188 data security jobs found in Frankfort

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. The Senior Product Owner is responsible for leading and guiding a cross-functional team in the development and delivery of high-quality technology products. The ideal candidate will have a strong understanding of technology concepts and practices, agile methodology, product development, and the healthcare industry. They will be responsible for defining product vision, strategy, and roadmap, managing the product backlog, and ensuring successful product launches. They will also mentor other Product Owners, collaborate with stakeholders, and communicate product updates to leadership. This is a highly collaborative role...

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 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 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 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 The incumbent 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. The 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. Must be able to testify in a court of law, prepare cases for referral to various...

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...

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...

Company : enGen Job Description : JOB SUMMARY This job contributes to the project leadership of multiple complex product and technology solutions. The incumbent exhibits and applies the core behaviors which define success for the organization and our customers: Purposeful Execution, Teamwork, Transformational Leadership, and a Customer-First mentality. This requires a commitment to on-time/on-budget delivery, promoting a culture of collaboration among all project stakeholders, thinking and planning strategically in areas of risk mitigation and overall project direction, and a dedicated focus on bringing value to our customers. ESSENTIAL RESPONSIBILITIES Serve as a project leader with multiple medium sized projects. Contribute to the definition, planning, and delivery of multiple product and technology projects, working with the executive sponsor (Director or higher) and other management as required to ensure achievement of the defined project goals....

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 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 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...

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 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,...

About Team & About Role: Rubrik's sales organization is a united group of elite cross-functional sales professionals that help companies & government entities achieve resilience against cyberattacks, malicious insiders, and operational disruptions. We offer continuous professional development through our world class sales enablement program and our One Rubrik selling approach provides all the resources you need to exceed your goals, maximize your earnings potential and take your career to the next level. All this while doing something that truly matters, protecting the world's data. As an Product Line Specialist Sales Engineer, you will provide technical direction and business guidance to the regional sales team. We are seeking a self-starter who will exceed sales quotas by driving innovative technical programs, pipeline generation alongside AEs, customer demonstrations, POCs, and overseeing day-to-day account-level activities. You will be responsible for...

Job Description This is a 100% travel role and can expect weekly travel Mon-Thurs at a minimum. We're on a journey to advance how health happens with technologies that empower patients, support clinicians, inspire innovation, and save lives. Our mission? To create a human-centric healthcare experience powered by unified global data. It's a big challenge, but big challenges are what we do best. We're already transforming some of the world's largest health systems-helping them turn data into lifesaving decisions and better patient care. We want people just as dedicated as we are to improving health equity and delivering quality care across the globe. If you're excited about making healthcare more human, you've come to the right place. The Strategic Analytics and Adoption Team is looking to expand with a new Senior Associate Adoption Consultant. As an Senior Associate Adoption Consultant, you are responsible for providing end-user support to promote EHR efficiency and...

Otsuka is seeking an experienced Director of Statistics to join our Data Science and AI group to provide statistical leadership and solutions to efficient phase 3b/4/Real-World-Evidence (RWE) study design, global Health Technology Assessment (HTA) and regulatory requirements on advanced statistics needs for our portfolio across therapeutic areas and indications. This role will lead statistical innovation and data insights in HTA and Integrated Evidence Plan (IEP), including efficient statistical design and execution of late-phase clinical trials and real-world studies, AI/ML-based population enrichment, Bayesian methods, RWD/external control, and collaborate closely with cross-functional teams including Global Value Evidence, Global Medical Affairs, Market Access, Regulatory, Biostatistics, Global Clinical Development and Clinical Management. Key Responsibilities: Strategic Leadership in Advanced Statistics : Provide expert statistical guidance for late-phase...

Rubrik's sales organization is a united group of elite cross-functional sales professionals that help companies & government entities achieve resilience against cyberattacks, malicious insiders, and operational disruptions. We offer continuous professional development through our world class sales enablement program and our One Rubrik selling approach provides all the resources you need to exceed your goals, maximize your earnings potential and take your career to the next level. All this while doing something that truly matters, protecting the world's data. As a Healthcare Enterprise Account Executive, you will have ownership of all elements of bookings growth in a specified set of new and existing Healthcare accounts across a specified set of accounts in the North Central region. We are seeking a relentless self-starter who is hyper-focused on acquiring new logos by discovering and developing new opportunities, managing pipeline and executing account strategies, while...

Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) . Job Description : Internship Summary: The Ryder Audit Services department is a high-performing team that provides internal audit services and support to business leaders across the organization. Ryder Audit Services conducts both audit and advisory activities aimed at adding value and driving continuous improvement in Ryder's business and IT processes, ensuring compliance with internal policies and external regulatory obligations. Ryder Audit Services is looking for IT Audit Interns to assist with a variety of IT audit projects. The intern may work on SOX or other compliance audits, IT process audits, vendor audits, and IT general control audits, among others. Interns are assigned to audits based on the resource needs at the time of the internship. This opportunity will be a remote part-time (20 hours per week) internship within Ryder Audit...

Position Summary: The Senior Wireless Deployment Engineer is a critical technical role responsible for the design, deployment, optimization, and lifecycle management of enterprise wireless networks. This position serves as a senior subject matter expert (SME) for Aruba and Juniper Mist wireless solutions , providing technical leadership across pre-sales, implementation, and post-deployment support. The Senior Wireless Deployment Engineer also provides front-line engineering support for complex customer environments and acts as an escalation point for advanced wireless and RF-related challenges. Primary Position Tasks: Listing of the primary tasks the position will be responsible for: Deployment of Enterprise Wireless LAN solutions (HPE, Juniper) Design solutions that meet customer/project requirements. Audit existing wireless networks to evaluate performance, identify flaws, and recommend improvements based on industry standards. Support the...

Become a part of our caring community The Financial Reporting Lead prepares and distributes periodic financial statements for users other than those directly employed by the organization. The Financial Reporting Lead works on problems of diverse scope and complexity ranging from moderate to substantial. The Financial Reporting Lead ensures all reports and disclosures comply with applicable government regulations, professional standards and organization policies. Prepares consolidation journal entries, eliminates intercompany transactions and consolidates divisional and subsidiary financial accounts in a timely and accurate basis for inclusion in internal and external financial statements. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring...