254 data security jobs found

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 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 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 Inc. Job Description : JOB SUMMARY This job partners with assigned Client Managers to maintain and grow existing business and ensure that positive account relationships are maintained. The incumbent assists in the preparation of proposals, meeting materials and/or sales collateral during the account renewal process. Evaluates, recommends and implements processes to ensure that account objectives are met. Serves as the sales liaison between group administrators and the Organization's internal departments for problem resolution. 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 ESSENTIAL RESPONSIBILITIES Partner with...

At EY, we're all in to shape your future with confidence. We'll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world. Position Summary: The Data Engineering Senior Analyst enables Talent Insights & Analytics by designing, operating, and maintaining reliable data pipelines and analytics platforms, including Databricks, that support enterprise reporting, dashboards, and advanced analytics across the Talent ecosystem. This role provides hands-on data engineering and platform expertise, ensuring data availability, integrity, security, and performance, while partnering with Talent Delivery, IMT (Information Management Technology), Digital Talent, and reporting teams to support business-critical reporting and TIA transformation initiatives. Essential Functions: Data Engineering & Platform Operations Design, build, and maintain robust data...

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 : 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 : 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 : 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 : 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 : 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 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...

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 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 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....

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 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 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 job provides personalized support and guidance to customers through an omni-channel experience, leveraging knowledge of healthcare administration and integrated partnerships to proactively resolve inquiries, ensuring a positive and seamless experience and ultimately driving positive member behavior and cost-effective business outcomes. ESSENTIAL RESPONSIBILITIES Serve as the primary point of contact for customers seeking information and assistance regarding their health benefits, claims, and online healthcare tools. Resolves standard and frequently non-routine, customer inquiries, comments, and concerns with the most limited escalation consistent with company policies and processes. Engage and guide members through clinical model complexities; connect members with appropriate clinical and non-clinical resources and redirect member site of care as defined by model and client requirements....

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 : Allegheny Health Network Job Description : GENERAL OVERVIEW: This position performs reporting and analysis of the revenue cycle for monitoring and problem resolution; assists staff with internal and external system issues, audits and questions relative to accounts receivable; acts a primary liaison with other parties to resolve system issues and ensure compliance with all regulations; participates in department/system initiatives involving testing and other activities to ensure overall goals are met. Collaborates with facility/department leadership on a continuum basis. Activities include analysis (including root cause), monitoring & auditing, reporting & education with regards to Revenue Cycle training & problem resolution with all level of leadership including physicians, service line VP's, CAO's, CFO's etc. Establishes and implements appropriate internal controls to achieve complete and accurate documentation & billing processes;...