Company : Highmark Inc. Job Description : JOB SUMMARY This is a fully remote position, allowing you to work from anywhere. We are actively seeking a highly skilled and experienced Senior Business Systems Analyst with a specialized focus on the GuidingCare platform to join our dynamic team. This pivotal role encompasses the entire IT lifecycle, demanding expertise from initial solutioning and meticulous requirements gathering through to robust con...
Company : Highmark Inc. Job Description : JOB SUMMARY This job requires the incumbent to balance clinical and business acumen to implement and provide ongoing support and oversight of assigned pharmacy programs. This pharmacist will work in a team-oriented environment as a subject matter expert of assigned pharmacy program offerings with both clinical and non-clinical focus. The incumbent is responsible for implementation, market introduction, ov...
Company : Highmark Inc. Job Description : JOB SUMMARY This job is responsible for definition, planning and delivery of complex programs that require cross-functional collaboration and management of interdependencies 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(...
Company : Highmark Inc. Job Description : JOB SUMMARY This job is responsible for the administration and maintenance of positive, collegial relationships between the corporation and the provider and health system community. The incumbent is responsible for engaging entities on performance-related activities such as Value-Based Reimbursement (VBR), Stars and Risk capture, as well as other organizational solutions as appropriate. Additionally, they...
Company : Highmark Inc. Job Description : JOB SUMMARY This job manages the development and execution of short-term and long-term objectives to standardize business practices and enhance system applications. Actively participates in and leads projects. Develops and implements appropriate controls and processing methods and manage adherence to. Manages staff responsible for addressing daily system and process issues. Provides leadership in the deve...
Company. Highmark Inc. Job Description. JOB SUMMARY. This job is responsible for definition, planning and delivery of complex programs that require cross-functional collaboration and management of interdependencies 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...
Company. Highmark Inc. Job Description. This is a Hybrid based role - 3 days a week in Pittsburgh - T, W, TH. Summary Of Job Responsibilities. This job has the goal of providing the opportunity to acquire practical experience through direct exposure to the related business line(s) and to develop the next generation of diverse business professionals. To that end, the program will provide hands-on training and experience in the business line, expos...
Company. Highmark Inc. Job Description. JOB SUMMARY. This job manages all facets of the planning/forecasting cycles for the Organization. These facets include but are not limited to reporting, financial analysis, variance analysis, bid process support, administrative cost allocations, forecast model enhancement, AI data analysis and the period to period risk and opportunities process. The incumbent manages the completion of other ad-hoc financial...
Company : Highmark Inc. Job Description : JOB SUMMARY This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over a specified panel of members that range in health status/severity and clinical needs. and assesses health management needs of the assigned member panel and utilizing data/analytics in conjunction with professional clinical judgement to identify the right ...
Company : Highmark Inc. Job Description : JOB SUMMARY This job supports the growth of the Organization's sales goals through the development of customer-focused, strategically-positioned sales messaging, proposal messaging and/or creative design materials/presentations. The incumbent coordinates and communicates effectively with all levels of the organization and senior management for the collection, analysis and documentation of information and ...
Company. Highmark Inc. Job Description. JOB SUMMARY. This is a hybrid role and would require you to be onsite 3 days a week (Tuesdays, Wednesdays, & Thursdays). Successful definition, implementation and delivery of complex programs that requires cross-functional collaboration and inter-dependencies between a group of projects and/or related activities within the constraint of scope, quality, time and budget and under circumstances involving multi...
Company : Highmark Inc. Job Description : JOB SUMMARY This job supports the achievement of sales financial and membership goals by supporting the development of sales training programs that align with the strategic direction of the Company and business objectives within the Sales Organization. The incumbent, in collaboration with the Sales training team, ensures that the development of all training materials, programs and solutions have been rese...
