• Manager Risk & Compliance Management

    Highmark Health (Pittsburgh, PA)
    …approach, and feel comfortable working in a highly matrixed environment. **ESSENTIAL RESPONSIBILITIES ** + Perform management responsibilities to include, but are ... develop and implement policies and programs as necessary; may have budgetary responsibility and authority. + Establishes the appropriate methodology to be used and… more
    Highmark Health (08/16/25)
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  • Supervisor Advanced Practice Provider, Medical…

    Highmark Health (Harrisburg, PA)
    …staff and can also include administrative work from home opportunities. **ESSENTIAL RESPONSIBILITIES ** + Performs duties as assigned or required within and APP role, ... knowledge as per the APP department job description. (50%) + Perform management responsibilities to include, but are not limited to: involved in hiring and… more
    Highmark Health (08/15/25)
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  • RN, Case Manager (Part time), Forbes

    Highmark Health (Monroeville, PA)
    …LOS, patient satisfaction and reimbursement for all patients. **ESSENTIAL RESPONSIBILITIES :** + Assumes role in assessment of patient physical, psychosocial, ... principles and customer service principles into all aspects of job responsibilities . + Obtains or ensures acquisition of appropriate pre-certification authorizations… more
    Highmark Health (08/12/25)
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  • Manager Strategic Program Delivery and Operations

    Highmark Health (Camp Hill, PA)
    …objectives and delivering sustainable growth and competitive advantage. **ESSENTIAL RESPONSIBILITIES ** + Perform management responsibilities to include, but ... develop and implement policies and programs as necessary; may have budgetary responsibility and authority. + Lead the strategic planning and execution of systems… more
    Highmark Health (08/09/25)
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  • Director Risk Adjustment, Coding & Quality

    Highmark Health (Pittsburgh, PA)
    …assisting physicians and offices that perform below quality benchmark. **ESSENTIAL RESPONSIBILITIES ** + Perform management responsibilities including, but not ... and implement policies and programs as necessary; may have budgetary responsibility and authority. + Quality Improvement Specialist (QIS) Program:Vision and… more
    Highmark Health (08/08/25)
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  • Director Financial Investigations & Provider…

    Highmark Health (Pittsburgh, PA)
    …action plans for cases referred to law enforcement, if applicable. **ESSENTIAL RESPONSIBILITIES ** + Performs management responsibilities to include, but are not ... develops and implements policies and programs as necessary; may have budgetary responsibility and authority. + Provides daily direction and oversight to management… more
    Highmark Health (08/08/25)
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  • Category Manager

    Highmark Health (Pittsburgh, PA)
    …Health **Job Description :** **JOB SUMMARY** This job has enterprise-wide responsibility for creating and driving strategic sourcing for an assigned category ... value. This position has significant financial and enterprise risk mitigation responsibilities . **ESSENTIAL RESPONSIBILITIES ** + Lead creation and implementation… more
    Highmark Health (08/08/25)
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  • Manager Advanced Analytics - AI Platforms…

    Highmark Health (Harrisburg, PA)
    …across the enterprise. Join us and build the future of AI! **ESSENTIAL RESPONSIBILITIES ** + Perform management responsibilities to include, but are not limited ... and implement policies and programs as necessary; may have budgetary responsibility and authority. + Create and communicate the product/capability vision, strategy… more
    Highmark Health (08/08/25)
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  • Director Reimbursement Design & Market Evaluation

    Highmark Health (Harrisburg, PA)
    …teams, Actuary, Finance, Highmark Health Solutions, Health Plan Operations. **ESSENTIAL RESPONSIBILITIES ** + Perform management responsibilities to include, but ... and implement policies and programs as necessary; may have budgetary responsibility and authority. + Develop the overall conceptualization, strategy alignment,… more
    Highmark Health (07/30/25)
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  • Manager Artificial Intelligence (AI) Delivery…

    Highmark Health (Harrisburg, PA)
    …record of successful project delivery, we encourage you to apply. **ESSENTIAL RESPONSIBILITIES ** + Perform management responsibilities to include, but are not ... develop and implement policies and programs as necessary; may have budgetary responsibility and authority. + Process & Knowledge Management: Codify and maintain best… more
    Highmark Health (07/30/25)
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