Highmark jobs in Phoenix, AZ

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 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 :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 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...

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

Company :enGenJob Description :JOB SUMMARYThis job is responsible for the configuration, rollout, and ongoing support of the assigned Epic application(s). Responsibilities include business/systems analysis, requirements definition and documentation, systems design, and problem resolution. The Senior Epic analyst communicates with end-users of the system to understand and resolve complex issues...

Company :Highmark HealthJob Description :JOB SUMMARYThe 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 (e.g.,...

Company :Allegheny Health NetworkJob Description :GENERAL OVERVIEW:This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days.ESSENTIAL RESPONSIBILITIES+ Reviews and interprets medical information, physician treatment plans,...

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 Inc.Job Description :HNAS (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 big impact...

Company :enGenJob Description :JOB SUMMARYThis 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. The analyst communicates with system end-users to understand issues and implement solutions.ESSENTIAL RESPONSIBILITIES+...

Company :enGenJob Description :JOB SUMMARY**CANDIDATE MUST BE US Citizen (due to contractual/access requirements)As a Senior Application Developer, you will lead the design, development, and implementation of complex systematic solutions, often as part of a project team or in a critical application support capacity. This role requires expertise in analyzing customer requirements, designing robust...

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 NetworkJob 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 thinking...

Company :enGenJob Description :JOB SUMMARY**CANDIDATE MUST BE US Citizen (due to contractual/access requirements)**This is a remote position available within the U.S.In this role, you will be a key contributor to our data infrastructure, responsible for the design, development, and maintenance of efficient, reliable, and high-quality data flow and storage. Your expertise will drive real-time data...

Company :Highmark HealthJob Description :JOB SUMMARYThis job is responsible for developing integrated digital content strategies for various digital products and/or lines of business, markets, or segments to advance business and customer goals. Develops content requirements and creates content strategy deliverables across a product or portfolio's lifecycle. Conducts audits, qualitative analyses,...

Company :enGenJob Description :JOB SUMMARY**CANDIDATE MUST BE US Citizen (due to contractual/access requirements)We are seeking a highly skilled and experienced Oracle Platform as a Service (PaaS) Administrator to join our dynamic team. This pivotal role involves leading the definition and design of complex Oracle Financial PaaS processes and functions, facilitating the development of...

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 :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...