Highmark Health

Company :Highmark HealthJob Description :Job SummaryThis job supports the products fundamental value proposition outlines vision and execution plan gains alignment and support from key strategic partners and stakeholders and oversees execution of that vision including the overall fina

Company :Highmark HealthJob Description :Job SummaryThis job supports the products fundamental value proposition outlines vision and execution plan gains alignment and support from key strategic partners and stakeholders and oversees execution of that vision including the overall fina

Company :Allegheny Health NetworkJob Description :GENERAL OVERVIEW:This job is responsible for the configuration rollout and support of assigned Revenue Cycle applications with a focus on Epic systems. Responsibilities include business/systems analysis requirements definition and docu

Company :Allegheny Health NetworkJob Description :GENERAL OVERVIEW:This job is responsible for the configuration rollout and support of assigned Revenue Cycle applications with a focus on Epic systems. Responsibilities include business/systems analysis requirements definition and docu

Company :Highmark Inc.Job Description :JOB SUMMARY The Director of Strategy for Risk Adjustment (Risk Adjustment Accuracy Management (RAAM)) plays a pivotal role in driving the strategic planning operational efficiency and programmatic execution within the RAAM department. This role i

Company :Highmark Inc.Job Description :JOB SUMMARY The Director of Strategy for Risk Adjustment (Risk Adjustment Accuracy Management (RAAM)) plays a pivotal role in driving the strategic planning operational efficiency and programmatic execution within the RAAM department. This role i

Company :enGenJob Description :JOB SUMMARYThe VP AI Strategy & Enablement is responsible for defining and driving the strategic direction and operational execution of Artificial Intelligence capabilities within enGen and across the Highmark enterprise. This role is pivotal in leveragi

Company :enGenJob Description :JOB SUMMARYThe VP AI Strategy & Enablement is responsible for defining and driving the strategic direction and operational execution of Artificial Intelligence capabilities within enGen and across the Highmark enterprise. This role is pivotal in leveragi

Company :enGenJob Description :JOB SUMMARY***CANDIDATE MUST BEUS Citizen (due to contractual/access requirements)***Highmark is seeking a highly motivatedMainframe Senior Architectto join the Mainframe Platform Services team. This role is accountable for the performance and capacity m

Company :enGenJob Description :JOB SUMMARY***CANDIDATE MUST BEUS Citizen (due to contractual/access requirements)***Highmark is seeking a highly motivatedMainframe Senior Architectto join the Mainframe Platform Services team. This role is accountable for the performance and capacity m

Company :Highmark Inc.Job Description :JOB SUMMARYThis job as part of a physician team ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using

Company :Highmark Inc.Job Description :JOB SUMMARYThis job as part of a physician team ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using

Company :Highmark HealthJob Description :JOB SUMMARYThis job supports Enterprise Transformation project teams in delivering day-to-day client service and analytical support. The incumbent collaborates across 1-2 client teams at a time and is responsible for uncovering synthesizing ana

Company :Highmark HealthJob Description :JOB SUMMARYThis job supports Enterprise Transformation project teams in delivering day-to-day client service and analytical support. The incumbent collaborates across 1-2 client teams at a time and is responsible for uncovering synthesizing ana

Company :Highmark HealthJob Description :JOB SUMMARYThis job plays a critical role representing the customers voice throughout the product development lifecycle. The incumbent will contribute to and evangelize the vision and strategy for assigned digital products clearly articulate th

Company :Highmark HealthJob Description :JOB SUMMARYThis job plays a critical role representing the customers voice throughout the product development lifecycle. The incumbent will contribute to and evangelize the vision and strategy for assigned digital products clearly articulate th

Company :Highmark Inc.Job Description :JOB SUMMARYThis 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 Con

Company :Highmark Inc.Job Description :JOB SUMMARYThis 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 Con

Company :Highmark Inc.Job Description :JOB SUMMARYThis job reviews evaluates and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for building positive client relationships providing education

Company :Highmark Inc.Job Description :JOB SUMMARYThis job reviews evaluates and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for building positive client relationships providing education

Company :Highmark HealthJob Description :JOB SUMMARYWe are seeking a dynamic seasoned and highly collaborative product managerto define the strategic vision fundamental value proposition and execution plan for the internal tooling and AI ecosystem within the PHE organization. This piv

Company :Highmark HealthJob Description :JOB SUMMARYWe are seeking a dynamic seasoned and highly collaborative product managerto define the strategic vision fundamental value proposition and execution plan for the internal tooling and AI ecosystem within the PHE organization. This piv

Company :Highmark Inc.Job Description :JOB SUMMARYThis job has primary ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member panel and utilizing data/anal

Company :Highmark Inc.Job Description :JOB SUMMARYThis job has primary ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member panel and utilizing data/anal

Company :Highmark HealthJob Description :JOB SUMMARYWe are seeking a highly strategic and experienced Senior Product Manager to lead the development and evolution of our network products. Sitting within the Provider Data and Reimbursement Product Management team this individual will b

Company :Highmark HealthJob Description :JOB SUMMARYWe are seeking a highly strategic and experienced Senior Product Manager to lead the development and evolution of our network products. Sitting within the Provider Data and Reimbursement Product Management team this individual will b

Company :Allegheny Health NetworkJob Description :GENERAL OVERVIEW:The Operational Performance and Benchmarking Analytics Coordinator (OPBAC) role encompasses all activities required to measure our organizations performance relative to similar organizations in our industry. This inclu

Company :Allegheny Health NetworkJob Description :GENERAL OVERVIEW:The Operational Performance and Benchmarking Analytics Coordinator (OPBAC) role encompasses all activities required to measure our organizations performance relative to similar organizations in our industry. This inclu

Company :Highmark HealthJob Description :JOB SUMMARYThis role will lead product management efforts specifically focused on theAcquisition & Onboarding portfolio within the Government segment (Medicare and ACA). The incumbent will be responsible for defining and executing strategies th

Company :Highmark HealthJob Description :JOB SUMMARYThis role will lead product management efforts specifically focused on theAcquisition & Onboarding portfolio within the Government segment (Medicare and ACA). The incumbent will be responsible for defining and executing strategies th

Company :United Concordia DentalJob Description :GENERAL OVERVIEW: Responsible for performing a variety of sales support activities and general office functions in supporting the Sales group.This is a remote based role.ESSENTIAL RESPONSIBILITIES:1. Provide timely and accurate response

Company :United Concordia DentalJob Description :GENERAL OVERVIEW: Responsible for performing a variety of sales support activities and general office functions in supporting the Sales group.This is a remote based role.ESSENTIAL RESPONSIBILITIES:1. Provide timely and accurate response

Company :enGenJob Description :JOB SUMMARYThis role is responsible for the design build implementation and support of the Epic Willow Ambulatory application with a primary focus on retail and outpatient pharmacy operations within a complex healthcare organization. The analyst partners

Company :enGenJob Description :JOB SUMMARYThis role is responsible for the design build implementation and support of the Epic Willow Ambulatory application with a primary focus on retail and outpatient pharmacy operations within a complex healthcare organization. The analyst partners

Company :enGenJob Description :JOB SUMMARYThis job supports one or more technical aspects of the application product life cycle within a sub-product scope (one or more application components). Uses judgement and discretion in collaboration with customers to understand capability needs

Company :enGenJob Description :JOB SUMMARYThis job supports one or more technical aspects of the application product life cycle within a sub-product scope (one or more application components). Uses judgement and discretion in collaboration with customers to understand capability needs

Company :Highmark Inc.Job Description :GENERAL OVERVIEWThis role operates in a hybrid model (TWTH) for employees residing within 50 miles of the corporate office.This role is responsible for defining prioritizing implementing and delivering complex pharmacy programs that require cross

Company :Highmark Inc.Job Description :GENERAL OVERVIEWThis role operates in a hybrid model (TWTH) for employees residing within 50 miles of the corporate office.This role is responsible for defining prioritizing implementing and delivering complex pharmacy programs that require cross

Company :Allegheny Health NetworkJob Description :GENERAL OVERVIEW:This job provides oversight of Forecasting Capital and Business Development processes for the Allegheny Health Network. ESSENTIAL RESPONSIBILITIESPerform management responsibilities to include but are not limited to: i

Company :Allegheny Health NetworkJob Description :GENERAL OVERVIEW:This job provides oversight of Forecasting Capital and Business Development processes for the Allegheny Health Network. ESSENTIAL RESPONSIBILITIESPerform management responsibilities to include but are not limited to: i