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 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 :enGenJob Description :JOB SUMMARYWe are seeking a hands-on Principal Data Architect to serve as a leader in our ongoing data and digital transformation, leveraging a modern open data ecosystem build on foundational iceberg lakehouse patterns for both humans and AI to thrive. This role will own defining and delivering our enterprise strategy and architectural approach towards data...

Company :Highmark Inc.Job Description :JOB SUMMARYThis job has primary ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member panel and utilizing data/analytics in conjunction with professional clinical judgement to identify the right clinical intervention for each...

Company :Highmark Inc.Job Description :JOB SUMMARYThis 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 problems related to benefit interpretations, non- standard benefits, handle rating concerns, and coordinate claim extracts and any...

Company :Highmark HealthJob Description :JOB SUMMARY:This job collaborates with Sales Client Management and the Sales Executive team. The position will develop member transition strategies to steer the transition of members to AHN and community providers; thereby minimizing future member disruption. This position is responsible for educating members about how their insurance benefits work, the...

Company :Highmark HealthJob Description :JOB SUMMARYThis will be a hybrid role if you live within a 50 mile radius a Highmark OfficeThis senior-level job will lead and facilitate integrated process improvement and change management initiatives across multiple functional units Responsibilities encompass designing and implementing process optimization strategies, developing and executing...

Company :Highmark Inc.Job Description :JOB SUMMARYThis 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 through the creation of a work environment and conditions that contribute to highest levels of performance.ESSENTIAL...

Company :Highmark Inc.Job Description :JOB SUMMARYThis job is responsible for managing a book of business and the business relationship as a strategic consultant for existing accounts directly or through intermediaries within the TPA and Self Funded space. The incumbent is responsible for renewing accounts and selling new products and services to existing accounts to ensure retention and growth...

Company :Highmark Inc.Job Description :JOB SUMMARYThis job is responsible for supervising member service call center and ensuring timely, professional, and courteous responses to all customer inquiries and complaints, appropriately referring inquiries to other areas as necessary for resolution. Investigate escalated member inquiries. The incumbent may be required to make routine medical approval...

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 collaborates with internal stakeholder to understand moderate to complex business requirements and processes related client, product, and benefits configuration solutions. Performs standard and custom benefit coding and new client and group installation, translating group and client information into system configuration, including but not...

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 : 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...