23 it security jobs found in Springfield

Company : Highmark Inc. Job Description : JOB SUMMARY This is a fully remote position, allowing you to work from anywhere. We are actively seeking a highly skilled and experienced Senior Business Systems Analyst with a specialized focus on the GuidingCare platform to join our dynamic team. This pivotal role encompasses the entire IT lifecycle, demanding expertise from initial solutioning and meticulous requirements gathering through to robust configuration, comprehensive testing, and precise environment synchronization. A core responsibility will be the design, configuration, and ongoing maintenance of FICO and SQL rules within GuidingCare, vital for supporting diverse business processes, clinical guidelines, and operational requirements. The successful candidate will collaborate closely with business stakeholders to translate complex needs into actionable functional and technical specifications, proposing innovative solutions to optimize GuidingCare...

Company : Highmark Health Job Description : JOB SUMMARY The Senior Marketing Analytics Analyst plays a critical role in transforming customer, digital, and campaign data into insights that improve acquisition, retention, member experience, and marketing effectiveness. This role works across Marketing, Digital, Sales, and Enterprise Analytics to translate business questions into analytical approaches, build performance dashboards, evaluate campaign ROI, and uncover opportunities to improve engagement across the member and patient lifecycle. This individual must bring strong statistical rigor, advanced marketing analytics skills, and deep understanding of healthcare customer journeys-including Medicare, Medicaid, Commercial, and provider engagement pathways. Experience with enterprise data platforms such as Salesforce Data Cloud, Adobe AEP/CJA, and Tableau is preferred. ESSENTIAL RESPONSIBILITIES Develops, evolves, and then communicates various digital...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Sr. IT Risk & Controls Analyst - Contract Negotiations - Remote Job Description We are presenting a unique opportunity for an experienced IT Risk and Controls Analyst with a background in Contract Negotiations. As a Sr. IT Risk & Controls Analyst you would be responsible for leading the development and execution of processes and people to ensure IT compliance with regulatory, industry and client security requirements. This role is responsible for working with cross-functional teams and management to set direction and secure resources for the operational processes needed to support the Security Governance Risk and Compliance program. Responsibilities Lead the development, implementation and enforcement...

Company : Highmark Inc. Job Description : JOB SUMMARY This job is a non-clinical resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a liaison between various departments across the enterprise, including but not limited to, Clinical Strategy, Sales/Client Management, Customer Service, Claims, and Medical Policy. The person in this position must fully understand all product offerings available to Organization members and be versed in claims payment methodologies, benefits administration, and business process requirements. ESSENTIAL RESPONSIBILITIES Coordinate, analyze, and interpret the benefits and claims processes for the department. Serve as the liaison between the department and the claims processing departments to facilitate care/case management activities and special handling claims. Communicate benefit explanations clearly and concisely to all pertinent parties....

Company : United Concordia Dental Job Description : JOB SUMMARY This job provides account support activities associated with the implementation and administration of groups and accounts. Provides assistance with non-standard benefit implementation tasks. Identifies and resolves problems related to benefit interpretations, non- standard benefits, handle rating concerns, and coordinate claim extracts and any subsequent adjudication requirements. The incumbent may have direct interaction with producers, clients and sales reps to ensure complete implementation, on-going service and all renewal activity. The incumbent is new to the role and is developing competence in performing work assignments. ESSENTIAL RESPONSIBILITIES Load and maintain group information and benefit files. Interact and provide support activities to Account Managers (For UCD: Accounts Support Analysts are account managers for all small market clients. May also be involved with managing...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Senior Compliance Analyst (Regulatory Change Management) - Remote Job Description The Senior Compliance Analyst assists in the implementation of Prime's compliance programs and leads initiatives within their designated areas. This role partners with key internal stakeholders to monitor aspects of compliance and validate policies, procedures, licensure, and program manuals are effectively followed and maintained. Responsibilities Executes compliance procedures and enforces policy governance across the organization to validate regulatory reporting requirements are met and that business operations are aligned with expectations of applicable regulatory guidance Lead project management efforts for highly sensitive...

Company : Highmark Inc. Job Description : JOB SUMMARY This job provides account support activities associated with the implementation and administration of groups and accounts. Provides assistance with non-standard benefit implementation tasks. Identifies and resolves problems related to benefit interpretations, non- standard benefits, handle rating concerns, and coordinate claim extracts and any subsequent adjudication requirements. The incumbent may have direct interaction with producers, clients and sales reps to ensure complete implementation, on-going service and all renewal activity. The incumbent has foundational knowledge and experience, is building higher-level knowledge and skills, and makes independent contributions to projects. ESSENTIAL RESPONSIBILITIES Load and maintain group information and benefit files. Interact and provide support activities to Account Managers (For UCD: Accounts Support Analysts are account managers for all small...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Compliance Analyst (Regulatory Change Management) - Remote Job Description The Compliance Analyst assists in the implementation of Prime's compliance programs within their designated areas and partners with key internal stakeholders to monitor aspects of compliance and validate policies, procedures, licensure, and program manuals are effectively followed and maintained. Responsibilities Executes compliance procedures and enforces policy governance across the organization to validate requirements are met and that business operations are aligned with expectations of applicable regulatory guidance Develop solutions to moderately complex compliance problems by referring to precedence, policies and standard...

Company : Highmark Inc. Job Description : JOB SUMMARY This job collaborates with internal stakeholder to understand moderate to complex business requirements and processes related client, product, and benefits configuration solutions. Performs standard and custom benefit coding and new client and group installation, translating group and client information into system configuration, including but not limited to client, group, rates, and commissions data. 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 role is looking for someone who has ZELIS/RedCard experience along with reading and interpreting code within the health insurance...

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 collects, validates, analyzes, and organizes data into meaningful computerized reports by manipulating and extracting data to meet customer needs, generates reports through mainframe and/or PC applications by utilizing established applications/programs or developing new applications/programs, develops work plans to meet deadlines, accurately estimating completion dates and communicating report status to customers and management, and resolves business problems related to automated systems and provide data analysis and recommend...

The Manager, Data Analytics is an important role within the Medical Excellence & Operations team within Global Medical Affairs. This role will serve as the data and analytics lead supporting operational excellence across the Global Medical Affairs organization. This role is responsible for collecting, analyzing, and translating data into actionable insights that inform medical strategy, field engagement, performance measurement and medical strategy. The Manager, Data Analytics will work closely with both Field Medical and Headquarters teams to understand business needs and system requirements, support development of analytical solutions and other projects to drive key business processes and decisions for the Medical Affairs function. This role reports into the Business Solutions & Analytics Lead who reports into the Executive Director, Medical Excellence and Operations. Job Description Key Responsibilities: Data Collection, Management and Governance...

Company : enGen Job Description : JOB SUMMARY This job is responsible for the configuration, rollout, and ongoing support of the assigned Epic application(s). Responsibilities include business/systems analysis, requirements definition and documentation, systems design, and problem resolution. The Senior Epic analyst communicates with end-users of the system to understand and resolve complex issues and implement solutions. Senior Analysts are subject matter experts in their area of knowledge. ESSENTIAL RESPONSIBILITIES Plans, designs/builds, tests, implements and maintains Epic software. Develops and documents workflow analysis while evaluating user experience. Supports and maintains environment or applications using advanced knowledge of the application(s) and technologies in the environment while recommending enterprise-level solutions. Using advanced knowledge of Epic, configures changes within the system to provide standardized,...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Financial Analyst Senior - Remote Job Description The Senior Financial Analyst is responsible for providing leadership on financial analysis and reporting related to the profitability of various Prime business areas or units. This position directs the budgeting and forecasting processes for the departments it supports, develops new analytical models that utilize cost drivers and associated metrics, and supports the financial requirements of Prime. This position will be a partner of the departments it supports, will be viewed as the voice of Finance for those departments, and become a member of the department's leadership team. Responsibilities Provide financial leadership and direction to various Prime departments...

Company : enGen Job Description : JOB SUMMARY This job is responsible for configuring, rolling out, and supporting the assigned Epic application(s). Responsibilities include business/systems analysis, requirements definition and documentation, system design, and problem resolution. The analyst communicates with system end-users to understand issues and implement solutions. ESSENTIAL RESPONSIBILITIES Plans, designs/builds, tests, implements, and supports the needs of Epic software. Analyzes and determines system requirements and specifications. Performs and documents workflow analysis while evaluating user experience. Supports and maintains environments or applications using domain knowledge. Creates and maintains documentation and training materials regarding the implementation of applications. Using knowledge of Epic, configures changes within the Epic environments to provide standardized, comprehensive workflows. Corrects issues, conducts...

Become a part of our caring community and help us put health first The Senior Market Finance Professional supports more than half of Humana's Medicaid business, providing technical financial analysis and data-driven insights to drive market growth and operational effectiveness. This position resides within the Finance team and partners directly with Market CFOs, clinical teams, and provider engagement teams, focusing on Medicaid claims and premium analytics across multiple states, including established and expansion markets. Key Responsibilities: Collect, analyze, and report on market data connecting financial outcomes with operational results, particularly in Medicaid claims and premiums. Deliver project-based and ad-hoc reporting for Medicaid markets; provide insights into membership analysis, provider performance, RFPs, and market trends. Manage ad hoc requests from Market CFOs, Presidents, and leadership, ranging from member utilization to premium...

Cybersecurity Analyst Job ID 248917 Posted 10-Dec-2025 Service line Corporate Segment Role type Full-time Areas of Interest Digital & Technology/Information Technology Location(s) Remote - US - Remote - US - United States of America About the role Executes on Cybersecurity governance, risk and compliance activities to evaluate and reduce information technology (IT) risk. Supports with the identification, management and mitigation of risk. This individual is learning the Cybersecurity space, and building a knowledge base of risk controls, analysis, assessments, methodologies, and mitigation strategies. Receives direction from management and takes action with manager review and approval. Individuals in this role are exploring niche spaces to specialize in, including: cyber risk management, controls, policies and standards, disaster recovery, vulnerability management, vendor risk management, assessments and control testing. What you'll do...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title IT Strategy & Planning Analyst, Principal - Remote Job Description The IT Strategy & Planning Analyst - Principal plays a critical role in advancing Prime's technology planning and delivery operating model. This position is responsible for driving organizational alignment through training, coaching, and continuous improvement initiatives. The role serves as a subject matter expert, ensuring that processes, tools, and services are optimized to support Prime's operating model. By partnering with stakeholders across IT, Finance and business operations, this position fosters collaboration, enhances service delivery, and promotes a culture of operational excellence. Responsibilities Deliver training and...

Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job Category Product Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards....

Become a part of our caring community and help us put health first The Senior Market Finance Professional supports more than half of Humana’s Medicaid business, providing technical financial analysis and data-driven insights to drive market growth and operational effectiveness. This position resides within the Finance team and partners directly with Market CFOs, clinical teams, and provider engagement teams, focusing on Medicaid claims and premium analytics across multiple states, including established and expansion markets. Key Responsibilities: Collect, analyze, and report on market data connecting financial outcomes with operational results, particularly in Medicaid claims and premiums. Deliver project-based and ad-hoc reporting for Medicaid markets; provide insights into membership analysis, provider performance, RFPs, and market trends. Manage ad hoc requests from Market CFOs, Presidents, and leadership, ranging from member utilization to premium reconciliation...

Job Description We are hiring a SR Configuration Analyst. This Intermediate Nursing consulting position requires ability to operate independently with some assistance and guidance to provide quality configuration work to a project team or customer that comply with Oracle methodologies and practices. This includes completing configuration for all consulting project types and maintaining relationships across lines of business. Standard assignments are accomplished without assistance by exercising independent judgment, within defined policies and processes, to deliver functional and technical solutions on moderately complex customer engagements. NOTE: We are unable to provide visa sponsorship for this role at this time. Must be a US Citizen and be able to pass Public Trust security clearance Responsibilities Responsibilities Analyze complex data to determine configuration readiness Assist in defining and communicating design and content best practices...

Company : Highmark Health Job Description : JOB SUMMARY **CANDIDATE MUST BE US Citizen (due to contractual/access requirements) ** This job provides expertise for standard to moderately complex problem solving and in-depth understanding of system functionality. The incumbent reviews significant amounts of information and analyzes processes to support business unit needs. May troubleshoot errors, conduct impact analyses, and/or solve data rejection. Performs business analyses in one or more operational areas. Identifies process gaps and recommends process improvements for efficiencies. May provide guidance to Associate level employees. ESSENTIAL RESPONSIBILITIES Intake operational objectives and gather information. May perform routine research and evaluate basic output requirements and formats. Communicate business operational requirements to internal groups responsible for developing/testing business requirements in various applications....

Company : Highmark Inc. Job Description : JOB SUMMARY This job supports the growth of the Organization's sales goals through the development of customer-focused, strategically-positioned sales messaging, proposal messaging and/or creative design materials/presentations. The incumbent coordinates and communicates effectively with all levels of the organization and senior management for the collection, analysis and documentation of information and creative concepts related to client communications (executive summaries, presentations, placemats, etc.) by consulting with Sales, performing strategic research, market analysis, and creative resources for key industry stakeholders (external clients, consultants, Partner Plans). Assists in the oversight of the Sales Messaging Analyst role for appropriate solutions. This is a consultative position embedded in the sales organization that offers sales support to include marketing, graphic design and unique and customized...

Job Description We are hiring a SR Configuration Analyst. This Intermediate Pharmacy consulting position requires ability to operate independently with some assistance and guidance to provide quality configuration work to a project team or customer that comply with Oracle methodologies and practices. This includes completing configuration for all consulting project types and maintaining relationships across lines of business. Standard assignments are accomplished without assistance by exercising independent judgment, within defined policies and processes, to deliver functional and technical solutions on moderately complex customer engagements. NOTE: We are unable to provide visa sponsorship for this role at this time. Must be a US Citizen and be able to pass Public Trust security clearance Responsibilities Responsibilities Analyze complex data to determine configuration readiness Assist in defining and communicating design and content best practices...