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Highmark Health
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As an Associate Software Engineer, you will join an agile team to build scalable applications, participate in code reviews, and contribute to the software development lifecycle from idea generation to execution, utilizing modern programming languages and technologies.
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The Senior Project Manager will define, plan, and deliver complex programs with an emphasis on cross-functional collaboration, particularly focusing on the Medicare Stars program. Responsibilities include assembling project teams, maintaining program roadmaps, monitoring program status, and developing customer relationships. The role requires adherence to project management methodologies and may include various additional duties as assigned.
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The Senior Business Architect supports the strategic enhancement of the Value Insight Center application by defining business models, conducting interviews with stakeholders, and leading business process re-engineering. They develop capability roadmaps, ensure implementation of new processes through collaboration with project teams, and maintain awareness of industry trends to inform business architecture.
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The Director of Provider Reimbursement Development will oversee functions related to provider reimbursement, including payment methodologies, policy development, and operational maintenance. The role involves strong financial analysis and management responsibilities, partnering on strategic initiatives, and leading the reimbursement model design and implementation.
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The Senior Business Systems Analyst will lead analytical aspects of the application product life cycle. Responsibilities include collaborating with customers to understand needs, creating business cases, analyzing data for process improvements, and managing testing. The role also involves mentoring and leading teams on moderate projects and ensuring compliance throughout the project lifecycle.
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The Value-Based Reimbursement Specialist leads strategic initiatives for value-based reimbursement programs, focusing on workflow transformation, data analytics, and provider education. They collaborate with teams to develop and execute strategies, provide consultative services, and ensure alignment with organizational goals while maximizing quality and reducing costs.
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The Market Director is responsible for nurturing relationships between Highmark Inc. and healthcare providers, focusing on performance, value-based reimbursement, and market trends. The role involves data analysis, project management, and collaboration across departments to enhance care delivery and patient outcomes.
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The Director of Product Management will lead product management teams by shaping product strategy, managing product development, and driving business outcomes through innovative solutions that meet customer needs. They will oversee operations, product lifecycle management, and team leadership while ensuring alignment with company objectives and market trends.
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The Senior Software Engineer will design, develop, and deploy machine learning models as services within software applications. Responsibilities include translating business needs into ML problem statements, building scalable AI/ML products and APIs, and ensuring compliance with data security standards.
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The Provider Enrollment Specialist coordinates and facilitates provider enrollment with payers, reviews credentialing data for accuracy, and ensures timely application processes. They resolve enrollment issues, maintain relationships with providers, and support new provider onboarding efforts. The role also involves developing tracking databases and continuously searching for process improvements.
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The Account Manager will manage customer projects, serve as the main contact for accounts, oversee project delivery, and ensure customer satisfaction. Responsibilities include coordinating with sales and operations, managing orders, and preparing reports, while also analyzing customer needs and industry trends.
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The Account Executive in Enterprise Sales is responsible for expanding the client base by acquiring new clients and managing relationships. Key responsibilities include researching prospects, meeting sales targets, utilizing CRM systems, handling client onboarding, and providing updates on sales metrics. The role requires excellent communication skills and regular travel to meet clients.
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The PA Office Support Representative manages physician reviewer assignments for medical management decisions, ensures compliance with regulatory standards, and oversees the peer to peer telephone line operations. Responsibilities include handling referrals, coordinating reviews with external companies, and maintaining database integrity.
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The Ultrasound Technologist will perform sonography procedures independently, ensuring quality imaging and patient comfort. Responsibilities include preparing equipment, administering contrast media, monitoring patient conditions, and taking corrective actions for imaging issues.
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The Principal Enterprise Cloud Architect provides executive leadership for Cloud strategy, overseeing architecture and governance. Responsibilities include facilitating cloud service adoption, managing vendor relationships, driving technology consultation, and providing executive insights on cloud initiatives while mentoring peers and teams in best practices.
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The Workforce Planning Analyst collaborates with stakeholders to analyze workforce data, support staffing decisions, and develop metrics for workforce productivity. They participate in workforce governance and collaborate with technical partners on workforce planning tools. Responsibilities include presenting insights to business leaders and managing various workforce-related projects.
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The Supervisor Enrollment & Billing oversees daily enrollment and billing operations for various business segments, ensuring accurate processing of transactions and regulatory compliance. Responsibilities include management duties such as hiring, performance coaching, and workflow distribution while analyzing data to support decision-making. The role also involves acting as a liaison with other business units and contributing to process improvement initiatives.
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The Business Analyst Consultant is responsible for expert data analysis and consultation to improve business processes. This role involves communicating with organizations, resolving complex issues, and mentoring team members. The consultant will also develop business solutions and use project management expertise to deliver project goals.
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The Lead Research Data Scientist at Allegheny Health Network will develop analytical solutions to support health-related initiatives. Responsibilities include consulting with stakeholders, applying statistical models and machine learning techniques, leading complex data projects, and maintaining data integrity. The role requires extensive experience in data analytics and healthcare, as well as a doctorate in a quantitative field.
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The role involves maintaining funding for self-insured clients, communicating with clients and departments, and preparing reports and bills for clients on a regular basis. Attention to detail and organizational skills are essential.