Company : Highmark Inc.Job Description : JOB SUMMARY This job assures that members with complex medical and/or psychosocial needs have access to high quality, cost-effective health care. Assists in the holistic assessment, planning, arranging, coordinating, monitoring, evaluation of outcomes and activities necessary to facilitate member access to healthcare services. Advocates for the most appropriate care plan using sound clinical judgment; accurate planning, and collaboration with internal and/or external customers and contacts. Follows established regulatory guidelines, policies, and procedures in relation to member interventions and documentation of activities related to the member’s care and progress across the continuum of care. Facilitates and/or participates in interdisciplinary and/or interagency meetings, when necessary, to facilitate coordination of services/resources for members. ESSENTIAL RESPONSIBILITIES - Communicate effectively while performing customer telephonic interviewing and communication with external contacts. - Communicate effectively while interacting with Case Management Specialists, Management Team, Physician Advisors and other interdepartmental contacts. - Maintain knowledge of Medical Terminology and Medical Diagnostic Categories/Disease States - Educate members to enhance member understanding of illness/disease impact and to positively impact member care plan adherence, pharmacy regimen maintenance, and health outcomes. - Collaborate with Primary Care Physicians, Medical Specialists, Home Health and other ancillary healthcare providers with the goal being to coordinate member care. - Collect member medical information from a variety of sources including providers and internal records and use appropriate clinical judgment, consultation with internal Physician Advisors and other internal cross-departmental consultation to determine unmet member needs. - Work primarily independently to identify, define, and resolve a myriad of problem types experienced by the member. - Develop an individualized plan of care designed to meet the specific needs of each member. - Anticipate the needs of members by continually assessing and monitoring the member’s progress toward goals, care plan status, and re-adjust goals when indicated. - Maintain a working knowledge of available resources for addressing identified member needs and to facilitate proactive and efficient provision of services. - Be knowledgeable of and consider benefit design and cost benefit analysis when planning a course of intervention to develop a realistic plan of care. - Communicate and collaborate with other payers (when applicable) to create a collaborative approach to care management and benefit coordination. - Maintain a working knowledge of available community resources available to assist members. - Coordinate with community organizations/agencies for the purpose of identifying additional resources for which the MCO is not responsible. - Work within a Team Environment. - Attend and participate in required meetings, including staff meetings, internal Rounds, and other in-services to enhance professional knowledge and competency for overall management of members. - Participate in departmental and/or organizational work and quality initiative teams. - Case collaborates with peers, Case Management Specialists, Management Team, Physician Advisors and other interdepartmental contacts. - Participate in interagency and/or interdisciplinary team meetings when necessary to facilitate coordination of member care and resources. - Foster effective work relationships through conflict resolution and constructive feedback skills. - Attend internal and external continuing education forums annually to enhance overall clinical skills and maintain professional licensure, if applicable. - Educate health team colleagues of the role and responsibility of Case Management and the unique needs of the populations served to foster constructive and collaborative solutions to meet member needs. - Other duties as assigned or requested. QUALIFICATIONS Minimum - Bachelor’s degree in nursing or RN certification in lieu of bachelor's degree or Master’s degree in Social Work, Counseling, Education, or related field and 3 years' experience in Acute or Managed Care/ experience with Medicaid or Medicare populations. OR - Bachelor’s degree in Social Work with five years’ experience in Acute or Managed Care/ experience with Medicaid or Medicare populations Preferred - Experience working with high-risk pregnant women OR experience working with chronic condition adult populations OR experience with pediatrics - 3 years of experience in working in Acute Care/Managed Care/Medicaid and Medicare populations. - Bilingual English/Spanish language skills. - Case Management Certification LICENSES AND CERTIFICATIONS Required - Licensed Social Worker (LSW)-Non-Specific - State (OR) Licensed Professional Counselor (LPC) - Non-Specific State (OR) Licensed Bachelors Social Worker (LBSW) (OR) Licensed Clinical Social Worker (LCSW) - Non-Specific (OR) Licensed Master Social Worker (LMSW) Non-Specific (OR) Licensed Graduate Social Worker (LGSW) (OR) Licensed Certified Social Worker (LCSW) (OR) Current State RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC). Incumbents in the role prior to 1/1/25 who are not currently licensed must obtain licensure by 6/30/2026. Preferred - None Skills - None SCOPE OF RESPONSIBILITY Does this role supervise/manage other employees? No WORK ENVIRONMENT Is Travel Required? No 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: $72,700.00 Pay Range Maximum: $116,600.00 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 HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Mgr, Clinical Operations Syneos Health® is a leading fully-integrated life sciences services organization built to accelerate customer success. We partner with innovators at every point across the drug development and commercialization continuum, helping them navigate complexity, anticipate change and accelerate progress. Our Clinical Solutions team members act with a drug development mindset, applying their years of experience and deep expertise to truly understand customer needs and represent those in the solutions we shape. Whether you join us in a Functional Service Provider partnership or a Full-Service environment, you’ll collaborate with passionate problem solvers, innovating as a team to help our customers achieve their goals. We are agile and driven to deliver – for one another, our customers, and, most importantly, for those in need. Discover what your 25,000 future colleagues already know: Why Syneos Health • We are passionate about developing our people, through career development and progression; supportive and engaged line management; technical and therapeutic area training; peer recognition and total rewards program. • We are committed to building an inclusive culture – where you can authentically be yourself. Central to this is our purpose – Driven to Deliver – which captures the passion of our colleagues to show up each day and shape solutions that have the ability to dramatically impact someone’s life. • We are continuously building the company we all want to work for and our customers want to work with. Why? Because we know that when we bring together smart colleagues from across the world, we can shape the future of healthcare, driving impact for customers and defining the pace of patient progress. Job Responsibilities At  Syneos Health, we believe in providing an environment and culture in which Our People can thrive, develop and advance. We reward and recognize our people by providing valuable benefits and a quality-of-life balance. The benefits for this position may include a company car or car allowance, Health benefits to include Medical, Dental and Vision, Company match 401k, eligibility to participate in Employee Stock Purchase Plan, Eligibility to earn commissions/bonus based on company and individual performance, and flexible paid time off (PTO) and sick time. Because certain states and municipalities have regulated paid sick time requirements, eligibility for paid sick time may vary depending on where you work. Syneos complies with all applicable federal, state, and municipal paid sick time requirements. Salary Range: The base salary range represents the anticipated low and high of the Syneos Health range for this position. Actual salary will vary based on various factors such as the candidate’s qualifications, skills, competencies, and proficiency for the role. Get to know Syneos Health Over the past 5 years, we have worked with 94% of all Novel FDA Approved Drugs, 95% of EMA Authorized Products and over 200 Studies across 73,000 Sites and 675,000+ Trial patients. No matter what your role is, you’ll take the initiative and challenge the status quo with us in a highly competitive and ever-changing environment. Learn more about Syneos Health. http://www.syneoshealth.com Additional Information Tasks, duties, and responsibilities as listed in this job description are not exhaustive. The Company, at its sole discretion and with no prior notice, may assign other tasks, duties, and job responsibilities. Equivalent experience, skills, and/or education will also be considered so qualifications of incumbents may differ from those listed in the Job Description. The Company, at its sole discretion, will determine what constitutes as equivalent to the qualifications described above. Further, nothing contained herein should be construed to create an employment contract. Occasionally, required skills/experiences for jobs are expressed in brief terms. Any language contained herein is intended to fully comply with all obligations imposed by the legislation of each country in which it operates, including the implementation of the EU Equality Directive, in relation to the recruitment and employment of its employees. The Company is committed to compliance with the Americans with Disabilities Act, including the provision of reasonable accommodations, when appropriate, to assist employees or applicants to perform the essential functions of the job.

Who We Are At Lucet, we’re transforming whole-person care. We deliver integrated behavioral and physical health solutions that connect individuals to the right care at the right time—improving outcomes and overall well-being. Serving over 15 million lives across the U.S. and Puerto Rico, our model combines clinical expertise, compassionate care, and innovative technology to support healthier, more fulfilling lives. As part of the Lucet team, employees join a mission-driven organization committed to making a lasting impact. Whether through behavioral health navigation, in-home medical care, or 24/7 crisis support, our work is rooted in empathy, collaboration, and a shared passion for helping people thrive. Why Join our Team At Lucet, we’re committed to creating a workplace where top talent thrives both personally and professionally. We offer a dynamic, mission-driven environment where your work has real impact, your unique background and experience are valued, and no two days are alike. If you’re passionate about meaningful work and delivering impactful results, we encourage you to apply! We support our team with a competitive compensation and benefits package, including: - Hourly compensation between $19.00 - $21.60, PLUS an annual performance-based, discretionary incentive. - Compensation is dependent on non-discriminatory factors including but not limited to an applicant's skills, education/degrees, certifications, prior experience, market data, and other relevant factors. - Comprehensive health benefit options: Medical, dental, and vision coverage - 401(k) with competitive employer match - Company-paid life and disability insurance - Paid parental leave and wellbeing incentives - Generous paid time off, including volunteer time - Flexible spending accounts for healthcare and dependent care - Professional development opportunities and tuition reimbursement - Remote work flexibility (role-dependent) - Opportunity for meaningful growth, both personally and professionally, where your unique background and experience is welcomed and valued. At Lucet, your work will directly support our mission to improve behavioral, physical, and social health—one member at a time. What You Will Do - Essential Functions The Clinical Support Coordinator ensures smooth, efficient clinical operations by coordinating provider schedules, resources, and communication across teams to enable high-quality, timely patient care and support clinician success. - Provider Operations & Clinical Coordination - Serve as the primary daily point of contact for field clinicians, supporting scheduling, coverage assignments, onboarding needs, and real-time operational issues. - Ensure providers are efficiently scheduled, travel is optimized within markets, and exam status and completion are communicated consistently. - Scheduling, Workflow & Administrative Support - Coordinate weekly and monthly provider schedules, manage on-call rotations, collaborate with the scheduling center on slot reallocation, and support gap-closure activities. - Review operational reports (utilization, availability, missing exams) and provide workflow support to promote timely, high-quality care delivery. - Cross-Functional Communication & Resource Management - Partner with internal teams (Care Delivery, Learning & Development, Scheduling) to coordinate training, meetings, and operational updates. - Manage medical supply requests, inventory tracking, and administrative communications to ensure clinicians are fully supported in the field. Who You Are Required Qualifications: - High School Diploma / GED or higher - 1+ years of experience in healthcare operations, workforce management/scheduling, administrative coordination, or clinical support role - 6+ months of Microsoft Excel experience working with Pivot Tables, logical functions - Proficiency in Microsoft Office applications (Outlook, Excel, Word) and scheduling or database systems - Ability to pass background check upon hire and throughout employment to include criminal felony & misdemeanor search, SSN validation/trace search (LEIE), education report (highest degree obtained), civil upper and lower search, 7-year employment report, federal criminal search, statewide criminal search, widescreen plus national criminal search, health care sanctions-state med (SAM), national sex offender registry, prohibited parties (OFAC) (terrorist watchlist), and a 10-Panel Drug Screen. Living our Values: - Serving everyone with compassion and leading with empathy. - Stepping up and creating value by taking charge and acting when there is an opportunity. - Adapting in a changing world by recognizing our responsibility to be agile and respond quickly. - Nurturing growth and belonging by respecting and celebrating everyone for who they are. Competencies - Self-motivated and the ability to assume a collaborative role in ensuring that all objectives are met - Ability to work independently to meet team objectives/goals - Professional demeanor in response to all situations regardless of the nature or circumstances of the situation - Able to manage multiple tasks in a fast-paced, changing environment - Ability to work within a collaborative, team-oriented environment Working Conditions: - High-speed internet service (cable or fiber optic) with minimum download Speed of 20 Mbps, Upload Speed of 5 Mbps, and Maximum Latency of 100 milliseconds (must be installed before starting) required. - Frequent use of computer and phone systems - Must be able to constantly remain in a stationary, sitting position, communicate and exchange information with others, inspect information, perform repetitive motions with arms and fingers, interpret data, problem solve, make decisions, organize and plan, and maintain a positive and professional attitude in all situations. - Work is performed from home with company-provided equipment. Sitting for long periods of time is expected and use of fingers and hands for typing is necessary. - A quiet workspace with minimal background noise for calls. - This role requires working from a fixed, designated workspace in your home and does not allow flexibility in work locations even within the home. - A hardwired internet connection is required along with ability to sit for extended periods using company-issued wired headsets and desktop equipment. We encourage applicants from a variety of backgrounds and experiences to apply, especially those who can demonstrate how their unique qualifications and skills align with the requirements of this role and support our mission to improve whole-person health. This position will accept and review new applications and resumes no less than 5 business days after the original posting date and may remain open an extended period of time with no set end date based on the level of interest.

This role can sit anywhere in the US as long as it is near an Accenture Corporate Office We are: Supply Chain, and we move fast, think fast, and work fast. Our Fortune 500 clients need big-picture change, so we come at their challenges from all sides with functional insights, data power, digital leadership, and extensive industry know-how. It’s our job to show clients how to take major leaps forward in planning, procurement, manufacturing, and fulfillment while becoming more sustainable and resilient. How do we do it? We call out the most important metrics. We cut costs, optimize capital, improve response times and consider ESG values. We connect suppliers and customers across the extended supply chain. And we create strategies and operating models that really work. You are: A Supply Chain and Operations professional who helps clients develop strategies and operating models that integrate planning, procurement, product design, manufacturing, and/or fulfillment functions within an organization, as well as connect suppliers and customers across the extended supply chains. You use your data skills to develop and implement strategies that improve the entire supply chain process by applying cost efficiency, increasing business effectiveness, and creating synergies and collaboration across companies. You’ve also got the communication skills to make sure that everyone understands your ideas and how to get them working as quickly as possible. Your experience means that people look to you for guidance and ideas. And you know how to make sure teams get their work done on time, every time. A motivated and analytical professional who is starting your career in Sourcing and Procurement strategy. You help clients develop and implement strategies that improve procurement processes, optimize supplier relationships, and drive operational efficiency. Using your data skills, you analyze procurement workflows, identify opportunities for improvement, and support the development of sourcing strategies that reduce costs and enhance supplier performance. You’re a collaborative team player with strong communication skills, able to translate complex ideas into actionable solutions. The work: - Develop Sourcing Strategies: Support the creation and execution of sourcing initiatives that align with client objectives and reduce procurement costs. - Procurement Process Optimization: Analyze current procurement processes, identify inefficiencies, and suggest improvements. - Supplier Management & Negotiation: Assist in supplier negotiations and building relationships, ensuring performance standards are met. - Data-Driven Insights: Use analytics to monitor procurement metrics, track supplier performance, and identify areas for cost reduction. - Client Collaboration: Work directly with clients to understand their needs and translate those needs into actionable sourcing strategies. - Technology Integration: Assist in the integration of digital tools to improve procurement workflows and drive automation. - Project Delivery: Support project teams to ensure that sourcing strategies are executed on time, within scope, and aligned with business goals Here’s what you need: - Minimum 3 years of experience in Sourcing, Procurement, or Supply Chain roles. - External consulting experience at a consulting firm or internal consulting experience in a role equivalent to the Consultant level within industry. - Bachelor's degree or equivalent (minimum 10 years' work experience). If Associate’s Degree, must have equivalent minimum 6-year work experience. - Excellent communication skills with the ability to work collaboratively across teams and strong problem-solving and analytical abilities. Bonus points if: - You have experience with procurement software tools (e.g., SAP Ariba, Oracle Procurement Cloud). - You have Lean or Six Sigma certification. - You have the proven ability to work creatively and analytically in a problem-solving environment - You excel in building and developing relationships, overseeing complex programs and demonstrating leadership - You’ve earned an MBA or equivalent graduate degree - You have a functional-level understanding of technology solutions - You can use the latest data analytics tools to spot opportunities for improvement - Prior experience in driving insights using visualization tools (i.e. Power BI, Tableau, Alteryx) and analytics tools (i.e. Adobe Analytics, Google Analytics) Compensation at Accenture varies depending on a wide array of factors, which may include but are not limited to the specific office location, role, skill set, and level of experience. As required by local law, Accenture provides a reasonable range of compensation for roles that may be hired as set forth below. We anticipate this job posting will be posted until 05/08/2026. Accenture offers a market competitive suite of benefits including medical, dental, vision, life, and long-term disability coverage, a 401(k) plan, bonus opportunities, paid holidays, and paid time off. See more information on our benefits here: U.S. Employee Benefits | Accenture Role Location Annual Salary Range California $70,350 to $205,800 Cleveland $59,100 to $164,600 Colorado $63,800 to $177,800 District of Columbia $68,000 to $189,300 Illinois $59,100 to $177,800 Maryland $63,800 to $177,800 Massachusetts $63,800 to $189,300 Minnesota $63,800 to $177,800 New York $66,300 to $205,800 New Jersey $68,000 to $205,800 Washington $80,200 to $189,300 #LI-NA-FY25 About Accenture Accenture is a leading global professional services company that helps the world’s leading businesses, governments and other organizations build their digital core, optimize their operations, accelerate revenue growth and enhance citizen services—creating tangible value at speed and scale. We are a talent- and innovation-led company with approximately 791,000 people serving clients in more than 120 countries. Technology is at the core of change today, and we are one of the world’s leaders in helping drive that change, with strong ecosystem relationships. We combine our strength in technology and leadership in cloud, data and AI with unmatched industry experience, functional expertise and global delivery capability. Our broad range of services, solutions and assets across Strategy & Consulting, Technology, Operations, Industry X and Song, together with our culture of shared success and commitment to creating 360° value, enable us to help our clients reinvent and build trusted, lasting relationships. We measure our success by the 360° value we create for our clients, each other, our shareholders, partners and communities.Visit us at www.accenture.com What We Believe We have an unwavering commitment to diversity with the aim that every one of our people has a full sense of belonging within our organization. As a business imperative, every person at Accenture has the responsibility to create and sustain an inclusive environment. Inclusion and diversity are fundamental to our culture and core values. Our rich diversity makes us more innovative and more creative, which helps us better serve our clients and our communities. Read more here Requesting An Accommodation Accenture is committed to providing equal employment opportunities for persons with disabilities or religious observances, including reasonable accommodation when needed. If you are hired by Accenture and require accommodation to perform the essential functions of your role, you will be asked to participate in our reasonable accommodation process. Accommodations made to facilitate the recruiting process are not a guarantee of future or continued accommodations once hired. If you would like to be considered for employment opportunities with Accenture and have accommodation needs such as for a disability or religious observance, please call us toll free at 1 (877) 889-9009 or send us an email or speak with your recruiter. Equal Employment Opportunity Statement We believe that no one should be discriminated against because of their differences. All employment decisions shall be made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, military veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by applicable law. Our rich diversity makes us more innovative, more competitive, and more creative, which helps us better serve our clients and our communities. For details, view a copy of the  Accenture Equal Opportunity Statement Accenture is an EEO and Affirmative Action Employer of Veterans/Individuals with Disabilities. Accenture is committed to providing veteran employment opportunities to our service men and women. Other Employment Statements Applicants for employment in the US must have work authorization that does not now or in the future require sponsorship of a visa for employment authorization in the United States. Candidates who are currently employed by a client of Accenture or an affiliated Accenture business may not be eligible for consideration. Job candidates will not be obligated to disclose sealed or expunged records of conviction or arrest as part of the hiring process. Further, at Accenture a criminal conviction history is not an absolute bar to employment. The Company will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. Additionally, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company's legal duty to furnish information. California requires additional notifications for applicants and employees. If you are a California resident, live in or plan to work from Los Angeles County upon being hired for this position, please click here for additional important information. Please read Accenture’s Recruiting and Hiring Statement for more information on how we process your data during the Recruiting and Hiring process.