management of clinical programs and services issues and initiatives regarding programs and up-sell. ESSENTIAL FUNCTIONS Leads the up-sell and implementation of clinical program solutions to clients thru consultative methods and processes (e.g. Ongoing interaction, quarterly/ annual reviews, modeling/ report reviews, etc) in accordance with client business plans and upon collaboration and coordination with account management team members regarding operational details. Demonstrates clear understanding and interpretation of current industry trends and drug information. Continually reviews to detect medication...

Remote, Work from home, United States eviCore is hiring a Sr. Data Analyst to support data ingestion projects within the Enterprise Data Office. You will lead member eligibility and provider network data requirement sessions and create logical data designs for developers. Requirements: Bachelor's degree in Computer Science, Information Technology; or equivalent experience. 5 - 7+ years' experience with systems analysis, data analysis and requirements gathering in Healthcare industry experience is required. Must have a thorough understanding of how to interpret customer data and business needs and translate them into technical designs for loading and extracting data considering all downstream impacts for member, provider look up, eligibility rules, program specifications, case build, to letter generation and authorization exports. Possess a solid knowledge of a query language, and understand software design principles. Solid understanding of data modeling design, data...

About Lumen Lumen is guided by our belief that humanity is at its best when technology advances the way we live and work. With 450,000 route fiber miles serving customers in more than 60 countries, we deliver the fastest, most secure global platform for applications and data to help businesses, government and communities deliver amazing experiences. Learn more about Lumen's network, edge cloud, security and communication and collaboration solutions and our purpose to further human progress through technology at news.lumen.com, LinkedIn: /lumentechnologies, Twitter: @lumentechco, Facebook: /lumentechnologies, Instagram: @lumentechnologies and YouTube: /lumentechnologies. The Role The Sr Lead PM will Lead complex, transformational programs in support of the Field Business Operations organization. This includes critical and high visibility programs that are typically top initiatives and have large budget impacts The Main Responsibilities Partner with program sponsor...

About Lumen Lumen is guided by our belief that humanity is at its best when technology advances the way we live and work. With 450,000 route fiber miles serving customers in more than 60 countries, we deliver the fastest, most secure global platform for applications and data to help businesses, government and communities deliver amazing experiences. Learn more about Lumen's network, edge cloud, security and communication and collaboration solutions and our purpose to further human progress through technology at news.lumen.com, LinkedIn: /lumentechnologies, Twitter: @lumentechco, Facebook: /lumentechnologies, Instagram: @lumentechnologies and YouTube: /lumentechnologies. The Role Small Businesses have had their share of challenges in 2020 but at Lumen we know 2021 is going to be an amazing year for our resilient small business customers. Part of this resilience is based on our ability to provide them with services and tools that keep them connected to their customers....

Remote, Work from home Description We're looking for a passionate Business Analytics Lead Analyst with a deep knowledge of the CMS Stars program for Medicare Advantage. We're a Stars and Risk Adjustment team that loves to learn and push ourselves to provide meaningful insights to the business. If you're a team player and aren't afraid to be in front of business leaders and have a solid core of technical skills, this is the role for you. Business Analytics Lead Analyst Job Responsibilities Interpret data, analyze results using statistical techniques and provide ongoing reports for Stars forecasting Report to stakeholders about changes in CMS Stars policy Use applications like Quality Spectrum to research HEDIS measure performance Develop and implement databases, data collection systems, data analytics and other strategies that optimize statistical efficiency and quality Work with management to prioritize business and information needs Locate and define new process...

Job Summary: Owns the output of a key discipline within Business Operations and able to manage Managers & team of Clinical & Operations Management job family roles. Ensures compliance with the organization's policies and government regulations. Directs the review of operations systems and procedures, and recommends improvements to increase efficiency. Utilizes in-depth professional knowledge and experience to set departmental goals which align with functional strategy. Focuses on achievement of departmental goals and plays a significant part in achieving functional goals. Develops departmental plans, including business, production, operational and/or organizational priorities. Controls resources and policy formation in area of responsibility. Owns the operational controls and oversight for the delivery of service requests completed by the Drug Coverage, Formulary, and Clinical Rules team with speed, accuracy, and efficiency. Responsible for relationships with business...

About Lumen Lumen is guided by our belief that humanity is at its best when technology advances the way we live and work. With 450,000 route fiber miles serving customers in more than 60 countries, we deliver the fastest, most secure global platform for applications and data to help businesses, government and communities deliver amazing experiences. Learn more about Lumen's network, edge cloud, security and communication and collaboration solutions and our purpose to further human progress through technology at news.lumen.com, LinkedIn: /lumentechnologies, Twitter: @lumentechco, Facebook: /lumentechnologies, Instagram: @lumentechnologies and YouTube: /lumentechnologies. The Main Responsibilities Remotely manage relationships and meet with SFH (single family Home) National Accounts representatives (ancillary managers, land development, marketing, and sales teams) within our contracted assignments in Connected Communities. Continuously develop sales and marketing...

About Lumen Lumen is guided by our belief that humanity is at its best when technology advances the way we live and work. With 450,000 route fiber miles serving customers in more than 60 countries, we deliver the fastest, most secure global platform for applications and data to help businesses, government and communities deliver amazing experiences. Learn more about Lumen's network, edge cloud, security and communication and collaboration solutions and our purpose to further human progress through technology at news.lumen.com, LinkedIn: /lumentechnologies, Twitter: @lumentechco, Facebook: /lumentechnologies, Instagram: @lumentechnologies and YouTube: /lumentechnologies. The Role Have you heard? Lumen is building, expanding, and investing in our global Edge Compute platform. We intend to accelerate the data lifecycle, boost app performance, and help drive our customer's growth with low-latency, distributed compute. Edge Computing Solutions at Lumen To achieve our goal we...

Description The Associate Director, Software Engineering codes software applications based on business requirements. The Associate Director, Software Engineering requires a solid understanding of how organization capabilities interrelate across department(s). Responsibilities The Associate Director, Enterprise Monitoring Platform as a Service helps develop and execute an engineering strategy for enterprise logging and monitoring platforms required to support infrastructure, application and security monitoring requirements. This role reports to the director, helping define the Enterprise Monitoring Platform strategy to centralize logging architecture, minimize cost and maximize function of various Enterprise Monitoring platforms. The AD: Leads Enterprise Monitoring Platform Engineering supporting all enterprise-level logging and monitoring platforms in infrastructure, security and application monitoring Researches technology options and makes necessary decision...

About Lumen Lumen is guided by our belief that humanity is at its best when technology advances the way we live and work. With 450,000 route fiber miles serving customers in more than 60 countries, we deliver the fastest, most secure global platform for applications and data to help businesses, government and communities deliver amazing experiences. Learn more about Lumen's network, edge cloud, security and communication and collaboration solutions and our purpose to further human progress through technology at news.lumen.com, LinkedIn: /lumentechnologies, Twitter: @lumentechco, Facebook: /lumentechnologies, Instagram: @lumentechnologies and YouTube: /lumentechnologies. The Role The Operations Engineer II will apply approved technologies and architectures to specific requirements for additions to support growth and new services at Lumen. The Main Responsibilities Develops/defines plans for the implementation of new plant construction or modifications to existing...

Remote, Work from home, United States. Must be able to work EST hours. At eviCore, you will have the opportunity to develop cutting edge Healthcare software at scale. Every day our focus is on automating, simplifying, and generally improving provider and patient experiences. Web applications, Machine Learning + AI, and FHIR APIs are just a few tools we use to accomplish this. Some of the specific technologies we use include Kubernetes, Kafka, Spring, Redis, and more. On an individual level, we encourage our engineers to continue learning and bring new ideas and tech to the company. Did you just take a course on Rust and have an idea on how to use it? Great, let's prototype it. Did you just go to a Kafka Developer Conference and find inspiration? Teach us at a Lunch-and-Learn and show us how it works. We want you to feel enabled to innovate. So, if you are a developer who is excited about improving healthcare and working with a variety of technologies, please apply!...

Help others. Always listen first and respond with empathy. Own the customer experience. Be a part of something greater than yourself. Are you ready for a role that utilizes your caring nature and quick-thinking skills to help people? How about a role that makes you feel like you are making an impact every single day? Alright, let's do this...First things first, we're a global health service company dedicated to helping people improve their health, well-being and sense of security. But we don't just care about your well-being, we care about your career health too. That's why when you work with us, you can count on a different kind of career - you'll make a difference, learn a ton, and change the way people think about health insurance.Customer Advocates help our 90+ million customers make the most out of their Cigna benefits. Here's a little more about what you'll do: Help clients, customers and health care providers understand our business a little better. Topics like...

Job Title Technical Services Consultant - Healthcare (Remote) Job Description If you are a Colorado resident and this role is a field-based or remote role, you may be eligible to receive additional information about the compensation and benefits for this role, which we will provide upon request. You may contact 888-367-7223, option 5, for assistance. ** Sponsorship and/or relocation benefits are not available for this role. We welcome you to join Philips as an experienced Technical Services Consultant support our IntelliSpace Perinatal implementations! Your Responsibilities: Adheres to the execution and application of PCMS Project Management Methodology Assumes the technical leadership role for each assigned project Shares knowledge and technical expertise with customer and team Provides feedback/assists in streamlining program implementation methodology or implementation documentation/toolsets. Assists with Business Development activities as requested....

About Lumen Lumen is guided by our belief that humanity is at its best when technology advances the way we live and work. With 450,000 route fiber miles serving customers in more than 60 countries, we deliver the fastest, most secure global platform for applications and data to help businesses, government and communities deliver amazing experiences. Learn more about Lumen's network, edge cloud, security and communication and collaboration solutions and our purpose to further human progress through technology at news.lumen.com, LinkedIn: /lumentechnologies, Twitter: @lumentechco, Facebook: /lumentechnologies, Instagram: @lumentechnologies and YouTube: /lumentechnologies. The Role This is a front line customer service position responsible for equipment functionality, customer satisfaction and the overall Lumen customer experience. The Main Responsibilities • Installation, configuration, operation and maintenance of IP (data/voice) and telecom communications...