20 open positions available
Oversee the implementation and management of complex health programs, including grant management, stakeholder engagement, and program evaluation. | Requires experience in developing and monitoring strategic plans, collaborating with multidisciplinary teams, and healthcare or health research grant implementation. | Company : Allegheny Health NetworkJob Description : Position includes Program Development and grant writing GENERAL OVERVIEW: This job is responsible for collaborating with Executive Leadership to define, plan and deliver complex programs that require cross-functional coordination and management for the Center of Inclusion Health Division Director and Director of Operations. The incumbent will implement the CIH program plan based on agreed upon priorities. Will manage CIH incubator programs and clearly identify the scope of each program, develop and oversee a roadmap and sustainability plan, in conjunction with key stakeholders. Job duties will include grant writing, grants management, report writing and presentations to organizational and community leadership, data analyses, and evaluation. Will manage internal and external customer relationships. Will manage (operationally) the expansion of CIH to AHN hospitals across the system. ESSENTIAL RESPONSIBILITIES • Oversee implementation of CIH programs identified in Strategic Plan. Develop and closely monitor an operational plan to implement strategies and oversee through the life of the initiative; Identify funding and infrastructure sustainability plans. Communicate updates regularly to Executive Leadership and key stakeholders. Perform management responsibilities to include, but are not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity. Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as necessary; may have budgetary responsibility and authority. (40%) • Oversee implementation of CIH programs identified in Strategic Plan. Develop and closely monitor an operational plan to implement strategies and oversee through the life of the initiative; Identify funding and infrastructure sustainability plans. Communicate updates regularly to Executive Leadership and key stakeholders. (30%) • Provide oversight of Grants and related budgets and work with ASRI, AHN Development and other internal groups to assure budget is managed effectively and funder reporting requirements are met. (10%) • Develop and sustain relationship with key stakeholders, internal to AHN/Highmark and external partners in the community. (10%) • Oversee program evaluation working closely with Division Director, SVD, Informatics team and Director of Evaluation. Identify metrics and quality improvement activities. (10%) • Other duties as assigned. QUALIFICATIONS: Minimum • Bachelor's degree Business or Healthcare related field or relevant experience and/or education as determined by the company in lieu of bachelor's degree • 1 year of Developing and monitoring of program specific strategic plan (project plan or workplan) to support implementation and meet program goals and objectives. • 1 year of Collaborating with muliti-disciplinary teams to implement complex public health programs. • 1 year of Outreach and Community Engagement to organizations and health systems serving diverse populations. • 1 year of Implementing federal grants - healthcare or health research (i.e. HRSA, NIH) Preferred • Master's degree Business or Health Care related Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at 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 Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Manage day-to-day operations of the GME Institutional Office, oversee staff, ensure accreditation compliance, and support residency program activities. | Minimum 5 years of experience in graduate medical education, supervisory experience, and familiarity with accreditation standards. | Company : Allegheny Health NetworkJob Description : GENERAL OVERVIEW: • Manages the day-to-day operations of the GME Institutional Office. • Supervises staff, resolves problems and implements approved disciplinary action. • Participates in interviewing, hiring, training and conducting performance evaluations. • In conjunction with the GME Director, develops department budgets. Manages and monitors key financial metrics, including staff hours, resource allocation, and expense budgets. Prepares monthly invoices to the Veterans Administration for resident rotations. • Reviews and approves all GME-allocated resident reimbursement requests in Concur; provides secondary approval for residency program-allocated resident reimbursement requests. • Meets regularly with the GME Director concerning office management issues and activities and the status of projects. Identifies, evaluates and implements methods for improving workflow and cost effectiveness. • Responsible for quality and performance by monitoring GME metrics and addressing deficiencies. • Interprets and applies ACGME, other national accrediting agencies, GME Office and institution/System polices to support GME Director, Designated Institutional Official for GME, residents, fellows, residency coordinators and residency program directors. • In conjunction with the GME Director, provides institutional-level GME policy and procedure development. • Manages confidential and critical materials, issues and communications. • Advises and directs residency program directors and coordinators on matters of residency recruitment. • Prepares monthly resident sanction checks for Compliance Department. • Travels to the various AHN teaching institutions for participation in meetings and to provide guidance and direction to local program coordinators. ESSENTIAL RESPONSIBILITIES: Institutional Accreditation and Compliance (30%) • Develops proficient understanding of ACGME and other applicable GME accrediting organizations’ Institutional Requirements – as well as a proficient understanding of specialty-specific program requirements. • Develops proficient understanding pertaining to visa sponsorship and licensing requirements for institutional GME accreditation. • Assists GME Director with coordination of and preparation for institutional accreditation site visits and Clinical Learning Environment Review site visits. • Assists GME Director with the development and submission of the annual institutional evaluation. • Manages development and maintenance of Institutional Master Affiliation Agreements. Oversees maintenance of Program Letters of Agreement. Professional Development (10%) • Attends local, state or national GME, ACGME and ECFMG conferences. • Chairs GME Program Administrator meetings. • In conjunction with GME Director and GME Designated Institutional Official, develops agenda for and regularly attends monthly Graduate Medical Education Committee Meetings. • Collaborates with colleagues within the Allegheny Health Network Medical Education Consortium. • Collaborates with national colleagues and becomes active in national GME organizations. Complexity of Work (10%) • Position is self-starting with little supervision. Must take the initiative to solve problems independently, set priorities and develop ideas which benefit the graduation medical education enterprise for the Allegheny Health Network. Supervisory Responsibility (30%) • Provides administrative supervision and guidance to residents and fellows regarding administrative issues, due dates and deadlines. Provides advice, guidance and direction to residency program coordinators regarding institutional GME policies, procedures and deadlines. Trains and mentors new institutional GME administrative staff and acts as a mentor for new coordinator staff within the Allegheny Health Network Medical Education Consortium. QUALIFICATIONS: Minimum • 5 years of prior experience in graduate medical education setting • Act 34 Criminal Background Clearance Certificate • Act 33 Child Abuse Clearance Certificate • Act 73 FBI Fingerprinting Criminal Background Clearance Certificate. Preferred • Bachelor’s Degree in business or equivalent combination of education and experience Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at 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 Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Review escalated medical cases electronically, participate in multidisciplinary teams, and contribute to protocol development. | Medical degree (MD or DO), at least 5 years of clinical experience, and board certification in a recognized specialty. | Company : Highmark Inc.Job Description : JOB SUMMARY This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and appropriateness of the requested treatment of service. Depending on the nature of the case, telephonic peer to peer discussions may be required. The incumbent ensures compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member of the multidisciplinary team for case and disease management. They will advise the multidisciplinary team on cases, particularly high-risk cases, through the team structure. Additionally, the incumbent may be assigned special projects to help support and improve the care of our members ESSENTIAL RESPONSIBILITIES • Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer discussions, to determine medical necessity and appropriateness. Complete initial determination of cases, review of appeals and grievances, and other reviews as assigned. Compose clear and concise rationales for member and provider determination notifications all while adhering to required compliance standards (NCQA, URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care. • Participate as a member of the CMDM multidisciplinary team. Attend huddles and grand rounds. Advise multidisciplinary team on cases that require physician expertise. • Participate in protocol and guidelines development to ensure consistency in the review process. • Actively manage projects and/or participate on project teams that require a physician subject matter expert. • Other duties as assigned. EDUCATION Required • Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO) Substitutions • None Preferred • Master's Degree in Business Administration/Management or Public Health EXPERIENCE Required • 5 years in Clinical, Direct Patient care (hospital, outpatient, or private practice) Preferred • 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed care industry LICENSES AND CERTIFICATION Required • Medical Doctor or Doctor of Osteopathic Medicine (DO) • Awarded Board Certification at least once in specialty recognized by the American Board of Medical Specialties or the American Osteopathic Association Specialty Certifying Boards • Active medical state licensure required. Additional specific state licensure(s) may be required based on business need. Preferred • None SKILLS • Critical Thinking • Case Management • Customer Service • Oral & Written Communication Skills • Collaboration • Listening • Telephone Skills • General Computer Skills • Clinical Software • Managed Care Language (Other than English) None Travel Required 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-Based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required No Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Rarely Lifting: 25 to 50 pounds Rarely Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at 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 Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $170,000.00 Pay Range Maximum: $363,100.00 Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Leading and managing complex programs with cross-functional teams to meet strategic objectives, monitor progress, and report on program status. | Minimum 1-3 years in project management or leadership, with strong communication, organizational, and leadership skills; industry experience preferred. | Company : Highmark Inc.Job Description : JOB SUMMARY 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 for those we serve. This job is responsible for definition, planning and delivery of complex programs that require cross-functional collaboration and management of interdependencies between a group of projects and/or related activities within the constraint of scope, quality, time and budget. Includes the management of a group of internal exempt and/or matrixed employees and contractors that serve on the program(s) to deliver solutions for the business. ESSENTIAL RESPONSIBILITIES • Works with business and technical organizations to drive out program strategy and approach. Organizes, plans, and maintains Program roadmap consisting of cross-functional activities/projects. • Work with business and technical organizations to assemble project teams. Lead Project Managers and Program team in the development and maintenance of comprehensive plans for a defined program. • Work with Executive Sponsor and Business Owner of a Program, and other management as required, to achieve the Program objectives. Acquire understanding of the business objectives for an assigned area." • Monitor, evaluate and report on Program status inclusive of scope, schedule, budget and alignment to Program and strategic goals. Direct corrective action as needed to maintain the viability of the Program. • Develop and maintain positive customer relationships. Deliver presentations of project status to effectively communicate throughout the project lifecycle. • Adhere to Highmark project management methods, project lifecycle methodologies, and audit requirements. Support and contribute to the improvement of project management methods and practices. • Other duties as assigned or requested. EDUCATION Minimum • High School Diploma/GED Preferred • Bachelor’s degree EXPERIENCE Minimum • 1 - 3 years experience in a project manager role and/or in a project leadership role Preferred • Health Care Insurance industry business and operational knowledge • Experience with an industry standard software development lifecycle LICENSES/CERTIFICATIONS Required • None Preferred • PMP certification or equivalent training SKILLS • Experience with customer relationship management • Presentation skills • Negotiation skills • Experience with conflict resolution • Experience with Risk Mitigation Planning • Team Building Skills • Strong interpersonal skills • Very good verbal and written communication skills • Solid organizational and planning skills • Solid leadership skills PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Occasionally Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at 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 Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $57,700.00 Pay Range Maximum: $107,800.00 Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Lead and manage global HR Shared Services teams, ensuring compliance, process standardization, and continuous improvement. | Extensive HR operations, payroll tax, and compliance experience, with leadership of large, cross-functional teams across multiple locations. | Company : Highmark HealthJob Description : JOB SUMMARY The HR Shared Services Director leads multiple geographically dispersed HR Shared Services teams, collaborating with Centers of Expertise (COE) partners to deliver comprehensive HR operational services and solutions across the Highmark Health Enterprise. This pivotal role is responsible for overseeing key aspects of the HR operational infrastructure, with a strong emphasis on standardization, continuous improvement, and effective service delivery. The Director will manage the planning, resourcing, execution, communication, and evaluation of assigned HR Shared Services teams. The ideal candidate will possess prior experience with HR implementations, including end-to-end business process mapping, recommendations, and gap analysis. This role requires proven expertise in managing multi-state payroll tax compliance, extensive hands-on experience with all aspects of federal payroll tax regulations, and direct experience with the administration and compliance of various city, county, and other local payroll taxes. Furthermore, the Director will demonstrate expertise in the accurate and compliant processing and remittance of all types of wage garnishments and levies, and have a track record of successfully managing the accurate and timely submission of all required quarterly and annual payroll tax reports and filings. An extensive understanding of the Fair Labor Standards Act (FLSA) and demonstrated experience in managing all aspects of Unemployment Insurance are also essential for this position. This role is looking for someone who is a SME with payroll and tax and leave management experience. This role is can be hybrid or remote. If you are within 50 miles of an office you are required to be onsite 3 days a week (T, W, TH). Outside of the 50 miles will be remote. ESSENTIAL RESPONSIBILITIES • Leadership & Management: Perform all management responsibilities including hiring, termination, coaching, development, rewards and recognition, performance management, and staff productivity for a global team. Provide regular feedback and coaching to both individual contributors and people leaders to develop and maintain a high-performing team across locations and time zones. • Operational Management & Support: Manage internal operations across multiple HR Shared Services functions. Serve as an escalation point for complex operational issues. Provide input, feedback, and recommendations to Centers of Expertise (COE) partners to support operational efficiency. Lead efforts to operationalize projects collaborating cross-functionally. Implement and monitor productivity of team members, quality controls, audit recommendations, and ensure compliance with all relevant legislation, policies, and procedures. Serve as an operational thought partner and subject matter expert to HR and business leadership. • Process Improvement & Standardization: Manage the planning, resourcing, execution, communication, audits, change management, and evaluation of assigned HR Shared Services teams. Ensure processes are documented, controlled, and continuously improved to achieve operational excellence. Identify opportunities for process redesign, automation, and consolidation of work across HR to continue drive enhance efficiencies. Lead transition plans and adjustments to the HR model to ensure continuous operational effectiveness. • Project Implementation & Communication: In partnership with Centers of Expertise (COE) partners and Talent Engagement Leads (TEL), support the implementation and communication of annual and ongoing administrative processes. Collaborate with stakeholders to develop and implement improvements within these areas. • Data Analysis & Reporting: Examine, interpret, and report results of analytical initiatives to stakeholders. Monitor and report on process performance and improvements in key metrics. Utilize data to identify areas for improvement and inform strategic decision-making. Proactively identify trends and potential issues. Support our focus to become a metrics-driven organization by taking accountability for the performance metrics of HR Shared Services, ensuring SLAs and KPIs align with effective and positive employee experience. • Compliance & Regulatory Adherence: Manage efforts to comply with company policies and controls, and with state and federal regulatory authorities. Lead correction processes for administrative issues and ensure ongoing compliance. Ensure adherence to all relevant employment laws, regulations, and company policies across all locations. • Global Team Management: Effectively manage and foster a positive and productive working relationship across time zones and cultural contexts. Develop and implement strategies to ensure consistent performance and communication across the global team. This includes maintaining consistent HR processes and procedures across all global locations, identifying and mitigating any cultural or communication barriers that arise. • Stakeholder Management & Governance: Establish governance to ensure optimal prioritization of team resources and to manage stakeholder expectations. Inspire confidence from leadership and team members while driving clarity, alignment, and accountability throughout a fast-paced, complex matrix environment. • Vendor Management: Maintain business relationships with vendors to understand their strategic path for the future. Ensure delivery of agreed-upon support and service level agreements, act as the point of escalation to resolve any vendor issues. • Training & Documentation: Establish strong standards for ongoing training and documentation for all processes and activities within the scope of work. • Transition Management: Lead the end-to-end transition plan for new work into the HR Shared Services team. Manage the team that partners with TELs/COEs for training, shadowing, documentation, resources mapping. Leverage dashboards to help report details, risks of ongoing transition status. • Other duties as assigned or requested. EDUCATION Required • Bachelor's Degree in Business Administration, Human Resources, or a related field Substitutions • 6 years relevant and progressive experience in lieu of Bachelor degree Preferred • Master's Degree in Human Resources or a related field EXPERIENCE Required • Minimum of 8 years of progressive experience in Human Resources, with a focus on HR Operations (i.e., HRIS, HR Service Centers, Data Integrity and Reporting, Associate Onboarding, Process Improvement). • Minimum of 4 years of experience providing guidance, instruction, direction, and leadership to a team or functional area, ideally in a large, multi-state, changing environment. • Minimum of 5 years of management/leadership experience, including direct management of virtual, cross-cultural teams across multiple locations and time zones. • Proven experience in leading large, cross-functional teams on complex projects, with a track record of delivering measurable business results. • Demonstrable experience leading and developing global teams, with a focus on performance management, coaching, and career development. • Strong understanding of HR technology and systems, including experience with HRIS platforms (e.g., Workday, SAP SuccessFactors) and case management systems. • Experience in establishing and maintaining strong relationships with external vendors, including managing service level agreements (SLAs) and resolving vendor issues. • Ability to manage a portfolio of projects in a fast-paced environment, adapting to shifting priorities and stakeholder expectations. • Familiarity with HR Share Service methodology, leveraging technology and process improvement to deliver exceptional employee experiences. Preferred • Prior experience with HR implementations, including review of end-to-end business process mapping, recommendations, and gap analysis, is strongly preferred. • Proven experience managing payroll tax compliance across multiple states • Extensive hands-on experience with all aspects of federal payroll tax regulations • Direct experience with the administration and compliance of various city, county, and other local payroll taxes • Demonstrated expertise in the accurate and compliant processing and remittance of all types of wage garnishments and levies • A track record of successfully managing and ensuring the accurate and timely submission of all required quarterly and annual payroll tax reports and filings • Extensive understanding of the Fair Labor Standards Act (FLSA) • Demonstrated experience in managing all aspects of Unemployment Insurance LICENSES AND CERTIFICATIONS Required • None Preferred • Certified Payroll Professional (CPP) SKILLS • Strong analytical and project organization skills • Ability to manage multiple priorities and initiatives simultaneously • Excellent communication skills (verbal and written), including experience communicating across cultures. • Ability to synthesize and analyze data to influence decision-making • Leadership and executive presence; credibility to interact with all levels of employees and stakeholders, including senior executives and candidates • Strong critical thinking and ideation • Goal, results, and solutions-oriented • Financial and technical acumen • Self-motivated • Project and portfolio management • Ability to influence and negotiate • Highly proficient with Microsoft Office Suite and relevant HRIS systems • Extensive knowledge of federal, state, and local laws and regulations governing HR Shared Services • Strong problem-solving skills • Ability to deal with ambiguity and make decisions based on incomplete information • Cross-cultural management • Remote team management • Process Improvement • HR Shared Services knowledge Language (Other than English) None Travel Required 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-Based or Remote Teaches / trains others regularly Frequently Travel regularly from the office to various work sites or from site-to-site Occasionally Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Does Not Apply Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at 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 Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Build and maintain scalable application integrations, participate in agile development, and collaborate with stakeholders. | Requires 3+ years in software development, proficiency in modern programming languages, and experience with web services and APIs. | Company : enGenJob Description : JOB SUMMARY As an integral member of an agile integration engineering team, you will be responsible for building complex and scalable application integrations for HR/Payroll solutions across various digital channels. This role requires an enterprise-wide architectural view to ensure the technical execution of integration functionality aligns with the platform's needs. You will participate in all aspects of the application integration build process, including idea generation, business analysis, technical design, and integration development, utilizing vendor (Workday) proprietary tools and the latest technologies and design patterns. ESSENTIAL RESPONSIBILITIES • The job is responsible for designing and creating engineering specifications for software applications and programs. • Responsible for designing & writing code that adheres to coding standards. Perform code reviews. • Responsible for idea generation, exploring and implementing appropriate technical solutions to achieve the required product features, as well as monitoring technical process against project plan while safeguarding functionality, scalability and performance. • A part of an agile work team and responsible for participating in all scrum ceremonies, assisting in sprint planning and completing required sprints in the development through final execution of software applications/programs. Communicate any issues/blockers to the Scrum Master in a timely manner. • Drive story creation (i.e. DoD, Acceptance Criteria, estimation). Creates Tasks for their stories in applicable software (ex: RTC or Jira), and updates status and assignment accordingly. • Monitor work against production schedule and provide progress updates and report any issues or technical difficulties to lead developers on a regular basis. • Mentor other associate software engineers as needed. • Other duties as assigned or requested. EDUCATION Required • Bachelor's Degree in Computer Science, Computer Engineering or Closely Related Field Preferred • Master's Degree in in Computer Science, Computer Engineering or Related Field EXPERIENCE Required • 3 years of Proficiency in design and analysis of algorithms, data structures, and design patterns in the building and deploying of scalable; highly available systems To Include • 3 years of Experience in at least one modern programming languages (Java, Python, JavaScript, ACE, IIB/ITX, Informatica preferred), and experience with at least two of the following: React, Angular v4+, NodeJS, NoSQL databases, HTML5, CSS, Google Cloud Platform or Amazon Web Services. • 3 years of Understanding of web services technologies such as REST, HTTPS, JSON Preferred • 3+ Years with the following Workday Skills: • Workday Orchestration for Integrations • Workday Extend certification • Workday Studio: Proficiency in developing and deploying Workday Studio integrations. • Workday Integration Tools: Experience with other Workday integration tools like EIBs, Core Connectors, and Workday Web Services. • Workday Functional Knowledge: A strong understanding of Workday HCM and Payroll • XSLT: Knowledge of XSLT for transforming data within Workday Studio. • Web Services (SOAP, REST): Understanding of web service protocols for integrating with external systems. Json and Postman experience. • Security: Knowledge of Workday security concepts and how to implement secure integrations. • General Integration Skills: • API Management: Understanding of API design, development, and management. • Problem-Solving: Strong analytical and problem-solving skills for troubleshooting integration issues. • Communication: Excellent communication skills for collaborating with stakeholders and documenting integration solutions. • Nice to Have: • Informatica PowerCenter: Expertise in using Informatica PowerCenter for data integration and ETL processes. • Dell Boomi: Experience in using Boomi to build and troubleshoot integrations. • Groovy Scripting, Java Programming • Experience with DB2 LICENSES or CERTIFICATIONS Required • None Preferred • None SKILLS • Demonstrated ability to achieve stretch goals in a highly innovative and fast paced environment • Have experience working with agile methodology of scrum • Interest and ability to learn other programming languages as needed • Knowledge of professional software engineering practices & best practices for the full software development life cycle, including coding standards, unit testing, code reviews, source control management, build processes, testing, and operations • Strong track record in designing and implementing large scale consumer facing applications • Strong sense of ownership, urgency, and drive • Demonstrated passion for user experience and improving usability • Experience and willingness to mentor junior engineers and help develop their skills and leadership Languages (Other than English) None Travel Required 0% - 25% PHYSICAL, MENTAL AND WORKING CONDITIONS Position Type Office Based Teaches / trains others regularly Rarely Travel regularly from the office to various work sites or from site-to-site Occasionally Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Rarely Lifting: 25 to 50 pounds Never Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at 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 Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $67,500.00 Pay Range Maximum: $126,000.00 Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Provides operational and strategic leadership for hospital care management, focusing on care progression, resource utilization, and patient outcomes. | Requires a master's in nursing or healthcare, 5+ years in complex transition management and management roles, with strong collaboration and problem-solving skills. | Company : Allegheny Health NetworkJob Description : St. Vincent Hospital St. Vincent Hospital is a Magnet®-designated hospital for excellence in nursing, serving the people in the Lake Erie region since 1875 with a quality of care and service second to none! Allegheny Health Network At AHN, employees trust working together and place patients at the center of all they do. This 9 Hospital system, a part of Highmark Health, is transforming the future of healthcare by providing highly effective services to customers, patients and communities. AHN has commitment and dedication to being inclusive, valuing fresh perspectives, and offering the best growth and educational opportunities to employees. GENERAL OVERVIEW: Provides operational and strategic leadership for Hospital/facility Care Management Department. Collaborates with nursing and clinical leaders to assure smooth patient care progression and effective outcomes and care transitions. Directs collaborative efforts with physicians, revenue cycle and payor teams, and patients and their families to incorporate evidence based practices and appropriate use of resources. Communicates effectively with Hospital leadership in the development of day to day and strategic goals. ESSENTIAL RESPONSIBILITIES: • Evaluates effectiveness, leads improvement efforts, and assesses outcomes within Hospital to assure appropriate access, care progression, transition, and level of care determination practices. (20%) • Studies and implements the care management model and structure to achieve sustainable length of stay, resource utilization, and clinical outcomes for patients over time. Responsible for designing and implementing improvement strategies for the care model on an ongoing basis. (20%) • Directs and oversees all activity related to referral management. Leverages Epic and Careport/Allscripts data to assess effectiveness. Collaborates closely with Highmark Home and Community Services to establish and/or enhance post-acute network. (15%) • Analyzes clinical service areas for operational effectiveness, using dashboards and other data sources. Monitors departmental performance against system initiatives and goals. (10%) • Assures that department works collaboratively with patients, families, peers, and other departments in the organization/network to meet established organizational goals for patient experience. (10%) • Pursues sharing of best practices through publication, presentation at conferences and networking with other AHN leaders throughout the system. (10%) • Establishes a development plan for the department, with a focus on effective use of resources, inter-professional collaboration, and coordination with chronic disease, transitional planning, and specialty teams. (5%) • Develops and implements workflows which assure efficient care coordination and transition, Hospital throughput, and adherence to payer requirements in order to minimize financial risk to patients and the health system. (5%) • Lead and support evidence based projects & research by assisting in the identification of opportunities to incorporate the scientific method into practice. (5%) • Other duties as assigned. QUALIFICATIONS: Minimum • Master’s Degree in Nursing, social work, or related healthcare field • 5 years in Complex Transition Management • 5 years in a formal management role • Demonstrated critical and strategic thinking skills and experience • Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC) OR Licensed Social Worker • Strong communication and collaboration skills • Problem-solving • Resilient and agile change agent • Microsoft office suite • Act 34 Criminal Background Clearance Certificate. • Act 33 Child Abuse Clearance Certificate. • Act 73 FBI Fingerprinting Criminal Background Clearance Certificate. • Professional Case Management certification within 3 years of hire Preferred • Hospital Experience • **This position will oversee the Northern Region, it is hybrid-on site at SVH and/or Grove City*** Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at 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 Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Support enterprise transformation projects by analyzing data, synthesizing insights, and assisting in client presentations and workshops. | Requires 3+ years in strategy or operations consulting, experience in complex environments, and strong analytical and communication skills. | Company : Highmark HealthJob Description : JOB SUMMARY This job supports Enterprise Transformation project teams in delivering day-to-day client service and analytical support. The incumbent collaborates across 1-2 client teams at a time and is responsible for uncovering, synthesizing, analyzing and presenting critical information, supporting the team to identify insights and shape recommendations. Beyond establishing the fact base, the incumbent forms a clear point of view to share back with team and the client. This job is expected to consistently provide excellent customer service to business units in a supporting team role. ESSENTIAL RESPONSIBILITIES • Complete project deliverables under the direction of leadership, including gathering and analyzing qualitative and quantitative information, testing hypotheses, building presentations and reports, helping to facilitate workshops and design sessions, and communicating findings and recommendations to client managers. The incumbent must be able to own a deliverable from start to finish. • Actively expand consulting and professional skills through project work, client interactions, mentoring, and formal learning. • Support internal initiatives including learning and development, team gatherings, and continuous improvement efforts. • Other duties as assigned or requested. EDUCATION Required • Bachelor's Degree in Business Management, Engineering, Operations, Information Technology, or related field Substitutions • None Preferred • None EXPERIENCE Required • 3 years’ experience in the Strategy, Operations, Mergers and Acquisitions, or Human Capital Practice of a consulting firm or similar experience from a consulting-oriented role in a corporate environment or private equity firm • 1 year of working in complex, matrixed environments or across multiple businesses Preferred • 1 year of aggregate project experience from the Healthcare industry (payor and/or provider) LICENSES or CERTIFICATIONS Required • None Preferred • None SKILLS • Strong analytical and quantitative problem-solving skills • Good business and financial acumen • Ability to apply creative and imaginative thinking to solve problems • Excellent communication skills across verbal, written, and PowerPoint mediums • Ability to work in a collaborative manner and be an active listener • A flexible working style; comfortable working in team environments or autonomously • Ability to consistently make progress regardless of constraints or roadblocks Language (Other than English): None Travel Requirement: 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-based Teaches / trains others regularly Frequently Travel regularly from the office to various work sites or from site-to-site Occasionally Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Rarely Lifting: 25 to 50 pounds Never Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at 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 Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Developing and managing healthcare IT projects, coordinating teams, managing risks, and ensuring project delivery within scope, time, and budget. | Bachelor's degree in a related field, 3+ years of project management experience, proficiency in project management software, and healthcare or health insurance industry experience preferred. | Company : Highmark HealthJob Description : JOB SUMMARY A successful IT Project Manager for clinical initiatives in Pittsburgh will demonstrate deep expertise in both information technology and healthcare environments, seamlessly integrating industry terminology and best practices from both domains. This individual will have a proven track record managing Epic or other EMR projects, potentially working with vendors, ensuring alignment with clinical workflows and regulatory requirements. Highly organized and adaptable, the candidate excels at switching between competing priorities while maintaining professionalism and tact in all interactions. Resilience and a solutions-oriented mindset enable effective navigation of complex challenges, and strong communication skills foster collaboration across multidisciplinary teams. This professional approach ensures the delivery of impactful, patient-centered technology solutions that advance organizational goals. ESSENTIAL RESPONSIBILITIES • Strategic Planning & Execution: Develop comprehensive project plans, including detailed schedules, resource allocation, budget management, and risk assessments. Proactively identify and mitigate potential project roadblocks. • Scope Management: Define and manage project scope, ensuring all deliverables align with business objectives. Manage changes to scope effectively and efficiently. • Resource Management: Allocate and manage project resources (human, financial, and material) effectively to optimize performance and meet project deadlines. • Stakeholder Management: Build and maintain strong relationships with key stakeholders, communicating project progress, addressing concerns, and managing expectations. • Risk & Issue Management: Proactively identify, assess, and mitigate project risks and issues, implementing appropriate corrective actions. Maintain a detailed RAID log. • Reporting & Documentation: Prepare and deliver comprehensive project status reports, maintaining meticulous documentation, including project plans, meeting minutes, project artifacts, and approvals. • Team Leadership & Collaboration: Lead and motivate project teams, fostering a collaborative and productive work environment. • Quality Assurance: Implement quality control measures to ensure projects meet defined quality standards. • Other duties as assigned or requested EDUCATION Required • Bachelor’s degree in Healthcare, Information Technology, Business or related field or relevant experience and/or education as determined by the company in lieu of bachelor’s degree Preferred • None EXPERIENCE Required • 3 years of experience in project management to include successfully delivering complex projects on time and within budget and managing multiple projects concurrently • Proficiency in project management software (e.g., MS Project, Jira, Asana, etc.) Preferred • Experience in project management in the healthcare or health insurance industry • Experience using a range of project methodologies (Agile, Waterfall, etc.) LICENSES or CERTIFICATIONS Required • None Preferred • Project Management Professional (PMP) SKILLS • Strong understanding of project management principles and best practices. • Excellent analytical, problem-solving, and decision-making skills. • Exceptional written and verbal communication skills, including the ability to present information clearly and concisely to diverse audiences. • Strong organizational and time management skills, with a demonstrated ability to prioritize tasks and manage competing demands. Language (Other than English): None Travel Requirement: 25% - 50% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-based Teaches / trains others regularly Rarely Travel regularly from the office to various work sites or from site-to-site Occasionally Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Rarely Lifting: 25 to 50 pounds Never Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at 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 Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Design, develop, and maintain Salesforce applications, perform system maintenance, and collaborate in an agile environment. | Requires at least 3 years of Salesforce-specific experience, proficiency in Salesforce Flows and Apex, and familiarity with related tools and certifications. | Company : enGenJob Description : JOB SUMMARY Highmark's Information Technology - Production Support department is seeking a dedicated and experienced Full-time Salesforce Developer to ensure the smooth operation and maintenance of our Salesforce organizations. This remote position, based in Pennsylvania, requires U.S. Citizenship or permanent resident status. The successful candidate will primarily support critical government contracts by providing break-fix solutions, performing ongoing system maintenance, and implementing minor enhancements. This role is crucial for maintaining the stability and performance of our Salesforce ecosystem and offers opportunities to engage in project-based work, collaborate on incident resolution, and participate in an on-call rotation for off-hours support. We are looking for a candidate with at least 3 years of experience in Salesforce development and administration, including proficiency in Salesforce Flows and Apex development. Familiarity with Copado for production releases, Salesforce Platform Events, API integrations, and MuleSoft is essential. A basic understanding of ITSM principles and tools like Service Manager or ServiceNow, along with knowledge of event-centric architecture, is highly valued. Preferred candidates will hold Salesforce certifications (e.g., Administrator, Platform Developer I/II) and have experience in the healthcare or government contracting sectors. Beyond technical expertise, strong problem-solving skills, excellent communication, a collaborative mindset, and the ability to thrive in a fast-paced environment are key to success in this role. ESSENTIAL RESPONSIBILITIES • Responsible for designing and creating engineering specifications for software applications and programs. Responsible for writing code that adheres to coding standards. Perform code reviews. • Responsible for idea generation, exploring and suggesting appropriate technical solutions to achieve the required product features, as well as monitoring technical process against project plan while safeguarding functionality, scalability and performance. • Part of an agile work team and responsible for participating in all scrum ceremonies, assisting in sprint planning and completing required sprints in the development through final execution of software applications/programs. Communicate any issues/blockers to the Scrum Master in a timely manner. • Help in story creation (i.e. DoD, Acceptance Criteria, estimation). Creates Tasks for their stories in applicable software (ex: RTC or Jira), and updates status and assignment accordingly • Monitor work against production schedule and provide progress updates and report any issues or technical difficulties to senior developers/principals on a regular basis. • Other duties as assigned or requested. EDUCATION Required • Bachelor's Degree in Computer Science, Computer Engineering or closely related field Preferred • Master's Degree in Computer Science, Computer Engineering or a related field EXPERIENCE Required • 1 year proficiency in design and analysis of algorithms, data structures, and design patterns in the building and deploying of scalable; highly available systems To include: • 1 years experience in at least one modern programming languages (Java, Python, JavaScript, ACE, IIB/ITX, Informatica preferred), and experience with at least two of the following: React, Angular v4+, NodeJS, NoSQL databases, HTML5, CSS, Google Cloud Platform or Amazon Web Services. • 1 years of understanding of web services technologies such as REST, HTTPS, JSON Preferred • 3 years with one or more general purpose programming languages including but not limited to: Java, Python (Django/Flask), C/C++, C#, Objective C, JavaScript, or Go To Include: • 3 years in defining system architectures and exploring technical feasibility trade-offs for optimizing short term execution while planning for long term technical capabilities • 3 years of working with a variety of technology systems, designing solutions or developing applications in healthcare • 3 years of translating design mockups, prototypes and user stories into working applications • 3 years of ability to produce code that is fault-tolerant, efficient, and maintainable LICENSES or CERTIFICATIONS Required • None Preferred • None SKILLS • Demonstrated ability to achieve stretch goals in a highly innovative and fast paced environment • Have experience working with agile methodology of scrum • Interest and ability to learn other programming languages as needed • Knowledge of professional software engineering practices & best practices for the full software development life cycle, including coding standards, unit testing, code reviews, source control management, build processes, testing, and operations • Strong track record in designing and implementing large scale consumer facing applications • Strong sense of ownership, urgency, and drive • Demonstrated passion for user experience and improving usability • Experience and willingness to mentor junior engineers and help develop their skills and leadership Language (Other than English) None Travel Requirement 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-based Teaches / trains others regularly Rarely Travel regularly from the office to various work sites or from site-to-site Occasionally Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Rarely Lifting: 25 to 50 pounds Never Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at 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 Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $57,700.00 Pay Range Maximum: $107,800.00 Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Manage and develop teams, oversee daily operations, and evaluate technology implementations within an insurance environment. | Requires 7+ years in management, large operations, technology evaluation, and insurance principles, which you do not meet. | Company : United Concordia DentalJob Description : JOB SUMMARY This job manages and develops all direct and indirect reports with responsibility for handling inquiries for all states outside of primary area and processing claims submitted by host providers within primary area. In addition, the incumbent is the Primary contact for all inter-plan programs and related issues and coordinates time-sensitive software implementation and new functionalities. ESSENTIAL RESPONSIBILITIES • Communicate effectively • Ensure high quality staff are hired for team and provide coaching, mentoring and leadership to team. • Direct the daily production activities of staff members to deliver accurate, timely and efficient service to Highmark’s customers across a functional area. • Participate in the formulation and execution of Highmark’s operations strategy and vision for division. • Contributes and participates in the product management and governance process by identifying and representing client-specific requirements, managing all day-t-day operational defects to resolution and ensure that all performance guarantees are achieved • Provide significant input and direction to the development of Highmark’s future operational capabilities by investigating and recommending newly defined systems, process and techniques. • Other duties as assigned or requested. EDUCATION Required • Bachelor’s degree or relevant experience and/or education as determined by the company in lieu of bachelor's degree Preferred • None EXPERIENCE Required • 7 years in a management role • 7 years in large operations environment • 7 years of evaluating technology for implementation • 7 years with insurance products principles, industry practices and processes Preferred • 5 years of insurance product knowledge • 5 years in Workforce Development and Resource Management • 3 years in Marketing or selling services for operational capabilities • 3 years with Project Management LICENSES or CERTIFICATIONS Required • None Preferred • None SKILLS • Excellent leadership skills • High standard of professional conduct • Excellent business writing skills • Ability to maintain confidential information • In-depth knowledge of call center technologies and methodologies. Language (Other than English): None Travel Requirement: 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at 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 Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $108,000.00 Pay Range Maximum: $201,800.00 Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Designing and executing complex health data analyses to inform healthcare improvements and collaborating with stakeholders. | Extensive experience in health data analysis, project leadership, and stakeholder communication, with proficiency in analytical tools and healthcare industry knowledge. | Company : Endorsed Job Description : JOB SUMMARY This job creates data-driven insights which identify actionable opportunities and/or create analytics and reporting solutions aligned to the Quadruple Aim of Healthcare: lower per capita health care costs, improved outcomes from and quality of care received, and optimal member/patient and provider experiences with care delivery. The incumbent serves as a consultative subject matter and technical expert for our internal Enhanced Community Care Management (ECCM) team, leveraging advanced analytical expertise and experience to aggregate, analyze and understand patterns in varied and complex data; and articulates analytic findings, business implications, and recommendations to realize identified opportunities. ESSENTIAL RESPONSIBILITIES • Leads the design, development, execution, dissemination and interpretation of clinical and population health analyses, metrics and reports using clinical, member, financial and administrative data to identify, develop and/or monitor actionable opportunities for improving health and healthcare outcomes and clinical quality and costs of care, efficiently and effectively managing projects to successful completion. • Establishes strong, collaborative and effective relationships and communication with internal and external clinical, administrative, operational, financial and technical stakeholders to ensure analytics are actionable and aligned with organizational strategic priorities, needs, plans and resources. • Serves as a strategic business partner to internal and external stakeholders as demonstrated by providing thought leadership and subject matter expertise, and by anticipating and actively proposing, designing and executing analyses. • Provides consultative, technical, subject matter and business expertise mentorship to colleagues across the enterprise. • Other duties as assigned or requested. EDUCATION Required • Master's Degree in Public Health, Nursing, Economics, Health Sciences, Informatics, Biostatistics, Statistics, Epidemiology or Pharmacy or related field Substitutions • Bachelor’s Degree in Public Health, Nursing, Economics, Health Sciences, Informatics, Biostatistics, Statistics, Epidemiology, Pharmacy OR related field with 2 years of relevant work experience in lieu of a Master’s Degree OR 8 years of relevant work experience Preferred • Doctorate in Medicine, Public Health, Nursing, Economics, Health Sciences, Informatics, Biostatistics, Statistics, Epidemiology, Pharmacy or related field EXPERIENCE Required • 7 years of leading the design, execution and dissemination of clinical and population health reporting, analyses and studies of progressive scope and complexity • 7 years with coding languages, analytical software, systems, tools and processes using claims, clinical, enrollment and provider data • 5 years of project leadership in a complex, matrixed environment (payer and/or provider preferred) • 5 years of providing analytical consultation to clinical, administrative, operational and financial stakeholders Preferred • None LICENSES or CERTIFICATIONS Required • None Preferred • None SKILLS • Demonstrated record of data-driven discovery, intense intellectual curiosity, and a passion for working with data to answer important questions about clinical care and population health that drive the Quadruple Aim • Strong working knowledge of coding languages, relational databases, quantitative and qualitative analytic methodologies, advanced analytics and statistics • Excellent communication and facilitation skills with project team members, stakeholders, executives, and external customer, exceptional written and oral presentation skills, proven ability to communicate interpersonallly and technically with technical and non-technical, and internal and externbal audiences, and the ability to lead through influence • Healthcare industry expertise and experience, knowledge about the shifting healthcare environment including trends concerning health insurance, healthcare delivery, provider relationships and regulatory issues • Sophisticated knowledge of how organizations work and how to get things done through formal and informal channels • Exhibition of perseverance through energy, drive and demonstrated success when resistance or setbacks are encountered • In-depth understanding of and experience with both clinical and business processes, and the ability to identify opportunities for improvement and develop solutions • Demonstrated ability to informally lead matrixed teams of technical, clinical, administrative, financial and operational staff to achieve shared organizational objectives and strategic goals Language (Other than English): None Travel Requirement: 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-based Teaches / trains others regularly Frequently Travel regularly from the office to various work sites or from site-to-site Occasionally Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required No Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at 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 Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. ments. Pay Range Minimum: $78,900.00 Pay Range Maximum: $147,500.00 Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J274047
Manage and optimize medical imaging systems, collaborate with vendors, and improve workflows. | Requires experience with medical imaging systems, PACS, RIS, EMR, DICOM, HL7, and network/server management, which are not present in your background. | Job Description: • Ensure the optimal performance, integrity, and regulatory compliance of all medical imaging systems • Responsible for image management, system optimization, and participation in project management initiatives • Collaborate with vendors and stakeholders to improve imaging workflows and integrate technological advancements Requirements: • Required Bachelor’s degree in Business Administration, Business Management, Information Systems or related field • Experience in medical imaging systems administration, PACS administration, or a similar role within a healthcare environment • Proficiency with PACS, RIS, and EMR systems • Strong understanding of DICOM and HL7 standards • Familiarity with network configurations, transmission protocols, and server management • Experience with hardware and software implementation, upgrades, and maintenance Benefits: • Health insurance • 401(k) matching • Paid time off • Remote work options
Contributing to product strategy, managing a team, and collaborating cross-functionally to develop and launch products. | Requires 5+ years in product management or related field, 3+ years of leadership, and experience in healthcare or product-led environments, which you do not fully meet. | Company : Highmark HealthJob Description : JOB SUMMARY • This is a hybrid role if you live within a 50 mile radius of one of our office locations in PA, NY or DE This role is responsible for contributing to the product strategy and roadmap for a defined product area, by managing a team while working under the direction of leadership. This role focuses on deeply understanding customer needs, market trends, and competitive landscape to inform product development decisions. The incumbent works cross-functionally to manage a team that is executing a portfolio roadmap or portfolio of product roadmaps and delivering high-quality products that meet business objectives. They will manage the product backlog for a specific product or feature set. ESSENTIAL RESPONSIBILITIES • Perform management responsibilities to include, but are not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity. Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as necessary • Product Strategy & Roadmap Contribution: Support leadership in developing and refining product strategy and roadmaps. Conduct market research, competitive analysis, and customer interviews to identify opportunities and inform product decisions. • Requirements Definition & Backlog Management: Ensure accuracy and quality in requirement definition and backlog management executed by product management team • Cross-Functional Collaboration: Work closely with engineering, design, marketing, sales, and other teams to ensure successful product development and launch. Participate in sprint planning, daily stand-ups, and other agile ceremonies. • Product Development & Launch: • Manage product development process across portfolio of products. Support the product management team as they facilitate the process for their individual products within the portfolio. Ensure quality and strategic foresight across the portfolio • Customer Engagement: Engage with customers and users to gather feedback and understand their needs. Participate in user testing and other research activities. • Market Research & Competitive Analysis: Conduct ongoing market research and competitive analysis to identify trends and opportunities. Maintain a strong understanding of the competitive landscape • Team Collaboration & Support: Collaborate effectively with the product management team. Stay abreast of industry trends, regulations, and best practices in the healthcare sector and ensure compliance with relevant regulations and industry standards. • Other duties as assigned or requested. EXPERIENCE Required • 5 years of experience in product management, product development, or a related field • 3 years of Leadership Experience Preferred • Experience in healthcare industry • Experience working in a product led environment • Clinical knowledge in the product space SKILLS • Strong analytical and problem-solving skills. • Excellent communication and interpersonal skills. • Ability to work effectively in a cross-functional team environment. • Strong understanding of product development methodologies. • Strong understanding of market research techniques. • Customer-centric mindset. EDUCATION Required • Bachelor's degree in Business Administration, Marketing, Computer Science, or a related field or relevant experience and/or education as determined by the company in lieu of bachelor's degree. Preferred • None LICENSES or CERTIFICATIONS Required • None Preferred • None Language (Other than English): • None Travel Required: • Less than 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type • Office-Based or Remote Position Physical work site required • Frequently Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at 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 Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $92,300.00 Pay Range Maximum: $172,500.00 Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Lead the development and execution of customer data product strategies, manage product lifecycle, and lead a team of product managers and analysts. | Requires 7+ years in product management and 5+ years in leadership, with a strong technical background in data quality, governance, and collaboration with engineering teams. | Company : Highmark HealthJob Description : JOB SUMMARY The Director of Data Product Management is a leadership role responsible for developing, implementing, and continually refining our customer data product strategy from its foundational stages. This individual will define, develop, and execute the strategy for our core customer data products, ensuring they meet the evolving needs of Highmark and our customers. This individual will lead a team of product managers and analysts focused on specific areas of customer data, driving the realization of our Customer Data Product Strategy vision to empower downstream teams with personalized, high-quality, and timely interactions. This role requires a strong leader who can translate strategic opportunities into actionable product roadmaps, champion data quality and governance, and foster a data-driven culture. A robust technical background and the ability to effectively collaborate with engineering teams are paramount to success in this role. ESSENTIAL RESPONSIBILITIES • Perform management responsibilities to include, but are not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity. Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as necessary; may have budgetary responsibility and authority. • Product Strategy & Vision • Define and articulate a clear product vision and strategy, communicating it effectively to stakeholders across the organization. Conduct market research, competitive analysis, and customer insights to identify unmet needs and opportunities for product innovation. Apply Human Centered Design principles to develop new products and experiences that delight and create durable customer and business value • Socialize product strategy and roadmap with key stakeholders and obtain buy-in • Develop and maintain a comprehensive multi-year product roadmap that aligns with the company's strategic goals and segment/market trends. • Identify & develop relationships with stakeholders to foster collaboration and influence business strategies & adjust product roadmap & strategy. • Product Development & Management • Lead the product development process from ideation to launch, working closely with cross-functional teams including engineering, design, technology, operations, marketing, and sales. • Define product requirements, user stories, and acceptance criteria, ensuring alignment with experience strategy, business objectives, and customer needs. • Manage product backlog, prioritize features, and track progress against timelines, budgets, and value realization • Conduct user testing and gather feedback to continuously improve product usability and performance. • Product Lifecycle Management • Monitor product performance metrics, analyze data, and identify areas for improvement. • Develop and implement strategies for product optimization, growth, and expansion. • Manage product in accordance with our Product Management lifecycle from launch to sunset, ensuring smooth transitions and minimizing disruption to customers, and engaging appropriate teams (research, design, marketing, engineering) as needed throughout lifecycle. • Team Leadership & Collaboration • Build, mentor, and lead a high-performing team of product managers and analysts. • Develop and deliver messaging that provides clear direction with needed context and strategic connection for teams. • Foster a collaborative, innovative and data-driven culture within the product team. • Lead teams through complex organizational or strategic changes with intention and optimism while maintaining team morale. • Effectively communicate product vision, strategy, and progress to stakeholders at all levels. • Industry Expertise & Compliance • Stay abreast of industry trends, regulations, and best practices in the health care sector & ensure comply with relevant regulations and industry standards. • Other duties as assigned or requested. EXPERIENCE Required • 7 years of experience in product management, strategy, operational improvement, and/or consulting or other relevant experience, preferably within the health insurance industry. • 5 years of experience in Management or leadership role Preferred • Proven leadership in developing and executing data product strategies from foundational stages with a focus on translating strategic opportunities into actionable product roadmaps for core customer data products, preferably within the health insurance industry • 7+ years in defining, developing, and continually refining customer data product strategies, ensuring alignment with evolving organizational and customer needs, and empowering downstream teams with personalized, high-quality, and timely data interactions. • Strong technical background with a deep understanding of data quality, governance, and data-driven culture principles, coupled with the ability to effectively collaborate with engineering teams to deliver robust data solutions. SKILLS • Through knowledge of membership, rates, financial, economic and competitive data • Excellent written, interpersonal, communication, and presentation skills • Excellent analytical, problem-solving, and decision-making skills • Proven track record of successfully developing and launching innovative products that meet customer needs and drive business growth • Knowledge of software development lifecycle, from planning to delivery • Experience developing business cases, and building ROI for programs from planning through execution • Strong understanding of the health insurance and health system landscape, including regulatory requirements, market dynamics, and customer behavior • Ability to lead and motivate teams, fostering a collaborative and results-oriented environment • Experience using sketches, flow diagrams, wireframes, mockups, prototypes, member experience blueprints, and visual concepts EDUCATION Required • Bachelor’s degree in Business Administration, Healthcare Administration, or a related field or relevant experience and/or education as determined by the company in lieu of bachelor's degree. Substitutions • None Preferred • None LICENSES or CERTIFICATIONS Required • None Preferred • None Language (Other than English): None Travel Requirement: 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office- or Remote-based Teaches / trains others Occasionally Travel from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required No Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at 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 Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $126,400.00 Pay Range Maximum: $236,000.00 Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Oversee system-wide healthcare facility operations, maintenance, energy management, and compliance across multiple sites. | 7+ years of multi-site healthcare facility management experience, expertise in building systems, and relevant certifications. | Company : Allegheny Health NetworkJob Description : GENERAL OVERVIEW: This position is responsible for system-wide leadership of facility operations, maintenance, and energy strategy, including energy management and building performance optimization, operations and maintenance of facilities, work order management, accredidation standards, management of human resources, and budget management. It ensures consistency and compliance across a range of healthcare sites by developing and implementing strategies for an effective facilities management program. ESSENTIAL RESPONSIBILITIES • Perform management responsibilities to include, but are not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity. Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as necessary; may have budgetary responsibility and authority. (20%) • Hospital Facilities Operations & Maintenance: Provides oversight of the operations of facilities infrastructure at AHN's hospital and non-hospital locations, including operation of the building systems (HVAC, electrical, plumbing, fire alarm, etc.); on-demand and preventative maintenance programs; compliance with regulatory and accrediting agency requirements. (20%) • Facility Energy Optimization: Provides strategic direction and oversite to develop, implement, and continuously improve a system-wide building energy performance program, including the establishment of goals, timelines, budgets, staffing models, and measures of performance; coordination with the planning, design, and construction department; development and management of an approach to centralized building automation and monitoring systems; selection and management of the staff necessary to meet program goals. (20%) • Building Information and Work Order System Management: Oversees the Facility Information Management team and work order management program to ensure the availability of accurate and up to date building information; maintain up to date record drawings for owned facilities; track building infrastructure assets in terms of age, condition, and replacement cycles; administer a work order management system using a Computerized Maintenance Management System (CMMS). (15%) • Accreditation Management: Oversees the centralized management of documentation required by regulatory and accrediting agencies, including management of system-wide policies related to the proper maintenance and condition of healthcare facilities; ensuring compliance with agency requirements for inspection, documentation, and building management procedures. (15%) • Financial Management: Oversees the establishment and approval of annual operating budgets and monitors ongoing financial performance against those budgets. Budgets are overseen in matrixed relationship with supported organization. Assists in the identification and implementation of value improvement strategies related to building performance, management, and maintenance. (10%) • Other duties as assigned or requested. QUALIFICATIONS: Required • Bachelor’s degree in Engineering, facility management, business administration, construction management or a similarly pertinent field of study or 7 years of relevant experience and/or education as determined by the company in lieu of bachelor's degree. • 7 years of experience with multi-site operational leadership in a healthcare setting • 5 years of experience with Management of facility information management and building automation systems • 5 years of experience with multi-site management of facility infrastructure, including routine, on-demand, and preventative maintenance programs and teams • 5 years of experience with Management or leadership role • OSHA 30 Hour within 6 months • ICRA 8 Hour within 6 months Preferred • Master’s degree in Engineering, facility management, business administration, construction management or a similarly pertinent field of study • Certified Healthcare Facility Manager • Certified Facility Manager SKILLS: • Excellent human resource management skills including understanding of union workforce issues, 24/7 staff planning, training programs, and performance assessments. • Expert understanding of modern building infrastructure technologies, including building automation systems, energy optimization strategies, and mechanical and electrical systems. • Deep familiarity with healthcare facility compliance standards and regulations, including those of the PA Dept. of Health (DSI and DAAC), FGI Guidelines, The Joint Commission, etc. • Significant experience with computerized facility management and facility information management systems. • Demonstrated ability to develop value-adding management and building improvement strategies, including development of business arguments for practical capital and operational investments. • Very good verbal and written communication skills • Strong critical thinking and problem solving skills, especially relative to matters of facility design, system resiliency, logistics, engineering, etc. • Excellent financial management skills, including project budgeting, cost tracking, forecasting, etc. • Excellent customer service skills • Dependability and professionalism Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at 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 Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Investigate and resolve vendor issues, manage budgets and POs, and communicate with senior management. | Bachelor's Degree or 6+ years in finance, business analysis, or systems management; 3-5 years as a Business Analyst; experience in vendor management and healthcare preferred. | Company : Highmark Inc. Job Description : JOB SUMMARY This job ensures vendors meet expectations for both quality of services and cost as well as ensure both vendors and the Organization comply with regulatory and contractual requirements. Primary tasks include investigating and resolving issues hindering the vendor’s ability to perform; assisting in budget preparation, purchase order management and cost control applicable to vendors; and consulting with senior management applicable to vendor issues impacting regulatory and contractual requirements. ESSENTIAL RESPONSIBILITIES • Investigate and resolve issues hindering Vendor’s ability to deliver expected services to the Organization or our clients and members.Issues are most often raised by internal partners such as Customer Service, Provider Relations, HMHS, Compliance, Sales or others as well as the vendors. Must quickly identify what should be happening, what is actually happening, and then working with appropriate parties to address the issue.Most issues are applicable to failed file feeds or broken system processes thus requiring submission of a system ticket that clearly describes the problem and desired outcome as well as providing more information as needed to help drive quick resolution. • Schedule and lead periodic operational issues meetings with appropriate Organization and vendor staff.Frequency and duration of meetings will vary by vendor based on needs.Agenda items should be defined in advanced of each meeting.Action items assigned from prior meetings should be tracked and followed-up to ensure resolution. • Assist in budget preparation, PO management and cost control applicable to vendors. Quantify expected annual spend for each vendor based on contractual terms and applicable cost drivers. Verify vendor invoice are accurate and consistent with contractual terms. Monitor actual year-to-date costs compared to budget and PO amounts in order to explain budget variances as well as adjust PO amounts if needed to ensure payments are made within contracted time frames. • Keep senior management abreast of issues that endanger the Organization’s compliance with applicable regulations or legal contracts as well as cause poor experience for a large number of members.Communications should include a clear and concise explanation of the problem, probable impact if action not taken and recommendation for how to resolve the issue.Due to complexity of most issues, collaboration with staff from other departments and / or divisions of the Organization as well as the vendor will be required in order to comprehend the full extent of a the issue as well as develop feasible recommendations. • Other duties as assigned. EDUCATION Required • Bachelor's Degree Substitutions • 6 years with increasing responsibility in Finance, business analyst, or systems management Preferred • Bachelor's Degree in Computer and Information Science or Business Administration/Management EXPERIENCE Required • 3 - 5 years as a Business Analyst Preferred • 1 - 3 years in Audit and Compliance • 1 - 3 years in Vendor Management LICENSES AND CERTIFICATIONS Required • None Preferred • None SKILLS • Contract Management • Vendor Relations • Problem Solving & Decision Making • Troubleshooting • Written & Oral Presentation Skills • Healthcare Industry Language (Other than English): None Travel Requirement: 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at 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 Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $50,200.00 Pay Range Maximum: $91,200.00 Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J274590
Lead and coordinate all aspects of the Magnet Recognition Program at a hospital, including application, compliance, and ongoing maintenance. | Requires a Bachelor's in Nursing, 5+ years in nursing leadership, project management experience, and PA RN licensure; preferred Master's and Magnet experience. | Company : Allegheny Health NetworkJob Description : Date Posted: 1/8/2026 Location: Allegheny General Hospital Department: Nursing Administration Status: Full Time Shift: 80 hours every two weeks ALLEGHENY GENERAL HOSPITAL: • AGH is a Level I Shock Trauma Center • 5 state of the art ICU’s • State of the art Cancer Center • 550+ Beds ALLEGHENY HEALTH NETWORK: At AHN, employees trust working together and place patients at the center of all they do. This 9 Hospital system, a part of Highmark Health, is transforming the future of healthcare by providing highly effective services to customers, patients and communities. AHN has commitment and dedication to being inclusive, valuing fresh perspectives, and offering the best growth and educational opportunities to employees. Job Profile Summary Lead and sustain the Magnet Recognition Program at designated hospital. Responsible for coordinating all aspects of the ANCC Magnet application, annual reports and re-designation processes. Coordinates activities required to maintain and sustain ANCC Magnet Recognition Status, including but not limited to providing education to nurses/staff and Magnet Recognition Program standards and expectations, coordination and facilitation of Magnet Councils, acting as a resource and advisor for the shared governance councils, coordinating an assessment of Magnet readiness gap analysis, submitting application for Magnet Recognition, verifying that all requirements are met and designing and implementing process to maintain and sustain. Magnet performance requirements on ongoing basis and for re-application. Facilitates and oversees the preparation of documentation, policies, research and informal sessions relative to maintaining Magnet status. Oversees collection of key nursing sensitive indicators and outcomes and develops all reports and demographics for submission to the ANCC Magnet Office. Maintains expert knowledge of current Magnet requirements and ensures organization awareness and success. Collaborates with other Allegheny Health Network hospitals on the journey to Magnet Designation. GENERAL OVERVIEW: Lead and sustain the Magnet Recognition Program at designated hospital. Responsible for coordinating all aspects of the ANCC Magnet application, annual reports and re-designation processes. Coordinates activities required to maintain and sustain ANCC Magnet Recognition Status, including but not limited to providing education to nurses/staff and Magnet Recognition Program standards and expectations, coordination and facilitation of Magnet Councils, acting as a resource and advisor for the shared governance councils, coordinating an assessment of Magnet readiness gap analysis, submitting application for Magnet Recognition, verifying that all requirements are met and designing and implementing process to maintain and sustain. Magnet performance requirements on ongoing basis and for re-application. Facilitates and oversees the preparation of documentation, policies, research and informal sessions relative to maintaining Magnet status. Oversees collection of key nursing sensitive indicators and outcomes and develops all reports and demographics for submission to the ANCC Magnet Office. Maintains expert knowledge of current Magnet requirements and ensures organization awareness and success. Collaborates with other Allegheny Health Network hospitals on the journey to Magnet Designation. ESSENTIAL RESPONSIBILITIES: • Leads and assumes organizational responsibility for all aspects of the ANCC Magnet application, designation and re-designation processes. Develops plan to ensure compliance and maintenance with Magnet requirements and annual reports. Functions as primary liaison with Magnet Office. • Establishes and maintains effective relationships with administration, nursing leadership and all staff to ensure achievement of goals related to Magnet readiness. Mentors leadership team members to ensure the development of enhanced knowledge related to Magnet. • Identifies, develops and maintains comprehensive data management systems that support information submission to the Magnet office and enables accurate tracking of key performance indicators. Develops Magnet dashboards and shares with CNO and Nursing Leadership Team on a monthly basis. • Coordinates and leads development of Magnet re-design documents and annual reports. Develops appropriate timeline and prioritizes work that results in a comprehensive submission reflective of the achievements, outcomes and successes of the hospital. • Coordinates readiness activities for Magnet site visit. Provides guidance, support and an overall plan that galvanizes the Magnet Escort Team and front line staff for site visit. Engages administration, physicians, staff and all interprofessional partners in Magnet site visit activities and preparedness. • Coordinates and supports other activities related to professional nursing practice and care innovation as assigned by Chief Nursing Officer. Partners with all nurse leaders to ensure focus on exemplary professional practice, quality, safety and patient care outcomes. • Provides administrative direction to strengthen and sustain the shared governance structure. Fosters shared decision making in nursing by implementing strategies and infrastructure to guide and support nurse leaders and nursing staff towards a successful and sustainable Nursing Shared Governance Model and Professional Practice Model. • Designs processes and programs in collaboration with CNO and nurse leaders to support professional development related to education advancement and national certification of all nurses. QUALIFICATIONS: Minimum • Bachelor's Degree in Nursing • Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC) • 5 years in a nursing administrative level position • Project management experience • CPR – American Heart Association • Act 34 Criminal Background Clearance Certificate • Act 33 Child Abuse Clearance Certificate • Act 73 FBI Fingerprinting Criminal Background Clearance Certificate Preferred • Master's Degree • Specialty nursing certification • Previous experience as a Magnet Program Director Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at 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 Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Coordinate and evaluate care for members in community and facility settings, ensuring appropriate services and transitions. | Requires social work, nursing, or similar credentials with experience in long-term care or case management, which you do not possess. | Company : Highmark Inc.Job Description : JOB SUMMARY This job serves as the single point of contact for members to coordinate all of the member’s care needs across the various service delivery systems and community supports. This is a full-time community-based position requiring frequent travel within the assigned territory in DE. A significant portion of this role involves working directly with members in their homes and also requires providing case management services within nursing facility settings. The incumbent will travel to members’ homes, nursing facilities, and other community-based settings for individuals enrolled in DSHP Plus LTSS and DSNP. ESSENTIAL RESPONSIBILITIES • Conduct regular in-home and nursing facility visits: Travel to members’ homes, nursing facilities, and other community-based settings to complete face to face needs assessments with subsequent telephonic contact with the member in accordance with state and national guidelines, policies, procedures, and protocols. This includes actively working within the nursing facility environment and participating in NF care plan conferences to ensure member needs are met. • Assess, plan, coordinate, implement and evaluate care for eligible members with chronic and complex health care, social service and custodial needs in a nursing facility or home and community-based care setting. • Coordinate care across the continuum of services and assisting members physical, behavioral, long term services and supports (LTSS), social, and psychosocial needs in the safest, least restrictive way possible while considering the most cost-effective way to address those needs. This includes ensuring appropriate care transitions between home, community, and community-based care settings. • Authorize LTSS services based upon completion of a comprehensive needs assessment. Coordinate HCBS services, Medicaid and DSNP benefits and assess appropriateness of care and services in community. • Facilitate transitions to alternate care settings such as hospital to home, nursing facility to community setting using an integrated care team to address the member’s specific needs. • Educate members or caregivers regarding health care needs, available benefits, resources and services including available options for long term care community or facility-based service delivery. • Provide education, resources, and assistance to help members achieve goals as outlined in their plan of care and to overcome obstacles to achieving optimal care in the least restrictive environment. • Develop individualized care plans in conjunction with members or caregivers to identify services to meet the member’s specific needs, and goals. • Identify resources needed for a fully integrated care coordination approach including facilitating referrals to special programs such as Disease/Chronic Condition Management, Behavioral Health, and Complex Case Management. • Collaborate with the member's health care and service delivery team including the physical, behavioral health providers, ICT, and discharge planners, to coordinate the care needs and community resources for the member to maintain the member in the least restrictive safe environment possible. • Assist members in developing, implementing and amending a back-up plan for gaps in provider coverage. • Ensure approved support services are being provided as outlined in the plan of care. • Evaluate the effectiveness of the service plan and making appropriate revisions as needed in accordance with per policy & procedures and state contractual requirements. • Assist members in overcoming obstacles to optimal care through connection with community resources, including communicating with providers and formulating an appropriate action plan. • Document all case management services and intervention in the electronic health record. • Adhere to all company, State and Federal requirements related to privacy practices, HIPAA, and quality performance standards. • Perform other duties as assigned/requested. QUALIFICATIONS Required • Bachelor's degree in Social Work or in health, human, or education services and 3 years of experience in long-term care, home health, hospice, public health, or assisted living OR • Master’s degree in Social Work or in health, human, or education services and 1 year of experience in long-term care, home health, hospice, public health, or assisted living OR • Registered Nurse or Licensed Practical Nurse and 2 years of experience in long-term care, home health, hospice, public health, or assisted living OR • A high school degree or equivalent and three years of qualifying experience with case management of the aged, including management of behavioral health conditions, or persons with physical or developmental disabilities, or HIV/AIDS population. Substitutions • None Preferred • One year in home clinical or case management experience • Certified Case Manager (CCM) • Licensed Bachelors Social Worker (LBSW) • Licensed Masters Social Worker (LMSW) • Licensed Clinical Social Worker (LCSW) • Experience working with HIV/AIDS population • Experience working with behavioral health population • Experience working with developmental disabilities population • Medicare and Medicaid experience • Managed care experience SKILLS • Working flexible hours to meet member’s needs • Proficiency in PC-based word processing and database documentation (Word, Excel, Internet, Outlook) • Reliable transportation daily to be able to travel within assigned territory • Ability to meet regulatory deadlines. • Has a dedicated home work space used only for business purposes and is able to comply with all telecommuter policies. • Experience in geriatric special needs, behavioral health, home health • Understanding of the importance of cultural competency in addressing targeted populations. • Experience with electronic documentation system(s) • Experience with cost neutrality and budgeting Language (Other than English): None Travel Requirement: 25% - 50% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Works From Home Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Occasionally Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at 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 Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $57,700.00 Pay Range Maximum: $107,800.00 Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Oversee product development, strategy, and implementation within healthcare or related sectors, ensuring alignment with organizational goals. | Requires 7+ years in healthcare or product management, with experience in project management and industry-specific knowledge, which you do not possess. | Company : Highmark HealthJob Description : JOB SUMMARY This job directs all phases of product-related strategic and non-strategic projects, product development and distribution within the assigned product line. Provides oversight on several interrelated products on the total process/design from product inception through administration and market implementation. Coordinates all aspects of product management including regulatory compliance, legal considerations, operations, communications, marketing, etc. across the entire Organization. The incumbent oversees business and system integration. Directs product strategy and ensure the product activities are aligned with product vision and corporate strategy. Products and programs may include but are not limited to medical, pharmacy, clinically based, and wellness and prevention offerings, and non-medical based offerings. Manages initiatives involving internal and external constituents (e.g. vendors, IDN, providers, diversified services) as necessary to ensure successful delivery of new products and programs from ideation through launch. Provides subject matter expertise to the department and enterprise as required. This role is a hybrid based role in Pittsburgh PA. Three days a week onsite - T, W, Th. This role will focus on HR Talent Assessment, Succession planning, and reviews. ESSENTIAL RESPONSIBILITIES • Perform research on projects and manage and lead projects to successfully meet business objectives. May manage all size projects (small, medium, large, enterprise). • Prepare detailed design specifications, coordinate and oversee implementation of new products and changes to existing products. • Identify needs to develop new and innovative products, perform appropriate research/analyses, and evaluate feasibility of the administration and implementation of product. • Monitor product performance and make product design changes where appropriate. Provide direction and guidance to ensure consistent understanding and implementation of specifications. • Provide business training on existing products as well as training on product changes. Provide subject matter expertise and consultation for product management. • Review all campaigns and initiatives and make appropriate recommendations for improvement. • Provide Subject Matter Expertise consultation for product management. • Other duties as assigned or requested. EDUCATION Required • Bachelor's Degree in Business, Marketing, Finance or Healthcare Administration or relevant experience and/or education as determined by the company in lieu of bachelor's degree. Preferred • Master's Degree EXPERIENCE Required • 7 years of relevant, progressive experience in healthcare, health insurance, strategy, and/or product management and development Preferred • 3 years in Project Management • 1 year in the Health Insurance Industry • 1 year in the Healthcare Industry LICENSES AND CERTIFICATIONS Required • None Preferred • None SKILLS • Advanced analytic skills consisting of business analysis experience • Experience with Microsoft Office products. Languages (Other than English) None Travel Requirement 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-Based Teaches/trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Occasionally Physical work site required Yes Lifting: up to 10 pounds Does Not Apply Lifting: 10 to 25 pounds Does Not Apply Lifting: 25 to 50 pounds Does Not Apply Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at 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 Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
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