10 data security jobs found in Lansing

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...

Company : enGen Job Description : JOB SUMMARY This pivotal role will lead the strategic transformation and optimization of workforce operations across enGen, encompassing both internal resources and external vendors. The Senior Director will be a key driver in establishing robust frameworks for tracking hours, managing financial allocations, and ensuring highly efficient resource deployment. This individual will possess a deep understanding of transformational initiatives, serving as a change expert who can intelligently engage with vendors, internal stakeholders, and senior leadership to align business operations with strategic objectives and deliver significant value. This leadership role is responsible for influencing, shaping, and executing high-impact strategies and initiatives delivering significant enterprise-level value. The Senior Director level demands a high degree of strategic leadership, independent decision-making, and accountability for fostering...

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...

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 Director, Account Management - Remote Job Description The Director of Account Management is responsible for providing strategic and operational leadership to a team of account executives and is accountable for the satisfaction and retention of assigned employer/Administrative Services Only (ASO) clients. This position collaborates across functions to ensure strategic alignment and execution of Prime, the health plan, and the assigned employer groups priorities. Responsibilities Provide strategic and operational leadership to the account executive function; serve as point of escalation and accountable leader for issue resolution across employer groups Establish processes and tracking methodologies to monitor...

General information Ref # 21992 Remote? No Ally and Your Career * Ally Financial only succeeds when its people do - and that's more than some cliché people put on job postings. We live this stuff! We see our people as, well, people - with interests, families, friends, dreams, and causes that are all important to them. Our focus is on the health and safety of our teammates as well as work-life balance and diversity and inclusion. From generous benefits to a variety of employee resource groups, we strive to build paths that encourage employees to stretch themselves professionally. We want to help you grow, develop, and learn new things. You're constantly evolving, so shouldn't your opportunities be, too? The Opportunity Hardworking auditors are constant learners. Curiosity drives them - it's why they began their audit journey in the first place. Using a growth mindset is what fuels their fascination by understanding the financial services industry and its...

Job Summary This position will execute and maintain master data policies, collect and protect agreed master data standards, and promote a need for fit-for-purpose master data to support business processes. Partner with IT on system enhancements; provide requirements and testing support for master data process improvements. The position is to ensure high-quality master data and to advance the use of master data critical to SAP, acting as the primary operational point of contact for master data requests and issue resolution to stakeholders. Additionally, you'll address challenges in master data management and governance, set up a governance model with appropriate business accountabilities, and utilize innovative technologies to streamline master data processes. This role will also assist the FP&A team with management reporting for domestic and global leadership. This role requires a strategic thinker with strong analytical skills and the ability to manage cross-functional...

PagerDuty (NYSE:PD) is a leader in Digital Operations Management. In an always-on world, organizations of all sizes trust PagerDuty to help them deliver a perfect digital experience to their customers, every time. Teams use PagerDuty to identify issues and opportunities in real time and bring together the right people to fix problems faster and prevent them in the future. Over 13,000 organizations (including 60 of Fortune 100) rely on PagerDuty to succeed with Digital Transformation, Cloud Migration, and DevOps Modernization. Notable customers include GE, Cisco, Genentech, Electronic Arts, Cox Automotive, Netflix, Shopify, Zoom, DoorDash, Lululemon and more. We are expanding rapidly as a platform for Digital Operations Management using AI/ML and Automation and growing our adoption by Development, IT, Customer Service, Security, and other teams across the organization, As a Senior Enablement Program Manager , you will be a strategic leader within our GTM Enablement...

Job Summary In collaboration with the Senior Director of Clinical Management, the Director is responsible for the operational strategy and management of Otsuka clinical programs, including coordination with other relevant parties (e.g., other Otsuka departments, external service providers (ESPs), etc.). Responsibilities include the planning, execution, and completion of clinical programs according to applicable regulations and guidance; ICH Guidelines, Good Clinical Practices (GCP), and Otsuka SOPs, within agreed upon timelines and budget. Job Description Provides scientific clinical research and operational expertise in the development of overall strategy and objectives of the Global Clinical Development Plan (GCDP), including performing/overseeing and providing background research. May represent Clinical Management in the development of the Clinical Development Plan, timelines, and budget for Business Development opportunities. Ensures program specific...

Job Description The Oracle Dedicated Cloud Product Management team is looking for an experienced Senior Manager of Product Management to work across our Dedicated Region Cloud @Customer (https://www.oracle.com/cloud/cloud-at-customer/dedicated-region/) (DRCC) and Oracle Alloy (https://www.oracle.com/cloud/alloy/) offerings to focus on product Definition, Development, and Launch. The Senior Manager of Product Management for Oracle Dedicated Cloud is a leadership role responsible for defining, executing, and driving the product development with our outbound and engineering internal teams. The role carries broad influence, significant business impact, and ownership of mission-critical product releases and launches aimed at driving OCI's growth and success in global markets. The primary objective will be to define, manage and deliver the product solutions that resonate with customers. This should include managing the full portfolio roadmap for DRCC and Alloy across its...

Job Description Oracle's Global Sustainability Office is seeking a dynamic and strategic leader to serve as a Program Management Director of Sustainability Reporting & Engagement. This high-impact role will oversee the functions of external sustainability communications, regulatory and voluntary reporting/disclosures, and internal employee engagement programs. The successful candidate will provide visionary leadership, manage and develop a multidisciplinary team, and drive Oracle's sustainability disclosures and communications in alignment with corporate growth and global regulatory trends. This role is for Nashville, TN. Candidate must live or be willing to relocate to Nashville, TN for this role. Key Responsibilities: Lead, develop, and inspire a team responsible for the strategic direction and execution of Oracle's sustainability reporting, external disclosures and communications, employee engagement and business enablement. Oversee the preparation...