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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$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$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$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$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$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$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...SuggestedFull 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...SuggestedFull timePart timeFor contractorsInternshipLocal areaRemote 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...SuggestedFull timePart timeFor contractorsSummer workInternshipLocal area
$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...SuggestedFull timeRemote work$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
$62.7k
Company : Highmark Inc. Job Description : JOB SUMMARY This job is responsible for developing and maintaining an anti-fraud program which includes development and delivery of training and filing of Fraud Plans and Reports. The incumbent is responsible for conducting investigations...Contract workFor contractorsWork at officeLocal 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- Highmark Inc. is seeking an experienced anti-fraud investigator to develop and maintain an anti-fraud program, conduct investigations, and coordinate with law enforcement and regulators. The role includes field investigations, testifying in court, and ensuring compliance...
- ...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 Undergraduate IT Audit Internship provides students with an opportunity...Full timePart timeFor contractorsSummer workInternshipLocal area
Highmark Health
Montpelier, VT4 days ago - ...Highmark Inc. is seeking an experienced anti-fraud professional to develop and maintain a comprehensive fraud program. You will conduct investigations across providers, members, facilities, and vendors, prepare cases for law enforcement, and help ensure regulatory compliance...Work at office
Highmark Health
Montpelier, VT1 day ago - ...Highmark Inc. seeks a qualified wellness coach to oversee a member panel, develop personalized care plans, and coordinate with a multidisciplinary team to improve health outcomes. The role involves telephonic and digital engagement, behavior-change coaching, and ongoing...
Highmark Health
Montpelier, VT5 days ago - ...Highmark Health Senior Product Manager, Cost and Coverage steers the end-to-end financial front door for members, from understanding cost of care to upfront payment options or financing and aligning explanations of benefits with estimates. The role defines the product...Remote work
Highmark Health
Montpelier, VT4 days ago - ...Highmark Health is seeking a Project Manager to lead complex healthcare initiatives from definition through transition, coordinating cross-functional execution and delivering on scope, schedule, and quality. The role requires disciplined planning, risk/issue management...Full timeRemote work
Highmark Health
Montpelier, VT1 day ago
