Highmark Health Jobs

Highmark Health

Elementary & Secondary Education | ROSEVILLE, CA | 16329 followers

Highmark Health Overview

WEBSITE highmarkhealth.org
HEADQUARTERS ROSEVILLE, CA
SIZE 15,000 - 50,000
CEO BRAD KRINKE
REVENUE <$5M
INDUSTRY Elementary & Secondary Education
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About Highmark Health

Highmark Health, a Pittsburgh, PA based enterprise that employs more than 40,000 people who serve millions of Americans across the country, is the second largest integrated health care delivery and financing network in the nation based on revenue. Highmark Health is the parent company of Highmark Inc., Allegheny Health Network, and HM Health Solutions. Highmark Inc. and its subsidiaries and affiliates provide health insurance to nearly 5 million members in Pennsylvania, West Virginia and Delaware as well as dental insurance, vision care and related health products through a national network of... diversified businesses that include United Concordia Companies, HM Insurance Group, and Visionworks. Allegheny Health Network is the parent company of an integrated delivery network that includes eight hospitals, more than 2,800 affiliated physicians, ambulatory surgery centers, an employed physician organization, home and community-based health services, a research institute, a group purchasing organization, and health and wellness pavilions in western Pennsylvania. HM Health Solutions focuses on meeting the information technology platform and other business needs of the Highmark Health enterprise as well as unaffiliated health insurance plans by providing proven business processes, expert knowledge and integrated cloud-based platforms. To learn more, please visit www.highmarkhealth.org More
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Browse Highmark Health Jobs ( View All Jobs )

Product Evaluation Research Manager at Highmark Health

Remote Position, PA | Full Time
$100k-125k (estimate)
3 Days Ago
Company. Highmark Health. Job Description. JOB SUMMARY. If living within a 50 mile radius of a Highmark location (PA, DE, WV or NY) this is hybrid role in office 3 days a week. This role is part of the Solutions Insights and Validation (SIV) team within the larger Product and Health Experience (PHE) organization. PHE aims to deliver exceptional health experiences through user-friendly products and solutions using the power of data and innovative ...

Business Process Analyst - Data and Operations at Highmark Health

Remote Position, PA | Full Time
$78k-97k (estimate)
5 Days Ago
Company. Highmark Health. Job Description. JOB SUMMARY. This job provides expertise for standard to moderately complex problem solving and in-depth understanding of system functionality. The incumbent reviews significant amounts of information and analyzes processes to support business unit needs. May troubleshoot errors, conduct impact analyses, and/or solve data rejection. Performs business analyses in one or more operational areas. Identifies ...

DesignOps Manager at Highmark Health

Remote Position, PA | Full Time
$103k-140k (estimate)
6 Days Ago
Company. Highmark Health. Job Description. JOB SUMMARY. This is a hybrid role requiring 3 days a week in office if living within a 50 mile radius of a hub office located in PA, WV, DE or NY. This job is part of the Product and Health Experience team and will be a champion for the research- and design-driven and human-centered methods. Our Research and Design Organization exists to gain a deep understanding of the human behaviors, challenges, need...

Lead Financial Accounting & Reporting Analyst at Highmark Health

Pittsburgh, PA | Full Time
$84k-105k (estimate)
1 Week Ago
Company. Highmark Health. Job Description. JOB SUMMARY. The job plays a key role in the oversight of accounting functions related to financial and regulatory reporting including preparation and review of financial and regulatory reports in accordance with Generally Accepted Accounting Principles (GAAP) and/or Statutory Accounting Principles (SAP).  The incumbent takes a lead role in technical research, policy development and other project activit...

VP, Market Executive (West Virginia) at Highmark Health

Remote Position, WV | Full Time
$154k-196k (estimate)
1 Week Ago
Company. Highmark Health. Job Description. JOB SUMMARY. The Market Executive is responsible for the leading the delivery system-related performance and strategies in their responsible market(s). This includes overseeing provider partnerships and developing and executing on strategic and operational plans related to the provider network, delivery of care, population health management and cost of care, and growth objectives for the market. This rol...

Intake coordinator at Highmark Health

Gulfport, MS | Full Time
$48k-62k (estimate)
1 Week Ago
Description. JOB SUMMARY. This job captures all inbound requests for utilization review from providers and pharmacies. The incumbent assesses the request, conducts all necessary research such as verifying benefit coverage for the patient, and then creates the case (data entry) in Highmark's utilization management system for clinical review. Ensures all accurate information is entered at the onset of the process to ensure adherence to all regulato...

Intake Coordinator at Highmark Health

DE, DE | Full Time
$57k-74k (estimate)
2 Weeks Ago
Description. JOB SUMMARY. This job captures all inbound requests for utilization review from providers and pharmacies. The incumbent assesses the request, conducts all necessary research such as verifying benefit coverage for the patient, and then creates the case (data entry) in Highmark's utilization management system for clinical review. Ensures all accurate information is entered at the onset of the process to ensure adherence to all regulato...

Hierarchical Condition at Highmark Health

Dover, DE | Full Time
$66k-86k (estimate)
2 Weeks Ago
Highmark Health. Hierarchical Condition Category (HCC) Coding Specialist. Dover. Delaware. Apply Now. 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 Medica...

Hierarchical Condition at Highmark Health

Concord, NH | Full Time
$64k-84k (estimate)
2 Weeks Ago
Highmark Health. Hierarchical Condition Category (HCC) Coding Specialist. Concord. New Hampshire. Apply Now. 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...

Hierarchical Condition at Highmark Health

Carson, NV | Full Time
$63k-82k (estimate)
2 Weeks Ago
Highmark Health. Hierarchical Condition Category (HCC) Coding Specialist. Carson City. Nevada. Apply Now. 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 Me...

Intake Coordinator at Highmark Health

LA, LA | Full Time
$52k-68k (estimate)
2 Weeks Ago
Description. JOB SUMMARY. This job captures all inbound requests for utilization review from providers and pharmacies. The incumbent assesses the request, conducts all necessary research such as verifying benefit coverage for the patient, and then creates the case (data entry) in Highmark's utilization management system for clinical review. Ensures all accurate information is entered at the onset of the process to ensure adherence to all regulato...

Senior Project Manager - Business at Highmark Health

Remote Position, PA | Full Time
$101k-128k (estimate)
2 Weeks Ago
Company. Highmark Health. Job Description. JOB SUMMARY. This job defines, plans, and delivers of complex programs that require cross-functional collaboration and management of inter-dependencies between a group of projects and/or related activities within the constraint of scope, quality, time and budget. Includes the management of a group of internal exempt and/or matrixed employees and contractors that serve on the program(s) to deliver solutio...
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