Highmark Health

Company : enGen Job Description : JOB SUMMARY **CANDIDATE MUST BE US Citizen (due to contractual/access requirements) ** We are seeking a highly skilled and versatile Software Engineer to join our Agile team. This role involves end-to-end development of complex, scalable software applications across diverse digital channels, with a focus on: Full-Stack Development: Designing, developing, and implementing solutions spanning Mainframe (COBOL, JCL, DB2) and modern open systems (Java, Python, C#, GUIs, RESTful APIs, microservices). AI & Automation: Championing and implementing AI/automation strategies throughout the SDLC to enhance efficiency, accelerate delivery, and optimize processes. Quality & Best Practices: Writing high-quality, maintainable code, conducting thorough code reviews, and adhering to coding standards. Agile Collaboration: Full participation in Scrum ceremonies, defining/refining user stories, and...

Company : United Concordia Dental Job Description : JOB SUMMARY This job services United Concordia Dental's (UCD's) clients by recruiting, training and servicing quality dental networks in assigned territory in a remote and mobile work environment. Manage network contracts including negotiations, contract development/renewal and financial reimbursement. Meet with dentists and office personnel to act as the intermediary between the organization and UCD. Respond to contractual and payment issues both internally and externally. Ensure compliance with contractual terms through regular on-site audits. Apply an active role in network management, training, monitoring and enforcement of company policies and procedures while increasing provider efficiencies. ESSENTIAL RESPONSIBILITIES Identify and initiate contact with prospective providers. Develop and follow up on leads in an established time frame, while incorporating a sound business plan strategy to support and...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Provide services to the day-to-day operating objectives of the assigned area by participating in projects and programs appropriate to the needs of the assigned area, participating in the planning and implementation of projects and initiatives and conducting research and reporting including recommendations or proposals for action. ESSENTIAL RESPONSIBILITIES: Display effective communication skills by interacting directly with colleagues, clientele and/or other internal or external constituencies in the planning of assignments and the resolution of day-to-day operational problems. Under supervision, provide entry-level professional services as appropriate to the day-to-day operating objectives of the area. Receives guidance, training and mentoring from senior personnel in planning and carrying out activities and assignments. Undertake and/or participate in projects and programs...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job provides quality care to patients and families to promote health and prevent disease under the direction of a registered nurse or physician. ESSENTIAL RESPONSIBILITIES: Performs general nursing care in accordance with nursing practice standards. Assists with the preparation of equipment and assists the physician/clinical provider during treatment, examination and testing of patients. Collects assessment data, prepares patient for examination and documents clinical information on patient record. Orders diagnostic tests as directed by registered nurse or physician/clinical provider and gathers diagnostic tests and/or examines results prior to physician/clinical provider assessment. Schedules procedures and obtains authorizations as necessary. May give injections or medication, collect blood, tissue, or other laboratory specimens, and prepare them for...

Company : Highmark Health Job Description : JOB SUMMARY This job has enterprise-wide responsibility for creating and driving strategic sourcing for an assigned category of spend while building strong client business-oriented relationships by contributing to client strategy and objective setting. The incumbent acts as a strategic business partner, interfacing at the Director levels of the company, providing leadership in the designated spend category for category strategy/plans, strategic sourcing and other strategic procurement processes such as supplier relationship management, spend performance management, demand and compliance management, internal spend and external market analysis, and category governance. Collaborates with key stakeholders on the development and implementation of annual and multi-year category strategies in order to achieve category goals, achieve business strategies and deliver sustainable category value. This position has significant financial...

Company : United Concordia Dental Job Description : JOB SUMMARY This job services United Concordia Dental's (UCD's) clients by recruiting, training and servicing quality dental networks in assigned territory in a remote and mobile work environment. Manage network contracts including negotiations, contract development/renewal and financial reimbursement. Meet with dentists and office personnel to act as the intermediary between the organization and UCD. Respond to contractual and payment issues both internally and externally. Ensure compliance with contractual terms through regular on-site audits. Apply an active role in network management, training, monitoring and enforcement of company policies and procedures while increasing provider efficiencies. ESSENTIAL RESPONSIBILITIES Identify and initiate contact with prospective providers. Develop and follow up on leads in an established time frame, while incorporating a sound business plan strategy to support and...

Company : United Concordia Dental Job Description : JOB SUMMARY This job services United Concordia Dental's (UCD's) clients by recruiting, training and servicing quality dental networks in assigned territory in a remote and mobile work environment. Manage network contracts including negotiations, contract development/renewal and financial reimbursement. Meet with dentists and office personnel to act as the intermediary between the organization and UCD. Respond to contractual and payment issues both internally and externally. Ensure compliance with contractual terms through regular on-site audits. Apply an active role in network management, training, monitoring and enforcement of company policies and procedures while increasing provider efficiencies. ESSENTIAL RESPONSIBILITIES Identify and initiate contact with prospective providers. Develop and follow up on leads in an established time frame, while incorporating a sound business plan strategy to support and...

Company : United Concordia Dental Job Description : JOB SUMMARY This job services United Concordia Dental's (UCD's) clients by recruiting, training and servicing quality dental networks in assigned territory in a remote and mobile work environment. Manage network contracts including negotiations, contract development/renewal and financial reimbursement. Meet with dentists and office personnel to act as the intermediary between the organization and UCD. Respond to contractual and payment issues both internally and externally. Ensure compliance with contractual terms through regular on-site audits. Apply an active role in network management, training, monitoring and enforcement of company policies and procedures while increasing provider efficiencies. ESSENTIAL RESPONSIBILITIES Identify and initiate contact with prospective providers. Develop and follow up on leads in an established time frame, while incorporating a sound business plan strategy to support and...

Company : enGen Job Description : JOB SUMMARY **CANDIDATE MUST BE US Citizen (due to contractual/access requirements) ** We are seeking a highly skilled and versatile Software Engineer to join our Agile team. This role involves end-to-end development of complex, scalable software applications across diverse digital channels, with a focus on: Full-Stack Development: Designing, developing, and implementing solutions spanning Mainframe (COBOL, JCL, DB2) and modern open systems (Java, Python, C#, GUIs, RESTful APIs, microservices). AI & Automation: Championing and implementing AI/automation strategies throughout the SDLC to enhance efficiency, accelerate delivery, and optimize processes. Quality & Best Practices: Writing high-quality, maintainable code, conducting thorough code reviews, and adhering to coding standards. Agile Collaboration: Full participation in Scrum ceremonies, defining/refining user stories, and...

Company : enGen Job Description : JOB SUMMARY **CANDIDATE MUST BE US Citizen (due to contractual/access requirements) ** We are seeking a highly skilled and versatile Software Engineer to join our Agile team. This role involves end-to-end development of complex, scalable software applications across diverse digital channels, with a focus on: Full-Stack Development: Designing, developing, and implementing solutions spanning Mainframe (COBOL, JCL, DB2) and modern open systems (Java, Python, C#, GUIs, RESTful APIs, microservices). AI & Automation: Championing and implementing AI/automation strategies throughout the SDLC to enhance efficiency, accelerate delivery, and optimize processes. Quality & Best Practices: Writing high-quality, maintainable code, conducting thorough code reviews, and adhering to coding standards. Agile Collaboration: Full participation in Scrum ceremonies, defining/refining user stories, and...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Provide services to the day-to-day operating objectives of the assigned area by participating in projects and programs appropriate to the needs of the assigned area, participating in the planning and implementation of projects and initiatives and conducting research and reporting including recommendations or proposals for action. ESSENTIAL RESPONSIBILITIES: Display effective communication skills by interacting directly with colleagues, clientele and/or other internal or external constituencies in the planning of assignments and the resolution of day-to-day operational problems. Under supervision, provide entry-level professional services as appropriate to the day-to-day operating objectives of the area. Receives guidance, training and mentoring from senior personnel in planning and carrying out activities and assignments. Undertake and/or participate in projects and programs...

Company : Highmark Health Job Description : JOB SUMMARY *This role will be hybrid if you live within a 50 mile radius of one of our offices in (PA, DE, WV or NY) The Senior Payroll Tax Analyst serves as the subject matter expert for payroll tax compliance across all jurisdictions, ensuring accurate and timely filings while minimizing financial risk. This role manages end-to-end payroll tax activities, including filings, issue resolution, and coordination with third-party partners. Working with the payroll team, the analyst supports tax-related aspects of payroll processing, including year-end reporting and W 2 preparation, while resolving complex tax issues and ensuring compliance with evolving regulations. ESSENTIAL RESPONSIBILITIES Lead and perform peer review of federal, state, and local payroll tax filings, ensuring accuracy and timeliness Manage quarterly and year-end tax filings, including W-2 preparation, W-2c corrections, and filing...

Company : enGen Job Description : JOB SUMMARY **CANDIDATE MUST BE US Citizen (due to contractual/access requirements) ** We are seeking a highly skilled and versatile Software Engineer to join our Agile team. This role involves end-to-end development of complex, scalable software applications across diverse digital channels, with a focus on: Full-Stack Development: Designing, developing, and implementing solutions spanning Mainframe (COBOL, JCL, DB2) and modern open systems (Java, Python, C#, GUIs, RESTful APIs, microservices). AI & Automation: Championing and implementing AI/automation strategies throughout the SDLC to enhance efficiency, accelerate delivery, and optimize processes. Quality & Best Practices: Writing high-quality, maintainable code, conducting thorough code reviews, and adhering to coding standards. Agile Collaboration: Full participation in Scrum ceremonies, defining/refining user stories, and...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job provides direct care to patients and assists with non-direct patient care unit coordination. The incumbent in this position is expected to perform basic nursing procedures related to care and comfort of patients in stable condition, and have knowledge of patient population needs in the assigned work area. In addition, the incumbent is expected to assist the RN in the care of acutely ill patients. They is expected to practice medical asepsis, respect the dignity and privacy with every patient and family, and to maintain objectivity during patient care. They are expected to know and adhere to all basic hospital policies and procedures, and respond appropriately during emergency situations. They is expected to maintain the patient/family environment and perform general unit upkeep. They is expected to use accurate verbal and written communication, and to document patient care appropriately...

Company : Highmark Inc. Job Description : JOB SUMMARY This job resolves standard and occasional non-standard customer inquiries, comments, and concerns by applying a seamless and positive customer experience gained through many recurring cycles of on the job work engagement. ESSENTIAL RESPONSIBILITIES Engages with customers in a confident and compelling manner, performing the full range of customer service duties and responsibilities, as assigned. Strives to resolve customer concerns in a single interaction via telephone, written, or face to face communication. Responds to a diverse set of customers with an equal level of confidence regardless of the issue at hand. Works independently of support from a senior customer service representative, frequently utilizing the knowledge center, answering customer inquiries. Routinely responds to customers with an in-depth product knowledge achieved through a continuously improving set of...

Company : Highmark Health Job Description : JOB SUMMARY *This role will be hybrid if you live within a 50 mile radius of one of our offices in (PA, DE, WV or NY) The Senior Payroll Tax Analyst serves as the subject matter expert for payroll tax compliance across all jurisdictions, ensuring accurate and timely filings while minimizing financial risk. This role manages end-to-end payroll tax activities, including filings, issue resolution, and coordination with third-party partners. Working with the payroll team, the analyst supports tax-related aspects of payroll processing, including year-end reporting and W 2 preparation, while resolving complex tax issues and ensuring compliance with evolving regulations. ESSENTIAL RESPONSIBILITIES Lead and perform peer review of federal, state, and local payroll tax filings, ensuring accuracy and timeliness Manage quarterly and year-end tax filings, including W-2 preparation, W-2c corrections, and filing...

Company : Highmark Inc. Job Description : JOB SUMMARY This job resolves standard and occasional non-standard customer inquiries, comments, and concerns by applying a seamless and positive customer experience gained through many recurring cycles of on the job work engagement. ESSENTIAL RESPONSIBILITIES Engages with customers in a confident and compelling manner, performing the full range of customer service duties and responsibilities, as assigned. Strives to resolve customer concerns in a single interaction via telephone, written, or face to face communication. Responds to a diverse set of customers with an equal level of confidence regardless of the issue at hand. Works independently of support from a senior customer service representative, frequently utilizing the knowledge center, answering customer inquiries. Routinely responds to customers with an in-depth product knowledge achieved through a continuously improving set of...

Company : Highmark Health Job Description : JOB SUMMARY *This role will be hybrid if you live within a 50 mile radius of one of our offices in (PA, DE, WV or NY) The Senior Payroll Tax Analyst serves as the subject matter expert for payroll tax compliance across all jurisdictions, ensuring accurate and timely filings while minimizing financial risk. This role manages end-to-end payroll tax activities, including filings, issue resolution, and coordination with third-party partners. Working with the payroll team, the analyst supports tax-related aspects of payroll processing, including year-end reporting and W 2 preparation, while resolving complex tax issues and ensuring compliance with evolving regulations. ESSENTIAL RESPONSIBILITIES Lead and perform peer review of federal, state, and local payroll tax filings, ensuring accuracy and timeliness Manage quarterly and year-end tax filings, including W-2 preparation, W-2c corrections, and filing...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Provide services to the day-to-day operating objectives of the assigned area by participating in projects and programs appropriate to the needs of the assigned area, participating in the planning and implementation of projects and initiatives and conducting research and reporting including recommendations or proposals for action. ESSENTIAL RESPONSIBILITIES: Display effective communication skills by interacting directly with colleagues, clientele and/or other internal or external constituencies in the planning of assignments and the resolution of day-to-day operational problems. Under supervision, provide entry-level professional services as appropriate to the day-to-day operating objectives of the area. Receives guidance, training and mentoring from senior personnel in planning and carrying out activities and assignments. Undertake and/or participate in projects and programs...

Company : Allegheny Health Network Job Description : Date Posted: 20260520 Location: Allegheny General Hospital Department: 12A Telemetry Status: Full Time Shift: 72 hours every two weeks Rotation with rotating weekends and holiday per policy Union: Yes THE UNIT: The Allegheny General 12A Telemetry Unit is 24 beds with all single occupancy rooms.The Unit provides high acuity post-surgical care to cardiac, thoracic, vascular and transplant patients, as well as support and treatment to patients with LVADs. The unit is proud to hold the Comprehensive Cardiac Center Certification (C4). 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...

Company : Allegheny Health Network Job Description : This new hire will support the new PCI expansion. It will require travel to both Irwin 3 days/week and Latrobe 2 days/week. GENERAL OVERVIEW: Completes one or more of the following processes (scheduling, pre-registration, financial clearance, authorization and referral validation and pre-serviceability estimations and collections) within Patient Access and creates the first impression of AHN's services to patients and families and other external customers. Articulates information in a manner that patients, guarantors and family members understand so they know what to expect and understand their financial responsibilities. Assumes clinical and financial risk of the organization when collecting and documenting information on behalf of the patient. ESSENTIAL RESPONSIBILITIES: Conducts scheduling, and preregistration functions, validates patient demographic data, identifies and verifies medical benefits,...

Company : United Concordia Dental Job Description : JOB SUMMARY This job services United Concordia Dental's (UCD's) clients by recruiting, training and servicing quality dental networks in assigned territory in a remote and mobile work environment. Manage network contracts including negotiations, contract development/renewal and financial reimbursement. Meet with dentists and office personnel to act as the intermediary between the organization and UCD. Respond to contractual and payment issues both internally and externally. Ensure compliance with contractual terms through regular on-site audits. Apply an active role in network management, training, monitoring and enforcement of company policies and procedures while increasing provider efficiencies. ESSENTIAL RESPONSIBILITIES Identify and initiate contact with prospective providers. Develop and follow up on leads in an established time frame, while incorporating a sound business plan strategy to support and...

Company : Highmark Inc. Job Description : JOB SUMMARY This job oversees all daily operations and functions of the department. The incumbent requires an in-depth knowledge of business systems, data warehousing, data collection and reporting. The incumbent will be tasked with ensuring all summary and analysis reporting projects are mechanically, statistically and theoretically accurate. Additionally, the incumbent will be responsible for summarizing, and presenting the results to enhance the organization's understanding of underlying trends, results and implications. Organizes, assigns, and actively manages to completion the data analysis projects within the department. ESSENTIAL RESPONSIBILITIES Performs management responsibilities to include, but 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...

Company : Highmark Health Job Description : JOB SUMMARY *This role will be hybrid if you live within a 50 mile radius of one of our offices in (PA, DE, WV or NY) The Senior Payroll Tax Analyst serves as the subject matter expert for payroll tax compliance across all jurisdictions, ensuring accurate and timely filings while minimizing financial risk. This role manages end-to-end payroll tax activities, including filings, issue resolution, and coordination with third-party partners. Working with the payroll team, the analyst supports tax-related aspects of payroll processing, including year-end reporting and W 2 preparation, while resolving complex tax issues and ensuring compliance with evolving regulations. ESSENTIAL RESPONSIBILITIES Lead and perform peer review of federal, state, and local payroll tax filings, ensuring accuracy and timeliness Manage quarterly and year-end tax filings, including W-2 preparation, W-2c corrections, and filing...