• Investigator

    Highmark Health (Sacramento, CA)
    …**EXPERIENCE** **Required** + 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** + ... in Financial Analysis in an acute care hospital or health insurance setting + 1 year in...from site-to-site Rarely Works primarily out-of-the office selling products/services ( sales employees) Never Physical work site required Yes Lifting:… more
    Highmark Health (08/15/25)
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  • Value-Based Reimbursement Specialist

    Highmark Health (Sacramento, CA)
    …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... optimization, and maintenance of self-service resources for providers, entities, and health systems within these programs. Works on multiple projects and has… more
    Highmark Health (08/20/25)
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  • Director Reimbursement Design & Market Evaluation

    Highmark Health (Sacramento, CA)
    …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... and lines of business. This will require aligning new models to the health plan's strategic objectives based on a deep understanding of innovation and industry… more
    Highmark Health (07/30/25)
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  • Pharmacy Benefit Consultant

    Highmark Health (Sacramento, CA)
    …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... products, and benefit recommendations, advocating for Highmark's solutions and services. + Sales & Marketing Support: Collaborate with the internal teams to develop… more
    Highmark Health (08/26/25)
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  • Claims Processor/HNAS

    Highmark Health (Sacramento, CA)
    …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... :** **JOB SUMMARY** This job is responsible for screening, reviewing, evaluating online entry, correcting errors and/or performing quality control review and final… more
    Highmark Health (08/29/25)
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  • Complex Case Manager RN - GI Nurse (Remote)

    Highmark Health (Sacramento, CA)
    …case management and/or disease/condition management experience, provider operations and / or health insurance experience **Preferred** + GI experience + Advanced ... all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the… more
    Highmark Health (08/27/25)
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  • Healthcare .NET Senior Application Developer…

    Highmark Health (Sacramento, CA)
    …issue resolution + Demonstrated leadership skills + Experience in Healthcare or Health Insurance Industry + Experience with technology platforms, application ... all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the… more
    Highmark Health (08/14/25)
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  • Business Process Analyst - HNAS

    Highmark Health (Sacramento, CA)
    …billing, customer service, etc.) **Preferred** + 1 - 3 years in the Health Insurance Industry **LICENSES OR CERTIFICATIONS** **Required** + None **Preferred** + ... all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the… more
    Highmark Health (06/17/25)
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  • Manager Information Security & Risk Management

    Highmark Health (Sacramento, CA)
    …Infrastructure Library (ITIL) **SKILLS** + Knowledge of regulatory requirements such as Health Insurance Portability and Accountability Act (HIPPA), Payment Card ... all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the… more
    Highmark Health (08/30/25)
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  • Senior Risk Partner - Compliance Officer

    Highmark Health (Sacramento, CA)
    …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... or requested. **EDUCATION** **Required** + Bachelor's Degree in Business, Finance, Health Administration, Public Health , Public Administration, Legal, Accounting… more
    Highmark Health (07/29/25)
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