Your Search Results

Supervisor Intake Coordination
Highmark Health - Carson City , NV

**Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** This job supervises and coordinates the day to day activities of the UM Intake Coordination team. The incumbent selects, develops and continuously coaches staff to the highest levels of performance. Motivates and team builds...

Date Post 04/16/2024 - Apply Now - Save Job

DesignOps Manager
Highmark Health - Carson City , NV

**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...

Date Post 04/16/2024 - Apply Now - Save Job

Intake Coordinator
Highmark Health - Carson City , NV

**Company :** Highmark Inc. **Job 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...

Date Post 04/14/2024 - Apply Now - Save Job

Account Manager, Print Solutions
Highmark Health - Carson City , NV

**Company :** enGen **Job Description :** **JOB SUMMARY** This job supports and manages customer projects from beginning to end. In this role the incumbent will be the main link between the customer, supported Sales Representatives and Operations. The incumbent will manage the customer's...

Date Post 04/13/2024 - Apply Now - Save Job

Marketing Underwriter- HMIG
Highmark Health - Carson City , NV

**Company :** HM Insurance Group **Job Description :** **JOB SUMMARY** This job maintains existing business, generates new business, and grows a profitable book of business which has been underwritten in the Workers Compensation Insurance market. The incumbent rates, underwrites and monitors...

Date Post 04/13/2024 - Apply Now - Save Job

Sales Support Analyst
Highmark Health - Carson City , NV

**Company :** HM Insurance Group **Job Description :** **JOB SUMMARY** This job is responsible for the overall administration and oversight of sales support activities for the sales office. The individual could perform one or more of the following types of tasks in support of the sales...

Date Post 04/13/2024 - Apply Now - Save Job

Epic Systems Analyst
Highmark Health - Carson City , NV

**Company :** enGen **Job Description :** **JOB SUMMARY** This job is responsible for configuring, rolling out, and supporting the assigned Epic application(s). Responsibilities include business/systems analysis, requirements definition and documentation, system design, and problem resolution....

Date Post 04/12/2024 - Apply Now - Save Job

Project Manager
Highmark Health - Carson City , NV

**Company :** Highmark Health **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...

Date Post 04/12/2024 - Apply Now - Save Job

Dosimetrist
Highmark Health - Carson City , NV

**Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** This job designs and customizes treatment plans under the direction of the radiation oncologist. **ESSENTIAL RESPONSIBILITIES:** + Calculates radiation treatment dose and enters data into the record and verify...

Date Post 04/12/2024 - Apply Now - Save Job

Senior Medical Stop Loss Underwriter
Highmark Health - Carson City , NV

**Company :** HM Insurance Group **Job Description :** **JOB SUMMARY** This job prices quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of Underwriting authority within the...

Date Post 04/12/2024 - Apply Now - Save Job

Intake Coordinator
Highmark Health - Carson City , NV

**Company :** Highmark Inc. **Job 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...

Date Post 04/11/2024 - Apply Now - Save Job

Intake Coordinator
Highmark Health - Carson City , NV

**Company :** Highmark Inc. **Job 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...

Date Post 04/11/2024 - Apply Now - Save Job

Lead Cloud Software Engineer
Highmark Health - Carson City , NV

**Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job is a leader of cloud-first application design to drive the organization's next-generation technologies. The incumbent works to adopt, standardize, expand, maintain, and optimize cloud usage across the organization by...

Date Post 04/11/2024 - Apply Now - Save Job

Intake Coordinator
Highmark Health - Carson City , NV

**Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** This job captures all inbound, and outboun 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,...

Date Post 04/11/2024 - Apply Now - Save Job

Dental Network Service Representative
Highmark Health - Carson City , NV

**Company :** United Concordia Dental **Job Description :** JOB SUMMARY ******* **Due to Department of Defense (DOD) contract requirements, the incumbent who fills this position** **must** **be a US citizen and must also pass a background check.** ******* This job services United...

Date Post 04/11/2024 - Apply Now - Save Job

Program Manager Risk Adjustment
Highmark Health - Carson City , NV

**Company :** Highmark Inc. **Job Description :** **GENERAL OVERVIEW** This job is responsible for the successful definition, implementation and delivery of complex programs that requires cross-functional collaboration and interdependencies between a group of projects and/or related activities...

Date Post 04/10/2024 - Apply Now - Save Job

Underwriter
Highmark Health - Carson City , NV

**Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** *******Bachelor's Degree in Mathematics, Actuarial Science, Finance, Business, Computer Science or other quantitative analysis discipline************** This job analyzes data such as type of industry, financial condition, and...

Date Post 04/10/2024 - Apply Now - Save Job

Senior DevOps Engineer
Highmark Health - Carson City , NV

**Company :** enGen **Job Description :** **JOB SUMMARY** This job is responsible to build and maintain automated pipelines, troubleshoot, and analyze complex issues with the DevOps toolchain, and improve the continuous integration and deploy (CICD). The ideal candidate will have a solid...

Date Post 04/10/2024 - Apply Now - Save Job

Intake Coordinator
Highmark Health - Carson City , NV

**Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** ********* This position requires weekend and late** **availability*************** This job captures all inbound requests for utilization review from providers and pharmacies. The incumbent assesses the request, conducts all...

Date Post 04/10/2024 - Apply Now - Save Job

Senior Project Manager
Highmark Health - Carson City , NV

**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,...

Date Post 04/09/2024 - Apply Now - Save Job

Associate Application Developer
Highmark Health - Carson City , NV

**Company :** enGen **Job Description :** **JOB SUMMARY** Assists in providing less complex application development services typically as part of a project team or in an application support role. Developers assist, analyze, design, code, test and implement less complex systematic solutions to...

Date Post 04/09/2024 - Apply Now - Save Job

Intake Coordinator
Highmark Health - Carson City , NV

**Company :** Highmark Inc. **Job 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...

Date Post 04/09/2024 - Apply Now - Save Job

Intake Coordinator
Highmark Health - Carson City , NV

**Company :** Highmark Inc. **Job 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...

Date Post 04/09/2024 - Apply Now - Save Job

Intake Coordinator
Highmark Health - Carson City , NV

**Company :** Highmark Inc. **Job 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...

Date Post 04/09/2024 - Apply Now - Save Job

Business Systems Analyst
Highmark Health - Carson City , NV

**Company :** enGen **Job Description :** **JOB SUMMARY** This job supports one or more analytical aspects of the application product life cycle, within a sub-product scope (one or more application components). Uses regular judgement and discretion to collaborate with customers in order to:...

Date Post 04/09/2024 - Apply Now - Save Job

Senior Financial Analyst
Highmark Health - Carson City , NV

**Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job performs financial and business related research and analysis such as the preparation of forecasts and/or analysis of financial reports, records and trends; develops and maintains spreadsheets and databases to...

Date Post 04/06/2024 - Apply Now - Save Job

Senior Project Manager - Business
Highmark Health - Carson City , NV

**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,...

Date Post 04/06/2024 - Apply Now - Save Job

Senior Project Manager - Business
Highmark Health - Carson City , NV

**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,...

Date Post 04/06/2024 - Apply Now - Save Job

Communication and PR Undergraduate Intern
Highmark Health - Carson City , NV

**Company :** United Concordia Dental **Job Description :** **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...

Date Post 04/05/2024 - Apply Now - Save Job

Intake Coordinator
Highmark Health - Carson City , NV

**Company :** Highmark Inc. **Job 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...

Date Post 04/05/2024 - Apply Now - Save Job

Senior Intake Coordinator
Highmark Health - Carson City , NV

**Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** This job monitors the day to day functions of the Intake team. This includes running call statistics for the individual intake coordinators as well as the team. Monitors incoming calls to ensure customer service and quality...

Date Post 04/05/2024 - Apply Now - Save Job

Associate Application Developer
Highmark Health - Carson City , NV

**Company :** enGen **Job Description :** **JOB SUMMARY** If the candidate lives within 50 miles of one of our print facilities, the candidate will be required to come into the office, once a month at minimum or on an as needed basis, to complete work with team. An Associate Application...

Date Post 04/05/2024 - Apply Now - Save Job

Director Solution Portfolio - Customer Financial Experience
Highmark Health - Carson City , NV

**Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job oversees end-to-end product management to create seamless customer financial experiences, enabling customers to easily navigate and manage their healthcare finances. Responsible for driving innovation, developing...

Date Post 04/05/2024 - Apply Now - Save Job

Senior Program Manager - ISRM
Highmark Health - Carson City , NV

**Company :** enGen **Job Description :** **JOB SUMMARY** This position requires proactive engagement with internal stakeholders to establish strong relationships for identifying and accessing relevant data sources crucial for analytics-driven fraud detection in the healthcare domain. The...

Date Post 04/04/2024 - Apply Now - Save Job

Senior Pharmacist
Highmark Health - Carson City , NV

**Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** This job works in a team oriented environment monitoring FDA-approvals, drug manufacturer pipelines, and assess drug utilization reports, in order to develop and execute the the Organization's Drug Formulary, and/or recommend...

Date Post 04/04/2024 - Apply Now - Save Job

Senior Program Manager - ISRM
Highmark Health - Carson City , NV

**Company :** enGen **Job Description :** **JOB SUMMARY** This job is responsible for the successful definition, implementation, and delivery of complex programs, including cyber strategy and planning, that require cross-functional collaboration and interdependencies between a group of projects...

Date Post 04/04/2024 - Apply Now - Save Job

Principal Information Security Architect - Enterprise Technology
Highmark Health - Carson City , NV

**Company :** enGen **Job Description :** **JOB SUMMARY** The Principal Information Security Architect - Enterprise Technology serves as the most senior security architect and advanced technology analyst in the company. The incumbent synthesizes and simplifies complex needs such as business...

Date Post 04/03/2024 - Apply Now - Save Job

Associate Medical Stop Loss Underwriter
Highmark Health - Carson City , NV

**Company :** HM Insurance Group **Job Description :** **JOB SUMMARY** This job pricies quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent develops and uses discretion of Underwriting authority,...

Date Post 04/02/2024 - Apply Now - Save Job

Senior Program Manager - ISRM (Service portfolio and program del
Highmark Health - Carson City , NV

**Company :** enGen **Job Description :** **JOB SUMMARY** This job is responsible for successful definition, implementation and delivery of complex programs that require cross-functional collaboration and interdependencies between a group of projects and/or related activities within the...

Date Post 04/02/2024 - Apply Now - Save Job

Behavioral Health School Educator - A.W. Beattie Career Center -
Highmark Health - Carson City , NV

**Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** This job serves non-billable functions within the CHILL Workshop. These responsibilities include serving students, school district employees and student families. Responsibilities with students include...

Date Post 03/30/2024 - Apply Now - Save Job

Project Manager
Highmark Health - Carson City , NV

**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...

Date Post 03/30/2024 - Apply Now - Save Job

VP Information and Security Risk Management
Highmark Health - Carson City , NV

**Company :** enGen **Job Description :** **JOB SUMMARY** The VP, Information and Security Risk Management reports to the CISO, and serves as the senior most leader accountable for simultaneously directing the engineering of Highmark Health information security infrastructure and architectural...

Date Post 03/29/2024 - Apply Now - Save Job

Senior Account Support Analyst - HMIG
Highmark Health - Carson City , NV

**Company :** HM Insurance Group **Job Description :** **JOB SUMMARY** This job provides account support activities associated with the implementation and administration of groups and accounts. Provides assistance with non-standard benefit implementation tasks. Identifies and resolves...

Date Post 03/29/2024 - Apply Now - Save Job

Business Systems Analyst
Highmark Health - Carson City , NV

**Company :** enGen **Job Description :** **JOB SUMMARY** This job supports one or more analytical aspects of the application product life cycle, within a sub-product scope (one or more application components). Uses regular judgement and discretion to collaborate with customers in order to:...

Date Post 03/29/2024 - Apply Now - Save Job

Managed Care Support Analyst
Highmark Health - Carson City , NV

**Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** This role processes payor contracts for single case agreements, manages contract repository, and completes facility credentialing applications. Disseminates payor communications and coordinates projects as...

Date Post 03/29/2024 - Apply Now - Save Job

Provider Enrollment Specialist
Highmark Health - Carson City , NV

**Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Coordinates and facilitates the enrollment of Allegheny Clinic professional providers with various payers for professional services reimbursement. Reviews provider credentialing and/or recredentialing data for...

Date Post 03/29/2024 - Apply Now - Save Job

Associate Business Intelligence Analyst
Highmark Health - Carson City , NV

**Company :** Highmark Health **Job Description :** *If you live within a 50 mile radius of an office this role will be hybrid in office 3 days a week. (PA, NY, DE, WV) This job utilizes project management techniques to develop Business Intelligence solutions using Oracle Cloud Analytics...

Date Post 03/29/2024 - Apply Now - Save Job

Associate Care Management Representative
Highmark Health - Carson City , NV

**Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** This job is a primary resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as the liaison between the department and the claims processing departments to facilitate...

Date Post 03/28/2024 - Apply Now - Save Job

PA Office Support Representative
Highmark Health - Carson City , NV

**Company :** Highmark Inc. **Job Description :** I. GENERAL OVERVIEW: - Receive, review and make determinations regarding physician reviewer assignments for medical management decisions. Cases requiring physician review are provider and member requests, received from Medical...

Date Post 03/28/2024 - Apply Now - Save Job

Rep Fund Acctg I
Highmark Health - Carson City , NV

**Company :** Highmark Inc. **Job Description :** Duties Note: The following is not intended to be an exhaustive list of all duties required of this position. ADA E1. Maintains the funding for self-insured clients. (35%) E2. Responsible for communicating with external client contacts and...

Date Post 12/29/2023 - Apply Now - Save Job