Jobs at Highmark Health

The Complex Case Manager RN manages a panel of members, assessing their health needs, developing care plans, and coordinating resources to improve health outcomes.

Responsible for enrollment and billing activities, verifying enrollment status, addressing inquiries, resolving discrepancies, and maintaining membership data.

The Associate Internal Audit Analyst conducts operational and compliance audits to assess the adequacy of controls and governance processes at Highmark Health. This role involves collaboration with team members, executing control testing, and assisting with audit report development. Effective communication and relationship maintenance are key responsibilities.

The Client Project Manager leads project planning, execution, and delivery, ensuring timely completion within budget and quality standards while managing resources and stakeholder communications.

The Business Systems Analyst supports claims operations by resolving system issues, managing tickets, and ensuring data integrity through collaboration, testing, and documentation.

The Business Process Analyst reviews information, analyzes processes, coordinates projects, identifies process inefficiencies, and recommends improvements to support business unit needs.

Serve as subject-matter expert for United Concordia dental applications, support production operations and incidents, analyze issues, define and validate requirements and test scenarios, collaborate with developers and stakeholders, and ensure changes meet business expectations.

The Pharmacy Benefit Consultant offers strategic insights and consultation to clients, driving growth and retention in pharmacy solutions while focusing on business development, data analysis, and training.

The Pharmacy Analyst works with stakeholders to coordinate activities, manage projects, analyze data, ensure compliance, and improve pharmacy products.

Manage and lead a global team of ServiceNow Developers and Administrators, driving the ITSM technology strategy, platform oversight, team development, and value realization from ITSM initiatives.

The VP of Finance Technology leads strategy and integration of finance IT systems across the organization, ensuring efficiency and compliance while managing vendor relationships and overseeing team operations.

The Provider Relations Liaison at United Concordia Dental recruits and trains dental providers, manages network contracts, ensures compliance, and provides support to maintain effective relationships with healthcare professionals and clients.

The Senior Stop Loss Claims Analyst evaluates and processes Stop Loss claims, assists clients, ensures compliance, and monitors claim submissions.

The Complex Case Manager RN oversees and manages a panel of members' health needs, creates care plans, coordinates care, and ensures quality outcomes.

The Software Engineer will design and develop scalable software applications, participate in agile team processes, code reviews, and mentor junior engineers. Responsibilities include creating specifications, implementing technical solutions, and engaging in all aspects of the software build process.

Lead as a Principal Data Architect in a complex hybrid ecosystem, focusing on data movement, enrichment, and orchestration while promoting best practices and innovation across the organization.

The Transformation Manager leads client engagements focused on operational improvements, manages project deliveries, and collaborates with various stakeholders to achieve strategic goals, focusing on process enhancement in a hybrid work model.

The Technical Engineer analyzes, designs, codes, tests, and maintains technical solutions while collaborating with various teams to ensure efficient operation and implementation of technologies.

The Business Analyst is responsible for negotiating clinical trial agreements, conducting budget development, and performing Medicare Coverage Analyses while supporting OSR policies and process improvements.

The Senior Accountant manages financial transactions, prepares financial statements and reports, provides analysis, and mentors junior staff while undertaking various accounting tasks.