452 data security jobs found

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 : 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 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...

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 : 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 : 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 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 : 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 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 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 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....

Job No: 494136 Department: General Athletics Work Type: Staff - Full Time Full Time / Part Time: Full Time Categories: Athletics/Recreation Applications Close: Ensured Consideration Date: March 30, 2026 Sub Department: Athletics Michigan Technological University is an R1 technological research university founded in 1885 in Houghton. Our rural campus is situated just miles from Lake Superior in Michigan's scenic Upper Peninsula and is home to nearly 7,500 students from more than 60 countries around the world. Consistently ranked among the best universities in the country for return on investment, Michigan's flagship technological university offers more than 185 undergraduate and graduate degree programs. Research focus areas include defense, health, energy, automotive, environment, and aerospace. The area's waters, forests, and snowfall support year-round recreation, including skiing, snowboarding, hiking,...

Job Title Po sition Title: Technology Client Service Specialist Location: Support Services Building A, 1425 East Warren, Detroit, MI 48207 Salary Range: $43,306 - $57,531 Bargaining Unit: N/A Benefits Eligible: Yes Reports to: Senior Director, Client Services Telecommuting Eligibility: Not eligible for for telecommuting Position Summary: The Technical Client Service Specialist is a key member of the Technology Division's Client Services Team, serving as the first point of contact for staff and students seeking technical support. This role blends strong customer service with technical expertise to deliver efficient, professional, and empathetic assistance, ensuring a positive support experience for all stakeholders. Responsibilities include managing and resolving service requests through the district's service management system, troubleshooting hardware, software, and connectivity issues, and escalating...

Company : Highmark Inc. Job Description : JOB SUMMARY This role involves support of Highmark’s diversified businesses, including dental, vision, and pharmacy lines of business. This position involves investigating factual situations, conducting independent legal research and analysis, and providing creative, well-reasoned solutions. The successful candidate will offer timely and accurate legal advice and prepare effective documents based on federal, state, and other applicable laws and regulations relevant to the Corporation and its affiliates. This is a senior-level attorney role that requires advanced legal skills and a proven ability to deliver or oversee business-oriented, effective, and efficient legal services. Key responsibilities include project management and strategic counseling on significant projects or matters for specific units of the Corporation. The ideal candidate will possess deep knowledge of the Corporation’s business, maintain...

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...

CRM, Finance & IT Coordinator 20hrs/wk Please send cover letter and resume as ONE pdf to hr@bloodcancerfoundationmi.org Organization: Blood Cancer Foundation of Michigan (BCFM) Mission: Together with you, we stand in the gaps for Michiganders affected by blood cancer, delivering personalized, local, compassionate support throughout treatment and beyond. Vision : No patient walks alone. Every blood cancer patient in Michigan has the opportunity to receive personalized and on-going support where they are meeting their unique financial and emotional needs. [$10 million revenue] Core Values : Make it better: every patient, every family, every program, and BCFM Make it personal: one size never ‘fits all’. Each situation is unique. Meeting each patient and family where they are with personal, compassionate, and tailored support that truly fits their needs Unshakable Ally: Doggedly with you. For you. All the way through. Like the spoke of a wheel, we help...

Your Tasks Provides support in functional areas of human resources, including but not limited to payroll, expatriate employee and/or labor relations, benefit enrollment, new hire orientations, new hire administration, expatriate coordination and compensation. Lead salaried recruitment process, responsible for hiring decisions, as required. Key User for Umantis system for site location including duties, but not limited to, main oversight and review of data, analytical report running & review of data to drive business decisions related to any compliance needs. Assists in the development and implementation of Human Resources policies as it relates to payroll and expatriate compensation. Prepares comprehensive payroll reports in conformance with organizational needs. Process bi-weekly hourly and monthly salary hourly payroll Sign-up new hires (all required forms and benefits) Prepare labels and create folders for all new hires Assist in gathering and input of vacation...

Company : Highmark Inc. Job Description : JOB SUMMARY This job provides front line staff guidance, ensures effective and efficient delivery of Pharmacy call center services. Serves as first line reviewer in monitoring and ensuring adherence to the health plan's state and federal multiple drug benefit design offerings. The incumbent responds to physician and pharmacy network provider inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network providers to evaluate, educate and/or assist in addressing denied point of sale prescription claim transitions and coordination of benefits practices/procedures. ESSENTIAL RESPONSIBILITIES Communicate effectively with physician and pharmacy network providers to ensure that the needs of the...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for PwC. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. Specialty/Competency: Data, Analytics & AI Industry/Sector: Not Applicable Time Type: Full time Travel Requirements: Up to 60% At PwC, our people in data and analytics engineering focus on leveraging advanced technologies and techniques to design and develop robust data solutions for clients. They play a crucial role in transforming raw data into actionable insights, enabling informed decision-making and driving business growth. In data engineering at PwC, you will focus...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Capital One. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. Senior Digital Marketing Manager (Email) - Capital One Software (Remote) Capital One Software is the enterprise B2B software business of Capital One, dedicated to helping organizations manage their data in the cloud with speed, agility, and efficiency. Born out of our own digital transformation, we commercialize the internal tools that powered our journey to becoming the first major U.S. bank to go "all-in" on the public cloud. Our flagship products, Slingshot (data cloud...

Workforce Relations Specialist or Workforce Relations Sr. Specialist Apply now (https://secure.dc4.pageuppeople.com/apply/1021/gateway/default.aspx?c=apply&lJobID=494128&lJobSourceTypeID=796&sLanguage=en-us) Job No: 26004RP Department: Human Resources Work Type: Staff - Full Time Location: Lakeshore Center (Houghton, MI) Full Time / Part Time: Full Time Categories: Human Resources Applications Close: 15 Mar 2026 Eastern Daylight Time Michigan Technological University is an R1 technological research university founded in 1885 in Houghton. Our rural campus is situated just miles from Lake Superior in Michigan's scenic Upper Peninsula and is home to nearly 7,500 students from more than 60 countries around the world. Consistently ranked among the best universities in the country for return on investment, Michigan's flagship technological university offers more than 185 undergraduate (https://www.mtu.edu/admissions/academics/majors/) and graduate...