• Director Risk Adjustment, Coding & Quality

    Highmark Health (Pittsburgh, PA)
    …**Substitutions** + 6 years of relevant experience in lieu of Bachelor 's Degree **Preferred** + Master's Degree in Health Administration ... improvements as it relates to Quality and Coding for the Highmark Health Enterprise. Ensures that Highmark's Risk Adjustment programs comply with all applicable… more
    Highmark Health (08/08/25)
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  • Producer Management Strategy Consultant

    Highmark Health (Pittsburgh, PA)
    …this role will serve as the liaison between Enterprise Diversified Businesses, Allegheny Health Network and other affiliated Health Systems, Product & Healthcare ... and engage broker community; support continued development and refinement of health plan's distribution strategy, utilizing an internal matrixed network to stay… more
    Highmark Health (07/12/25)
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  • Director, Digital Product Strategy

    Highmark Health (Harrisburg, PA)
    **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This individual will lead a team responsible for shaping the organization's digital vision and ... + Stay abreast of industry trends, regulations, and best practices in the health care sector & ensure comply with relevant regulations and industry standards. +… more
    Highmark Health (07/02/25)
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  • Investigations Consultant

    Highmark Health (Pittsburgh, PA)
    …evaluate claim processes specific to professional, hospital, ambulatory surgical center, home health and durable medical equipment to identify key areas of risk ... + Other duties as assigned or requested. **EDUCATION** **Required** + Bachelor 's degree in Accounting, Finance, Business Administration, Nursing, IT or Related… more
    Highmark Health (08/22/25)
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  • Senior Risk Partner - Compliance Officer

    Highmark Health (Harrisburg, PA)
    …landscape. + Other duties as assigned or requested. **EDUCATION** **Required** + Bachelor 's Degree in Business, Finance, Health Administration, Public Health ... relevant experience and/or education as determined by the company in lieu of bachelor 's degree. **Preferred** + Master's Degree in Business, Finance, Health more
    Highmark Health (07/29/25)
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  • Manager Reimbursement Systems Support

    Highmark Health (Pittsburgh, PA)
    …procedure fees when required. + Other duties as assigned. **EDUCATION** **Required** + Bachelor 's Degree in Health Administration **Substitutions** + 6 years of ... relevant experience in a related field for Bachelor 's Degree or 9 years of relevant experience in...field for Master's Degree **Preferred** + Master's Degree in Health Administration **EXPERIENCE** **Required** + 5 - 7 years… more
    Highmark Health (06/04/25)
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  • Pharmacy Benefit Consultant

    Highmark Health (Harrisburg, PA)
    bachelor 's degree. **Substitutions** + 6 years experience in pharmacy or managed health care setting in lieu of Bachelor degree **Preferred** + Master's ... strong commitment to delivering exceptional client service. **EDUCATION** **Required** + Bachelor 's degree in Clinical field such as Pharmacy, Nursing, Nutrition or… more
    Highmark Health (08/26/25)
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  • Lead Marketing Strategist

    Highmark Health (Harrisburg, PA)
    **Company :** Highmark Health **Job Description :** JOB SUMMARY This role develops and executes integrated performance marketing strategies specifically for the ... for campaigns and/or tactics. * Other duties as assigned. REQUIRED EDUCATION Bachelor 's Degree - Marketing, Business or related field Substitutions 6 years'… more
    Highmark Health (07/09/25)
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  • Associate Director, Marketing Analytics - Women's…

    Sumitomo Pharma (Harrisburg, PA)
    …Switzerland GmbH) focused on addressing patient needs in oncology, urology, women's health , rare diseases, psychiatry & neurology, and cell & gene therapies. With ... **Job Overview** The **Associate Director, Marketing Analytics - Women's Health ** position will lead business insights for the commercial...and new ways of working. **Education and Experience** + Bachelor 's Degree + Minimum 8 - 12 (w/o Master's)… more
    Sumitomo Pharma (07/18/25)
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  • Internal Audit Analyst

    Highmark Health (Pittsburgh, PA)
    **Company :** Highmark Health **Job Description :** **JOB SUMMARY** If you live within a 50-mile radius of our Pittsburgh, PA location, you will be required to be ... technology compliance audits and advisory engagements to determine whether Highmark Health and its subsidiaries controls and governance processes, as designed and… more
    Highmark Health (08/22/25)
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