3 security researcher 3 jobs found

Company : Highmark Inc. Job Description : JOB SUMMARY This job reviews requests for medication coverage determination for prior authorization review and appeals. Through the Utilization Review system, the incumbent evaluates clinical information provided by the physician against medical policy criteria. The incumbent then uses his/her clinical knowledge compared to the policy and physician request to make a determination. At times, the incumbent may conduct additional research beyond medical policy review to make coverage determinations. ESSENTIAL RESPONSIBILITIES Make coverage determinations by evaluating physician requests for prior authorization or appeals against medical policy through the Utilization Review system. Update the system records appropriately to ensure claims are properly routed and paid. Conduct research beyond medical policy review to make decisions on medication coverage requests. Other duties as assigned. EDUCATION...

Overview At PNNL, our core capabilities are divided among major departments that we refer to as Directorates within the Lab, focused on a specific area of scientific research or other function, with its own leadership team and dedicated budget. Our directorates related to Mission Support & Operations include Office of General Counsel, Business Services, Communications and External Engagement, Operational Systems, Communications and Information Technology, and Performance Management. At PNNL, our Computing and Information Technology organization is redefining how we work and innovate by reimagining the digital workplace. We empower research and streamline operations-making both faster, smarter, and more efficient-so our professionals can tackle some of the world's toughest challenges in science, energy, and national security. Our experts in AI, cybersecurity, design, and engineering work side by side, using real-time insights and human-centered design to break down...

#WeAreONEOK - * * Fortune 500 company. 100+ years in business. Leading midstream service provider. Safety first. Sustainable operations. Environmentally responsible. Employee focused. JOB SUMMARY Job Profile Summary ONEOK is seeking a Commercial Manager to lead natural gas gathering and processing commercial activities across the Permian Basin. This leadership role is responsible for developing and executing on commercial strategies, managing key producer relationships, and leading a team of commercial professionals focused on business development, project execution, contract negotiations, and financial performance. This position plays a critical role in driving growth, leading cross-functional teams, and ensuring disciplined commercial execution while fostering strong internal and external partnerships. This position will be based out of Tulsa, OK. This role is hybrid: Office - Monday, Tuesday, and Thursday Remote - Wednesday and Friday Essential...