Highmark jobs in Melrose, NY

Company :United Concordia DentalJob Description :Applicants must be authorized to work in the U.S. independently. At this time, we do not offer visa sponsorship for this role.SUMMARY OF JOB RESPONSIBILITIESThis 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...

Company :Highmark Inc.Job Description :JOB SUMMARYThis job leads, supports and facilitates process improvement initiatives across multiple functional units for both strategic and continuous process improvement efforts. Strategic and transformational support includes design and support throughout implementation to ensure people/process/technical solutions align with strategic initiative while...

Company :Highmark Inc.Job Description :JOB SUMMARYThis job supports the Underwriting department and applies actuarial techniques and statistical analysis to several functions, including insurance premium and pricing development, claim trend analysis, experience studies, medical economics, profitability analysis, wellness studies, predictive modeling, benefit benchmarking, claim reserving and...

Company :Highmark Inc.Job Description :This is a Hybrid based role - 3 days a week in Pittsburgh - T, W, THSUMMARY OF JOB RESPONSIBILITIESThis 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...

Company : Highmark Health Job Description : JOB SUMMARY The VP Care Analytics will serve as the key strategist to shape and drive the enterprise's approach to assessing and analyzing all aspects of health (clinical, social and mental). They will act as a key interface to internal and external clinical leaders and other senior executives leading strategies around various aspects of health...

CompanyHighmark HealthJob DescriptionJOB SUMMARYCANDIDATE MUST BE US Citizen (due to contractual/access requirements)To foster collaboration and team synergy, this position follows a hybrid model. Employees within a 50-mile radius of our Pittsburgh, Buffalo, or Camp Hill locations will be required to work from the office on Tuesdays, Wednesdays, and Thursdays.Execute a process to develop a...

Overview Company : Highmark Inc.Job Description :JOB SUMMARYThis job supports the matrixed strategic design and analytical approach to reimbursement. To be successful, the incumbent will work closely with stakeholders across the enterprise in the development and implementation of an integrated roadmap for the introduction and delivery of new and innovative reimbursement models across all of...

Company :Highmark Inc.Job Description :JOB SUMMARYHNAS (Health Now Administrative Services) offers flexible, cost-effective solutions for employee health benefits. HNAS is part of Highmark Health, a national blended health organization with a mission to create remarkable health experiences. Our culture is built on your growth and development, collaborating across our organization, and making a...

Company :Highmark Inc.Job Description :JOB SUMMARYThis job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization, identification of opportunities for referral to a Health Coach/case management, and identification and resolution of quality issues. Monitors and analyzes...

Company :Highmark Inc.Job Description :JOB SUMMARYThis 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...

Company :Highmark HealthJob Description :GENERAL OVERVIEWThis role defines, delivers, and manages complex marketing programs and initiatives that support the Marketing Technology and Operations Team. Ensure alignment between marketing strategy, operational execution, and organizational goals. The position establishes governance structures, reporting processes, and operational rhythms for...

Company :enGenJob Description :JOB SUMMARYWithin area of expertise (application, solution, information, technology, business), assists in design, development, implementation, support, and optimization of architecture strategy to meet business capabilities and needs. Assists in ensuring completeness of architecture by adequately addressing all the pertinent concerns of its stakeholders. Assists in...

Company :Highmark Inc.Job Description :JOB SUMMARY**CANDIDATE MUST BE US Citizen (due to contractual/access requirements)**This role offers a hybrid work model for candidates within a 50-mile commute of a Highmark office, requiring on-site presence Tuesday through Thursday. For candidates located more than 50 miles from an office, the position is remote, with a mandatory expectation of two annual...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs clinical review and data abstraction of patient records to support compliance with nationally recognized quality initiatives and the network's clinical process improvement and patient safety initiatives. The incumbent requires in-depth understanding of anatomy, physiology and clinical scenarios, critical...

Company :enGenJob Description :JOB SUMMARYCandidates located within a 50-mile radius of Pittsburgh are expected to work from our office three days per week (Tuesday-Thursday).This role supports the full application product lifecycle for clinical and utilization management software , with a specific focus on driving key technical initiatives such as data integration, cloud migration, and the...

Company :enGenJob Description :JOB SUMMARYEmployees residing within 50 miles of Pittsburgh will follow a hybrid work model, requiring in-office presence Tuesday through Thursday.This Lead Architect, operating from a strategic leadership position, is instrumental in designing, developing, implementing, supporting, and optimizing the architectural strategy for all clinical and utilization...

Company :United Concordia DentalJob Description :JOB SUMMARYMUST BE A US CITIZEN This role will serve as a link between underwriting operations, financial strategy, and process optimization. The incumbent will apply strong analytical and financial acumen to understand, document, and improve processes within the underwriting lifecycle, ensuring efficiency, compliance, and alignment with financial...

Company :Highmark HealthJob Description :JOB SUMMARYThis job is responsible for collaborating with leaders to understand their business objectives and challenges and providing expert guidance on the integration of artificial intelligence. This individual conducts assessments of systems, data, infrastructure, and business processes to identify opportunities for AI products and services. The...

Company :Highmark Inc.Job Description :JOB SUMMARYThis 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...

Company :Allegheny Health NetworkJob Description :GENERAL OVERVIEW:Primarily responsible for assisting the Coding Manager within the Coding Department. Assists in the management of daily operational processes, including: optimization of work assignments, timekeeping and supervision responsibilities of team, providing technical expertise for coding content and functions within the department. The...