11 information security 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...

Why UKG: At UKG, the work you do matters. The code you ship, the decisions you make, and the care you show a customer all add up to real impact. Today, tens of millions of workers start and end their days with our workforce operating platform. Helping people get paid, grow in their careers, and shape the future of their industries. That's what we do. We never stop learning. We never stop challenging the norm. We push for better, and we celebrate the wins along the way. Here, you'll get flexibility that's real, benefits you can count on, and a team that succeeds together. Because at UKG, your work matters-and so do you. About the Team The Security Research & Innovation (SRI) team within Global Security is a high-impact, automation-first security organization responsible for vulnerability management, security research, and red team operations. This team has an exceptional automation culture - all team members build production automation that eliminates manual work at...

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 Privacy Analyst (Incident Management) - Remote Job Description The Privacy Analyst is responsible for supporting Prime in complying with contractual requirements, as well as state and federal regulations regarding the protection of, and access to protected health information. This position is responsible for the execution of the privacy incident response program, as well as maintaining privacy policies and procedures and administers activities to support privacy compliance. Responsibilities Collaborate with Privacy leadership and build effective relationships with internal business partners on privacy compliance efforts; facilitate ongoing maintenance of privacy materials to ensure alignment to current practice,...

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 Employer Accounts 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...

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...

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...

Position Objective: Provide services as a Senior Management Analyst in support of the overall functions of the Dept. of Homeland Security (DHS), U.S. Immigration and Customs Enforcement (ICE), Office of Human Capital (OHC), Human Resources Operations Center (HROC. Assist in coordinating program activities, supporting process improvements, and contributing to effective program execution. Duties and Responsibilities: Provide advanced analytical, administrative, and operational support to program leadership and staff. Coordinate and support program activities, initiatives, and operational priorities. Assist with development, review, and maintenance of program documentation, reports, and procedures. Conduct research, analysis, and information gathering to support program planning and decision-making. Support tracking and reporting of program activities, deliverables, and operational metrics. Facilitate communication and coordination among...

SRM is currently seeking qualified individuals . If you are interested in joining the SRM team, forward your resume and cover letter to employment@srminc.net, or fax to 401-849-2993. SRM BENEFITS INCLUDE Health Insurance Dental Insurance Vision Insurance Life Insurance Long-Term Disability Insurance Temporary Disability Insurance Workers Compensation 401(K) and Company Match Paid Vacation and Holidays Sick and Safe Leave SRM is proud to be an Equal Opportunity Employer. Our hiring practices provide equal opportunity for employment without regard to race, religion, color, sex, gender, national origin, age, United States military veteran’s status, ancestry, sexual orientation, marital status, family structure, medical condition including genetic characteristics or information, veteran status, or mental or physical disability so long as the essential functions of the job can be performed with or without reasonable accommodation, or any...

SRM is currently seeking qualified individuals . If you are interested in joining the SRM team, forward your resume and cover letter to employment@srminc.net, or fax to 401-849-2993. SRM BENEFITS INCLUDE Health Insurance Dental Insurance Vision Insurance Life Insurance Long-Term Disability Insurance Temporary Disability Insurance Workers Compensation 401(K) and Company Match Paid Vacation and Holidays Sick and Safe Leave SRM is proud to be an Equal Opportunity Employer. Our hiring practices provide equal opportunity for employment without regard to race, religion, color, sex, gender, national origin, age, United States military veteran’s status, ancestry, sexual orientation, marital status, family structure, medical condition including genetic characteristics or information, veteran status, or mental or physical disability so long as the essential functions of the job can be performed with or without reasonable accommodation, or any...

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...