4 program assistant teacher jobs found

Company : Highmark Inc. Job Description : JOB SUMMARY This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with physicians, team members, Quality, Compliance, partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories. Supports other key objectives to drive capture of correct Risk Adjustment coding including...

Company : enGen Job Description : JOB SUMMARY **CANDIDATE MUST BE US Citizen (due to contractual/access requirements) ** This role is central to the efficient operation of Pega applications, functioning as a Pega Intake and Triage Developer. Responsibilities include the comprehensive management of request intake and triage, with a strong emphasis on effective prioritization. The successful candidate will apply a blend of Pega technical expertise, analytical insight, and clear communication to quickly evaluate, resolve, and correctly escalate Pega-related issues, safeguarding system stability and user satisfaction. Furthermore, this position necessitates cultivating strong cross-functional relationships to elevate architectural standards, promote knowledge sharing, and enforce organizational best practices. ESSENTIAL RESPONSIBILITIES Responsible for designing and creating engineering specifications for software applications and programs. Responsible...

Company : enGen Job Description : JOB SUMMARY **CANDIDATE MUST BE US Citizen (due to contractual/access requirements) ** This role is central to the efficient operation of Pega applications, functioning as a Pega Intake and Triage Developer. Responsibilities include the comprehensive management of request intake and triage, with a strong emphasis on effective prioritization. The successful candidate will apply a blend of Pega technical expertise, analytical insight, and clear communication to quickly evaluate, resolve, and correctly escalate Pega-related issues, safeguarding system stability and user satisfaction. Furthermore, this position necessitates cultivating strong cross-functional relationships to elevate architectural standards, promote knowledge sharing, and enforce organizational best practices. ESSENTIAL RESPONSIBILITIES Responsible for designing and creating engineering specifications for software applications and programs. Responsible...

Company : Highmark Health Job Description : JOB SUMMARY **CANDIDATE MUST BE US Citizen (due to contractual/access requirements) For candidates residing within a 50-mile radius of a Highmark office, a hybrid work schedule of three days per week (Tuesday, Wednesday, and Thursday) in the office is required.** The Cyber User Behavior Engineer is a pivotal role at Highmark, dedicated to enhancing our organization's security by cultivating a robust "security-first" culture. This individual will lead the design, implementation, and ongoing management of comprehensive security awareness programs. Their primary responsibility will be to educate, train, and inspire all Highmark employees to effectively identify and report security threats, ensuring adherence to Highmark's security policies and industry best practices. This role is crucial in minimizing human-centric security risks and fostering a vigilant and informed workforce. ESSENTIAL RESPONSIBILITIES...