241 data security jobs found

Company : Highmark Health Job Description : JOB SUMMARY Candidates residing within 50 miles of our Pittsburgh office are required to work onsite Tuesday through Thursday. This job supports Enterprise Transformation project teams in delivering day-to-day client service and analytical support. The incumbent collaborates across 1-2 client teams at a time and is responsible for uncovering, synthesizing, analyzing and presenting critical information, supporting the team to identify insights and shape recommendations. Beyond establishing the fact base, the incumbent forms a clear point of view to share back with team and the client. This job is expected to consistently provide excellent customer service to business units in a supporting team role. ESSENTIAL RESPONSIBILITIES Complete project deliverables under the direction of leadership, including gathering and analyzing qualitative and quantitative information, testing hypotheses, building presentations and...

Company : United Concordia Dental Job Description : JOB SUMMARY This job services United Concordia Dental's (UCD's) clients by recruiting, training and servicing quality dental networks in assigned territory in a remote and mobile work environment. Manage network contracts including negotiations, contract development/renewal and financial reimbursement. Meet with dentists and office personnel to act as the intermediary between the organization and UCD. Respond to contractual and payment issues both internally and externally. Ensure compliance with contractual terms through regular on-site audits. Apply an active role in network management, training, monitoring and enforcement of company policies and procedures while increasing provider efficiencies. ESSENTIAL RESPONSIBILITIES Identify and initiate contact with prospective providers. Develop and follow up on leads in an established time frame, while incorporating a sound business plan strategy to support and...

Company : Highmark Inc. Job Description : JOB SUMMARY This job reviews, evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for building positive client relationships, providing education, and analyzing client claim losses as well as current issues regarding client activities; disseminates necessary information to the management. Follows up on pended claims in accordance with department standards. ESSENTIAL RESPONSIBILITIES Processes daily incoming Stop Loss claims including initial entry claims or subsequent claims as needed; provides counseling to clients and assists with client service programs. Evaluates various claims submitted by Third Party Administrators (TPAs) and Pharmacy Benefit Managers (PBMs) on behalf of self-funded clients for compliance with the following: underlying policy provisions, federal and state regulatory guidelines, and...

Company : Highmark Inc. Job Description : JOB SUMMARY This job handles customer inquiries by telephone and/or email and/or in person from individual members, groups, providers and brokers in a customer service center. Troubleshoots and resolves customer complaints. Ensures that responses to inquiries are completed timely and according to established service and quality standards. ESSENTIAL RESPONSIBILITIES Resolve customer inquiries and complaints via written, telephonic and face-to-face communication in a timely and accurate manner. Prepare adjustments for services not properly processed, either systematically, or by forwarding to the appropriate area for follow up and resolution. Meet all production, quality, and adherence standards. Attends all required training classes. Elevate issues to next level of supervision, as appropriate. Maintain accurate records, including timekeeping records. Other duties as assigned or...

Join a high-impact team where you will serve as the strategic architect of Rubrik's most critical industry partnerships. As a Global Alliances Director, you will orchestrate a massive cross-functional engine-spanning Field Sales, Engineering, and Marketing-to deepen integration with key alliance partners and shatter sales performance goals. What You'll Do: Architect Strategic Growth: Own the blueprint for alliance success by driving high-level partner planning, sales acceleration, and massive pipeline generation. Ignite Partner-Led Revenue: Lead the charge in increasing "Partner Initiated Deals" by positioning Rubrik's cutting-edge technologies as a "must-have" for our global partners. Orchestrate Global Mappings: Act as the ultimate connector, arranging high-stakes account mappings and qualification meetings that convert target accounts into successful POCs and closed deals. Empower the Ecosystem: Deliver high-energy enablement and training...

Company : Highmark Inc. Job Description : JOB SUMMARY This job is responsible for screening, reviewing, evaluating online entry, correcting errors and/or performing quality control review and final adjudication of paper/electronic claims. Determines whether to return, deny or pay claims following organizational policies and procedures. Reviews processed claims and inquiries to determine corrective action including adjusting claims as necessary and takes the corrective action steps using enrollment, benefit and historical claim processing information; may coordinate benefits and interact with customers. Responsible for the timely and accurate completion of claims adjustments which could be a result of internal/external audits, member/provider phone calls, other insurance information received, appeals, and system changes, etc.; provides technical assistance in researching and resolving inquiries. ESSENTIAL RESPONSIBILITIES Receives and processes complex...

Company : Highmark Health Job Description : JOB SUMMARY Work Location Policy: This role offers a hybrid work model. Candidates residing within 50 miles of a Highmark office will be required to work on-site Tuesday through Thursday. All other candidates will work remotely. This job serves as the delivery leader responsible for defining, owning, and delivering mid-size engagements designed to meet/exceed key performance metrics (e.g., admin cost reduction, process improvement, automation, medical cost/value improvement, and enhanced customer/provider experience) for specific clients within the organization. The incumbent manages 1-2 simultaneous client engagements, some individual, some with a team of clients, consultants, and other colleagues from the division. The incumbent demonstrates solid foundational knowledge of consulting principles and the delivery of practical outcomes and is adept at driving clear hypotheses, breakthrough analyses and actionable...

Company : enGen Job Description : JOB SUMMARY **CANDIDATE MUST BE US Citizen (due to contractual/access requirements) ** This role provides Information Security and Risk Management services for the organization with a primary focus on establishing, maturing, and operationalizing the enterprise Vulnerability Management program. The position partners closely with application, infrastructure, cloud, and security teams to identify, prioritize, and reduce technology risk across the environment. The Manager is responsible for developing and scaling vulnerability management capabilities, including governance, detection strategies, prioritization frameworks, remediation workflows, metrics, and executive reporting. This role leads and mentors security staff while working with stakeholders to embed vulnerability management into engineering, IT operations, and change processes. The position actively contributes to Information Security and Risk Management (ISRM)...

Company : enGen Job Description : JOB SUMMARY **CANDIDATE MUST BE US Citizen (due to contractual/access requirements) ** As a Senior Data Engineer, you will design and operate real-time and analytical data pipelines that power enterprise reporting and decision-making, including security and operational telemetry data. You will be responsible for ingesting, modeling, and optimizing high-volume streaming and batch data in Azure Data Explorer (ADX), enabling fast, reliable analytics at scale. This role blends deep data engineering with analytics enablement. You will structure and transform data using modern cloud and streaming technologies ( Kafka, Cribl, Azure Data Factory), applying medallion architecture principles to ensure data quality, performance, and governance across the full data lifecycle. A core responsibility is translating engineered data into business-ready insights by developing curated datasets, analytics, and Power BI (and Tableau) dashboards...

Company : Highmark Inc. Job Description : GENERAL OVERVIEW: The Appeals Analyst 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...

Company : Highmark Inc. Job Description : JOB SUMMARY This job is responsible for supervising member service call center and ensuring timely, professional, and courteous responses to all customer inquiries and complaints, appropriately referring inquiries to other areas as necessary for resolution. Investigate escalated member inquiries. The incumbent may be required to make routine medical approval decisions. ESSENTIAL RESPONSIBILITIES Manage the departmental operations and day-to-day functions. Handle escalated calls from members, state agencies, providers and vendors. Coach and counsel employees. Prepare reports for various internal and external areas for trends and statistics. Create and maintain quality and training programs for department. Responsible for on-call emergency contact for nights and weekend support. Other duties as assigned or requested. QUALIFICATIONS Minimum High School Education or...

Company : enGen Job Description : JOB SUMMARY This job is an integral member of an agile software engineer team responsible for building complex 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, and team, will be involved in every aspect as part of the software application build process from idea generation, business analysis, technical design and software development using the latest technologies and design patterns. ESSENTIAL RESPONSIBILITIES The job is responsible for designing and creating engineering specifications for software applications and programs. Responsible for designing & writing code that adheres to coding standards. Perform code reviews. Responsible for idea generation,...

Company : Highmark Inc. Job Description : JOB SUMMARY This job supports the growth of the Organization's sales goals through the development of customer-focused, strategically-positioned sales messaging. The incumbent is responsible for the development, coordination, and timely response to complex RFIs/RFPs in support of local, mid-market and national sales objectives for current and prospective customers across multiple lines of business. Assists in determining the appropriate products, strategies and unique customized solutions to meet a customer's specific needs. Consults, engages and communicates effectively with all levels of the Organization, including executive management to write professional and persuasive proposals, executive summaries, white papers (through strategic research, market analysis and creative resources) for external clients, consultants, Partner Plans. Fully accountable and overall responsibility of projects end-to-end and ensures final...

Company : Highmark Health Job Description : JOB SUMMARY This job plays a critical role representing the customer's voice throughout the product development lifecycle. This role will establish and evangelize the vision and strategy for assigned digital products, clearly articulate the "why" behind the products, and own the digital product roadmap. Will bridge technology, business, and customer needs to create remarkable digital experiences that solve customer's problems, drive business value, and produce desired outcomes. Will be responsible to define the product's fundamental value proposition, outline the vision and execution plan, gain alignment and support from key strategic partners and stakeholders, and oversee execution of that vision. The incumbent will collaborate with digital design, digital development, and data & analytics counterparts to align and coordinate efforts for effective delivery. This role can be hybrid or remote. If you live within 50...

Company : enGen Job Description : JOB SUMMARY This job is an integral member of an agile software engineer team responsible for building complex 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, and team, will be involved in every aspect as part of the software application build process from idea generation, business analysis, technical design and software development using the latest technologies and design patterns. ESSENTIAL RESPONSIBILITIES The job is responsible for designing and creating engineering specifications for software applications and programs. Responsible for designing & writing code that adheres to coding standards. Perform code reviews. Responsible for idea generation,...

Company : Highmark Health Job Description : JOB SUMMARY This job supports one or more analytical aspects of the product management lifecycle, within a sub-product scope (one or more business application components). Uses regular judgement and discretion to collaborate with customers and business stakeholders in order to: Understand customer and stakeholder needs, business capability needs; Identity opportunities and create business cases and cost sheet analysis to support the product strategy and evolve the product roadmap; Translate high-level business needs into detailed business requirements for new / modified business capabilities; Perform research, analyze data to determine business problems and trends, assess business processes and business rules to identify/recommend opportunities for process improvements and / or recommendation new / modified business capabilities; Work with business stakeholders and delivery partners to prioritize business capabilities in...

Company : Highmark Health Job Description : JOB SUMMARY This job plays a critical role representing the customer's voice throughout the product development lifecycle. Will establish and evangelize the vision and strategy for assigned digital products, clearly articulate the "why" behind the products, and own the digital product roadmap. Will bridge technology, business, and customer needs to create remarkable digital experiences that solve customer's problems, drive business value, and produce desired outcomes. Wiill be responsible to define the product's fundamental value proposition, outline the vision and execution plan, gain alignment and support from key strategic partners and stakeholders, and oversee execution of that vision. The incumbent will collaborate with digital design, digital development, and data & analytics counterparts to align and coordinate efforts for effective delivery. This role is looking for someone who has payor or provider...

If you are a current State of Maine employee, please submit your application through the internal application process using the Find Jobs report in PRISM. Seasonal employees who do not have PRISM access should apply through the State’s career page and indicate on the application that they have previously worked for the State. . Office of Information Technology Opening Date: April 03, 2026 Closing Date: April 17, 2026 Grade/Admin Unit: 19 Professional/Technical Job Class Code: 0928 Salary: $22.82 - $31.61*/per hour (*includes 15% recruitment and retention stipend, and eligible for a 5% training bonus) Position Number: 004200163 Location: Augusta Telework: Available Currently, this position is not eligible for visa sponsorship or STEM OPT extensions. OVERVIEW: The Department of Administrative and Financial Services (DAFS) Office of Information Technology (MaineIT) provides information technology support to over 13,000...

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 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 : 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...

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...