303 data security jobs found in Columbus

Company : Highmark Health Job Description : JOB SUMMARY This role is critical for defining the fundamental value proposition of our product, outlining its vision, and creating a comprehensive execution plan. The incumbent will be responsible for gaining alignment and support from key strategic partners and stakeholders, and overseeing the execution of that vision. A core responsibility will be attending sprint/milestone reviews with the Delivery team to ensure successful implementation. This individual will be instrumental in creating the roadmap for the types of clinical data brought into the organization, establishing these data assets as the single source of truth for clinical information across the enterprise. We are seeking a professional with a strong background and deep understanding of the healthcare industry. This role can be hybrid or remote, would prefer East Coast or Central time zones . ESSENTIAL RESPONSIBILITIES Understand the...

Company : enGen Job Description : JOB SUMMARY This role will specifically guide the definition and delivery of capabilities related to the Epic Payer Platform and other EHR vendor interoperability solutions, focusing on enabling efficient payer-provider and payer-payer healthcare data exchange. The role will be part of the enGen data organization. This job is responsible for the definition, planning, and delivery of complex product/technology capabilities that require cross-functional collaboration and alignment to product/technology roadmaps. Includes management of interdependencies between a group of projects or a single project, and related activities within the constraint of scope, quality, time and budget. Understands the product/technology roadmap, capabilities, and the business value proposition. Develops and communicates a data-driven impact analysis, including risk assessment and mitigation. Assesses, track, and addresses financial and budgetary statuses....

Company : United Concordia Dental Job Description : JOB SUMMARY *MUST BE A US CITIZEN * This job turns data into information, information into insight, and insight into business decisions. More specifically, this job drives and supports all activities related to collecting, analyzing, and reporting on the Organization's key performance indicators including developing dashboards, scorecards, forecasting, trending, tracking results, and executive presentations for the purpose of supporting operational excellence, management intelligence for effective decision-making, and overall tracking of organizational performance. Consults with cross-functional enterprise groups and levels to identify data and analytical needs, conduct analyses, review analyses and findings with leadership, facilitate related process/data improvement efforts and develop executive level presentations. Prepares similar intelligence for customers and interacts with customers as such....

Company : United Concordia Dental Job Description : JOB SUMMARY *MUST BE A US CITIZEN * This job turns data into information, information into insight, and insight into business decisions. More specifically, this job drives and supports all activities related to collecting, analyzing, and reporting on the Organization's key performance indicators including developing dashboards, scorecards, forecasting, trending, tracking results, and executive presentations for the purpose of supporting operational excellence, management intelligence for effective decision-making, and overall tracking of organizational performance. Consults with cross-functional enterprise groups and levels to identify data and analytical needs, conduct analyses, review analyses and findings with leadership, facilitate related process/data improvement efforts and develop executive level presentations. Prepares similar intelligence for customers and interacts with customers as such....

Company : Highmark Inc. Job Description : JOB SUMMARY This job plans, develops, and maintains operational processes and reporting related to group/provider facility and professional reimbursement configurations and other operational processes. Acts as the primary liaison between provider contracting, provider reimbursement, and claims experience. Collaborates with the pricing team to troubleshoot reimbursement issues and works with the Reimbursement Policy and Compliance team team to develop and maintain effective reimbursement quality programs and reporting. ESSENTIAL RESPONSIBILITIES Perform management responsibilities to include, but are 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 day-to-day operations of the department; develop and implement policies and programs as necessary; may have...

Company : Highmark Health Job Description : JOB SUMMARY The Senior Strategy Partner plays a critical role in driving the evolution and optimization of Highmark's Living Health Acceleration operating model. This individual will be instrumental in continuously enhancing the product operating model within PHE and with critical partners, ensuring it aligns with strategic goals and market demands. The Senior Strategy Partner will bring an external perspective on operating model and workforce optimization for the Product organization, collating and subsequently leveraging data to inform decision-making to enhance operating model performance and maturity. This role also encompasses leading strategic communications, managing leadership meetings, and spearheading special projects on behalf of the Product organization and leadership team, to advance the organization's goals and priorities. This role can be hybrid or remote - if you are within 50 miles of an office you are...

Company : Highmark Health Job Description : JOB SUMMARY The job is an integral member of an agile software engineer team responsible for building scalable software applications across all digital channels to serve our customers. The position will be responsible for taking an enterprise-wide, architectural view of the solutions and the technical execution of products using the technical stack that best meets the needs of the platform. The position will collaborate with the internal/external clients and be involved in every aspect at part of the software application build process from ideation, business analysis, technical design and software development using the latest technologies and design patterns. A principal engineer may be accountable for a team of software engineers to drive and develop products meeting the needs of our clients and product roadmaps. ESSENTIAL RESPONSIBILITIES Lead the resolution of a variety of technical and business problems...

Company : Highmark Health Job Description : JOB SUMMARY The job is an integral member of an agile software engineer team responsible for building scalable software applications across all digital channels to serve our customers. The position will be responsible for taking an enterprise-wide, architectural view of the solutions and the technical execution of products using the technical stack that best meets the needs of the platform. The position will collaborate with the internal/external clients and be involved in every aspect at part of the software application build process from ideation, business analysis, technical design and software development using the latest technologies and design patterns. A principal engineer may be accountable for a team of software engineers to drive and develop products meeting the needs of our clients and product roadmaps. ESSENTIAL RESPONSIBILITIES Lead the resolution of a variety of technical and business problems...

Company : Highmark Health Job Description : JOB SUMMARY This role is responsible for supporting the execution of member activation and engagement initiatives across products and solutions, with a particular focus on the clinical side of the business. As part of the Customer Relationship Management (CRM) team, this individual will contribute to developing a center of excellence for creating and managing profitable customer relationships and experiences. Key responsibilities include developing end-to-end strategies that will help with managing relationships with clinical partners, identifying C2V savings, overseeing wellness programs, addressing diagnosis and care gaps, and promoting member health through education and preventative steps. Preferred experience as a clinician or in a clinical setting. This role can be hybrid or remote. If you live with 50 miles of an office you are required to be onsite 3 days a week (T,W,Th). Outside of 50 miles will be remote....

As a Channel Sales Manager, you will build, manage, and expand strategic relationships between Rubrik and key regional and national channel partners across Florida. In this role, you'll act as a connector across the business - partnering closely with Field Sales, Systems Engineering, Channel & Field Marketing, Alliances, and Sales Operations to drive pipeline, accelerate deals, and exceed revenue targets. What You'll Do : You will be responsible for growing the channel business in your region through strategic planning, partner enablement, and driving demand generation and sales acceleration. Where you'll make an impact : Drive partner-led revenue by increasing focus on Rubrik's core technologies and expanding Partner-Initiated Deals Manage and grow relationships with National and regional channel partners to improve market and vertical coverage across Florida Lead account mapping and joint planning sessions with partners and internal teams to...

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 : 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 supervises and coordinates the day to day activities of the various claims processing or claims adjustment units responding to internal inquiries or inquiries received by members, providers, or account representatives across all markets. This job administers the day-to-day activities related to collecting, analyzing and reporting on source data and key performance metrics for the purpose of supporting operational efficiency, overall tracking of business performance and management intelligence for effective decision-making. Along...

Company : Highmark Inc. Job Description : JOB SUMMARY This job provides expertise for moderately to very complex problem solving and complete understanding of system functionality. The incumbent reviews significant amounts of data and analyzes processes to support business unit needs. Troubleshoots errors, conducts impact analyses, and/or solves data rejection. Performs business analyses in one or more operational areas. Identifies process gaps and recommends process improvements for efficiencies. Provides guidance and education to Associate and Intermediate level employees. ESSENTIAL RESPONSIBILITIES Intake operational objectives and gather information. Define, understand, and manage project scope. Perform moderate/complex research to support evaluation of complex output requirements and formats. May translate more complex business initiatives to less experienced employees. Present project deliverables to appropriate audiences. Create reports on...

Company : Highmark Health Job Description : JOB SUMMARY This role develops and leads integrated marketing efforts to advance brand awareness, consideration, credibility, engagement, and long-term preference among B2B audiences, with a primary focus on Stop Loss insurance solutions. Employed by Highmark Health, the position provides dedicated marketing strategy and execution support for HM Insurance Group, partnering closely with business stakeholders to align marketing strategies with brand and business priorities. The Senior Marketing Strategist designs and executes integrated marketing campaigns targeted to brokers, consultants, and other B2B partners, supporting HM Insurance Group's Stop Loss products. Campaigns may include brand-building initiatives, thought leadership, digital and social tactics, advertising, web experiences, and sales enablement support. This role requires a hands-on, highly versatile marketer who can set strategic direction while actively...

Company : Highmark Inc. Job Description : JOB SUMMARY This position coordinates member and provider outreach activities. The role focuses on completing non-clinical tasks, including prescriber office outreach, benefits investigations, and formulary research to ensure timely, accurate information gathering and communication. ESSENTIAL RESPONSIBILITIES Conducts member outreach in a professional, courteous, and service-focused manner, gathers and verifies, patient information prior to transferring cases to a pharmacist, ensuring completeness and accuracy. Supports timely processing of requests by following established workflows, turnaround time expectations, and regulatory requirements. Performs prescriber office outreach to initiate changes, obtain documentation, clarify medication information, and resolve non-clinical case needs. Completes benefits investigations, including eligibility verification, formulary coverage clarification, and...

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Company : Highmark Inc. Job Description : JOB SUMMARY The job is responsible for developing and maintaining an anti-fraud program which includes development and delivery of training and filing of Fraud Plans and Reports. The incumbent is responsible for conducting investigations of organizational or functional activities related to alleged fraud, waste and abuse perpetrated by providers, members, facilities, pharmacies, groups and/or employees of the organizations and Subsidiaries. The incumbent is responsible for interviews which might include providers and members and may be conducted onsite or offsite. This incumbent is also responsible for the field investigative work necessary to complete a review of a special project, potential fraud, waste and abuse case, conducting the initial investigations and coordinating the recovery/ savings of money related to fraud, waste and abuse. The incumbent must be able to testify in a court of law, prepare cases for referral to...

Ohio Department of Public Safety - Director's Office/Information Technology (Cyber Security) Report in location: 1970 West Broad Street, Columbus, Ohio 43223 Perks of Working for the Ohio Department of Public Safety Multiple pay increases over your first years of service! Free Parking! Free Onsite Gym and Walking Path! Daycare On-site! Cafeteria On-site! What you'll do as an Agency Information Security Professional 1: Configure, support & monitor enterprise security tools to safeguard State assets against malicious activity, characterize & monitor network traffic to identify anomalous activity & potential threats to network resources & analyze identified malicious activity to determine weaknesses exploited, exploitation methods & effects on system & information. Conduct regular vulnerability scans & analyze results to identify vulnerabilities; Assess the risk associated with identified vulnerabilities...

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...

Company : Highmark Inc. Job Description : JOB SUMMARY This job reviews inquiries to determine if they meet the definition of a grievance/appeal; documents, investigates, refers and coordinates grievances and appeals; initiates a case file for each grievance and appeal; ensures compliance with organizational and regulatory requirements for member or provider issues; independently coordinates the resolution with internal/external parties as required; and documents and summarizes to all parties involved in the case the investigation results. ESSENTIAL RESPONSIBILITIES Review inquiries to determine if they meet definition of appeal/grievance. Request and review all related relevant documentation and assemble case file. Coordinate resolution results and relay investigative results with all involved parties. Participate in workgroup meetings to address trends in appeals and grievances and to work on process improvement initiatives with cross...

Company : Highmark Health Job Description : JOB SUMMARY This job is a senior level actuarial analyst position. Participates in Highmark's Actuarial Executive Development Program and is expected to make continued progress towards actuarial credential. Utilizes experience and industry knowledge to define & diagnose a problem, outline data requirements for a study or analysis, and devise potential solutions. Guides and mentors less experienced staff and provides decision support to team members while initiating and leading the development of actuarial studies, analyses, and presentation materials needed to appropriately inform decision makers and making appropriate recommendations to management. Will work to develop efficient processes and will apply actuarial techniques and statistical analysis to several functions which may include insurance premium and pricing development, claim trend analysis, experience studies, medical economics, profitability analysis,...

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 We are seeking a highly motivated and experienced Senior Product Manager with a clinical background to drive the strategic vision and execution for our "Well360" platform, specifically focusing on commercial buyups. This pivotal role defines the product's fundamental value proposition, outlines its vision and execution plans, and gains alignment and support from key strategic partners and stakeholders. The incumbent will oversee the end-to-end execution of this vision, ensuring successful product delivery and market impact. This role also involves providing coaching and guidance to junior team members, fostering their professional growth. The Senior Product Manager will actively attend and participate in milestone reviews with the Delivery team, ensuring seamless collaboration and product development. A strong understanding of both clinical operations and commercial buyouts is essential for success in this...