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$23.73 per hour
...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...SuggestedFull timeFor contractorsLocal area$227.6k
...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...SuggestedFull timeFor contractorsPrivate practiceWork at officeLocal area$27.02 per hour
...Company Highmark Inc. Job Description JOB SUMMARY This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not...SuggestedFull timeFor contractorsWork at officeLocal areaRemote workFlexible hours$79.3k
...Company Highmark Inc. Job Description JOB SUMMARY This job is responsible for providing comprehensive case management services to members, ensuring quality, cost-effective care delivery, and promoting optimal health outcomes. The Case Manager assesses member...SuggestedFull timeContract workFor contractorsWork at officeLocal areaRemote work$68.4k
...Company Highmark Inc. Job Description JOB SUMMARY This is a full-time REMOTE position requiring weekend availability (Saturday and Sunday) in addition to three weekdays. This job implements effective utilization management strategies including: review of...SuggestedFull timeFor contractorsWork at officeLocal areaRemote workFlexible hoursWeekend workWeekday work$58.1k
...Company : Highmark Inc. Job Description : JOB SUMMARY This job has primary ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member...SuggestedFull timeTemporary workFor contractorsWork at officeLocal area$86.4k - $138.6k
...Company : Highmark Inc. Job Description : JOB SUMMARY This job is a senior level actuarial analyst position. Participates in Highmark's Actuarial Executive Development Program and is expected to make continued progress towards actuarial credential. Utilizes...SuggestedFull timeFor contractorsWork at officeLocal areaShift work$79.3k - $127.1k
...Company : Highmark Inc. Job Description : JOB SUMMARY This job is responsible for using medical cost analytics to provide fact based strategic insights into emerging medical cost trends. Using large sets of data, the ideal candidate will create the story of medical...SuggestedPart timeFor contractorsWork at officeLocal area$72.7k - $116.6k
...Company : Highmark Inc. Job Description : JOB SUMMARY This job performs financial and business related research and analysis such as the preparation of forecasts and/or analysis of financial reports, records and trends; develops and maintains spreadsheets and...SuggestedFull timeFor contractorsWork at officeLocal area$79.3k - $127.1k
...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...SuggestedFull timeFor contractorsWork at officeLocal areaRemote work$79.3k - $127.1k
...Company : Highmark Health Job Description : JOB SUMMARY This job requires a solid understanding of HR and Payroll systems functionality and business process configuration capabilities. The incumbent will support all Enterprise business areas and will be accountable...SuggestedFull timeFor contractorsWork at officeLocal area$58.1k - $90k
...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...SuggestedFull timeFor contractorsWork at officeLocal areaRemote work$71.32k - $112.84k
...enhance business understanding. (30%) Conducts ad-hoc analyses on topics as dictated by general business trends or at the request of Highmark/AHN/Finance leadership. (30%) Analyzes variances relative to budget, forecast, prior year, or other benchmarks to assess...SuggestedFull timeFor contractorsWork at officeLocal areaShift work$72.7k - $116.6k
...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...SuggestedFull timeFor contractorsLocal areaRemote work$68.4k - $105.9k
...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...SuggestedFull timeFor contractorsWork experience placementWork at officeLocal areaRemote work$68.4k - $105.9k
...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...Full timeContract workFor contractorsWork at officeLocal areaRemote work$94.2k - $151k
...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...Full timeContract workFor contractorsWork experience placementLocal areaImmediate start- ...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...Full timePart timeFor contractorsInternshipLocal areaRemote work
$197k - $246.5k
...pharmacy directors, etc.) that affect coverage and reimbursement decisions. Accounts covered will include: Evernorth/Cigna, Highmark, UPMC, Horizon, CareFirst, BCBS MI, BCBS MA, MACs, FFS Medicaid Positively influence decision makers, policies, guidelines, and...Full timeRemote work- ...Company : Highmark Health Job Description : Applicants must be authorized to work in the United States independently. At this time, visa sponsorship is not available for this position. The Summer 2027 Evaluation Analytics Graduate Internship provides graduate...Full timePart timeFor contractorsSummer workInternshipLocal area
$62.7k - $97.2k
...Company : Highmark Inc. Job Description : JOB SUMMARY This job works with appropriate departments in the areas of compliance, process improvement, medical record review and coding, and member and provider satisfaction for all product lines. Recommends and implements...Full timeFor contractorsWork at officeLocal areaRemote work- ...Company : Highmark Health Job Description : Applicants must be authorized to work in the U.S. independently. At this time, we do not offer visa sponsorship for this role. The Summer 2027 Enterprise Risk Strategy Undergraduate Internship provides students with...Full timePart timeFor contractorsSummer workInternshipLocal area
- ...Company : Highmark Health Job Description : Applicants must be authorized to work in the U.S. independently. At this time, we do not offer visa sponsorship for this role. The Summer 2027 Data Science Research & Development (DSRD) Graduate Internship offers an...Full timePart timeFor contractorsSummer workInternshipLocal area
- ...Company : Highmark Health Job Description : Applicants must be authorized to work in the U.S. independently. At this time, we do not offer visa sponsorship for this role. The Summer 2027 Population Health Analytics Graduate Internship offers graduate students...Full timePart timeFor contractorsSummer workInternshipLocal area
$21.97 per hour
...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...For contractorsApprenticeshipLocal area$86.4k
...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...Temporary workFor contractorsWork at officeLocal area- ...include regional and national health plans, including Anthem Blue Cross Blue Shield, UnitedHealth Group Optum, Beacon Health Options, Highmark Health, and Magellan Health. JOIN THE RIA HEALTH TEAM! Join the team that integrates medical care, behavioral support, and...Full timeLocal areaRemote workFlexible hours
- ...include regional and national health plans, including Anthem Blue Cross Blue Shield, UnitedHealth Group Optum, Beacon Health Options, Highmark Health, and Magellan Health. Ria Health will enable patients to achieve long term success in reducing or eliminating their...Full timeContract workTemporary workPart timeLocal areaRemote workWeekend workAfternoon shift
- ...Highmark Health is seeking an Imaging Systems Administrator to ensure optimal performance and compliance of medical imaging systems across the healthcare environment. You will engage in project management, vendor relations, and workflow improvements to support clinical...Remote work
- ...Highmark Health is seeking a Quality Lead with strong data-testing leadership and healthcare domain expertise. This role defines strategy, oversees end-to-end quality activities, guides technical teams, and translates data-quality risks into clear business impacts....Remote work
