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    Company :Highmark HealthJob Description : JOB SUMMARY This job takes the lead in providing complex application development services in Highmark’s Google Cloud Platform environment, typically as part of a project team or in an application support role. Databricks Engineers analyze, design, code, test and implement more complex systematic solutions to meet customer requirements that adhere to Highmark IT standards and policies. They also provide general support to maintain more complex applications that meet the service levels, system availability, performance and quality levels required by their customers. Able to guide and mentor less experienced team members. ESSENTIAL RESPONSIBILITIES Takes a lead role for analyzing, designing, coding, testing and implementing more complex application enhancements, as well as providing general production support, meeting defined scope, target dates and budgets with minimal or no defects.Utilizes and participates in the more complex full system development life cycle, per current Highmark SDLC standards.Takes a lead role in collaborating with customers, business analysts, partners, and IT team members to understand business requirements that drive the analysis and design of quality technical solutions. Concentrates on providing innovative solutions to more complex business needs.Takes a lead role in providing required technical support, including release implementations, on-call and 24x7 supports when necessary.Performs work in compliance with all Highmark and Highmark IT standards, policies and procedures.Actively takes a leading role and participates on project teams in various project roles, including, but not limited to, Developer, Technical Lead and Project Manager, based upon level of experience.Effectively communicates with team members, customers, partners and management, including assisting with or conducting more complex technical walkthroughs, reporting project status, enabling vendor solutions and providing accurate and concise documentation.Other duties as assigned or requested. EDUCATION Required Bachelor’s degree in Information Technology, Computer Science or closely related field Substitutions None Preferred Master’s degree in Information Technology, Computer Science or closely related field EXPERIENCE Required 5 years of experience as a developerExperience with Project Management toolsExperience with databasesExperience with multiple coding languages Preferred: 5 years of experience as a developer with demonstrated skills in:DatabricksPython/PysparkGCP: Big Query and PostgreSQL LICENSES or CERTIFICATIONS Required None Preferred Certifications such as Python, Databricks, GCP SKILLS Problem solving, root cause analysis, and issue resolutionDemonstrated leadership skillsExperience in Healthcare or Health Insurance IndustryExperience with technology platforms, application development tools, business processes, software development life cycle used by Highmark enterprise Language (Other than English): None Travel Requirement: 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
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    Company :Allegheny Health NetworkJob Description : GENERAL OVERVIEW: Works with Business Intelligence and healthcare professionals to gather, organize, and present data to users. Presents meaningful analytics to the business in non-technical terms and formats. Creates basic and ad hoc reporting for users. Trains users on software and assists users with advanced reporting. ESSENTIAL RESPONSIBILITIES: Develops business intelligence solutions through knowledge of user needs, appropriate data repositories, business intelligence development best practices and innovative use of technologies and systems. Delivers ad hoc data and report requests, analyzes data needs for both users and projects, investigates and analyzes data discrepancies, and assists in migration and testing activities. Administers the analytics and reporting systems, monitors system performance, coordinates upgrades, tracks licenses, and creates and maintains user documentation.Provides user/system support services.Utilizes project management techniques for business intelligence projects and services.Performs other duties as assigned or required. QUALIFICATIONS: Minimum Bachelor’s degree in statistics, computer science, data science, analytics, healthcare information systems or closely related discipline from a four-year college or university3 years in the analysis of business processes and interfaces including, but not limited to interpreting system documentation, data and/or business process modeling, and data flow/context diagramming. Preferred 2 years of writing EPIC Clarity reports and/or administering EPIC Reporting Workbench.For Financial Reporting: Prior experience working with an A/R system.For Clinical Reporting: Prior experience working with an EMR system.Minitab Statistical Software. Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $28.18 Pay Range Maximum: $43.80 Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
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    Company :enGenJob Description : JOB SUMMARY Execute a process to develop a security architecture that processes information of various levels of sensitivity. This role will involve heavy emphasis on Identity & Access Management (IAM) technologies and process for both data center and cloud environments. Identity & Access Management represents the perimeter defense of the Highmark cyberspace and is critically important. This security architect will work to maintain parity with technological innovation, emerging threats, and contribute toward the optimized security technology portfolio. Work efforts will include alignment & optimization of provisioning processes between on-prem and cloud deployments, with attention to non-person accounts such as application IDs and Service Accounts; alignment & optimization of Secrets Management technologies and processes across multiple Privilege Access Management (PAM) tools and cloud deployments; reusable architectural patterns for RBAC and ABAC implementations; strategy and guidance on automating manual processes, ensuring they fit into a cohesive architecture; and strategy and guidance on modernizing/migration SSO and Web Access Management technologies and processes. ESSENTIAL RESPONSIBILITIES Enhance security team accomplishments and competence by planning delivery of solutions; answering technical and procedural questions for less experienced team members; teaching improved processes; mentoring team members.Determine security requirements by evaluating business strategies and requirements; conducting system security and vulnerability analyses and risk assessments; identifying integration issues; preparing cost estimates.Plan security systems by evaluating network and security technologies.Implement security systems by specifying intrusion detection methodologies and equipment; directing equipment and software installation and calibration; preparing preventive and reactive measures.Enhance department and organization reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments.May begin to provide leadership and mentoring in the areas of expertise and architecture to peers, developers, management and business users including technical expertise, coaching, and ad-hoc training.Support assurance compliance to required standards, procedures, guidelines and processes.Other duties as assigned or requested. QUALIFICATIONS Minimum Bachelor’s degree in Information Systems, Computer Science, Information Security, or Engineering, or relevant experience and/or education as determined by the company in lieu of bachelor's degree5 - 7 years' experience architecting solutions 5 - 7 years' experience in Information Security Experience communicating with business partners Preferred: Experience in Sailpoint, Cyberark, and/or Azure AD(Entra ID) idealOAM, MFA, SSO, SAML and OAuth knowledge is desirable KEY SKILLS Business communication skills, both written and verbal and able to solve unconventional problemsUnderstanding of the TCP/IP protocol stack, application protocols such as SMTP, DNS, SSL VPNs, SSL/TLS protocol knowledgeDetailed knowledge of web, mobile, and client application security vulnerabilities, attack methods, and countermeasuresExperience with common information security management frameworks, such as HITRUST, ISO 27001, CobiT, ITIL, FedRAMPKnowledge of ubiquitous encryption technologies (PGP, SSH, SSL, etc.) and common protocols (RADIUS, LDAP, KERBEROS, SAML, etc.)Participate in evaluations and recommend solutions to support enterprises security controls including: networking, firewalls, IDS/IPS, data loss prevention, application security, infrastructure security, and data security PREFERRED LICENSURE Certified Information Systems Security Professional (CISSP), Certified Information Security Manager (CISM), Certified Information Security Auditor (CISA), etc. TRAVEL REQUIREMENT: 0%- 25% Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $78,900.00 Pay Range Maximum: $146,000.00 Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
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    Company :Highmark HealthJob Description : JOB SUMMARY This job supports one or more analytical aspects of the application product life cycle (Master Data Management). Uses regular judgement and discretion to collaborate with customers in order to: Understand capability needs; Gather project specifications; Create business cases and cost sheet analysis; Translate high-level business needs into detailed requirements for new capabilities (and change request/enhancements on existing capabilities); Analyze data to determine business problems, trends, or opportunities for process improvements; Create/execute test cases; Provide root cause analysis and corrective action plans; Verify delivery of customer needs, and Ensure quality delivery. The incumbent identifies, documents, and resolves risks, defects, and issues. Analyzes market trends for competitive insight to correlate into business value statements. Builds organizational and platform knowledge in one or more disciplines to advance professional track career. Uses functional and organizational knowledge to mentor junior resources. Requires thorough understanding of end systems impact of changes across multiple systems. ESSENTIAL RESPONSIBILITIES Lead in working with customers, Software Engineers, Architects, Capability Managers, and other team members to capture capability needs and drive quality business solutions. Create and maintain deliverables such as business vision, requirements, testing plan, testing schedule, testing scenarios, testing outcomes, user task analysis, wire framing, usability testing, personalization to different clients, and user interface design.Participate in the full software development life cycle by actively leading or acting as lead in given area of expertise on agile scrum teams in various roles, including, but not limited to, Scrum Master, Business Technical Analyst, User Interface designer, Capability Manager, or Tester, based upon experience and need.Provide required business and/or subject matter expertise on most complex issues for both project and production related activities, including new strategic programs or initiatives impacting current and existing systems.Ensure compliance to required standards and all necessary approvals have been obtained throughout the project lifecycle.Interface with the business areas, customers, partners, vendors, technical staff and project teams to drive value, return on investments and innovative solutions. This includes providing alternative solutions, including vendor solution acquisitions, with maximum benefits while reducing cost (e.g. cost benefit analysis, pros/cons of solutions).Lead in supporting various aspects of requirements testing (e.g. testing plan, scenarios, documentation, defect management) to ensure minimal production defects are realized and completing analysis of the results tying back to customer impacts. Communicate in an exemplary manner with team members, customers, partners and management, including assisting with or conducting requirement walkthroughs and sprint reviews, reporting project status, enabling vendor solutions and providing accurate and concise documentation.Provide thought leadership and strategic direction in Product & Technology Solutions.Other duties as assigned. EDUCATION Required Bachelor's Degree in Business Management, Information Systems, or closely related discipline Substitutions None Preferred Master's Degree in Business Administration/Management or Information Systems EXPERIENCE Required 7 - 10 years in IS/IT3 - 5 years in Project Management3 - 5 years in the Health Insurance Industry3 - 5 years in the Healthcare Industry Preferred 1 - 3 years in Lean/Six Sigma experience1 - 3 years for Master Data Management 1 - 3 years in the Healthcare industry LICENSES AND CERTIFICATIONS Required None Preferred Information Technology Infrastructure Library (ITIL)The Open Framework Group (TOGAF)Six SigmaProject Management Professional (PMP) SKILLS Analytical SkillsProblem-SolvingCommunication SkillsReport WritingSQLProject ManagementCustomer ServiceLeadershipAgile MethodolgyAgile Project Management Language (Other than English) None Travel Required 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-Based Teaches / trains others regularly Rarely Travel regularly from the office to various work sites or from site-to-site Occasionally Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Rarely Lifting: 25 to 50 pounds Rarely Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
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    Company :enGenJob Description : JOB SUMMARY This job is an integral member of the Enterprise Technology & Operation's Digital team, within their agile software engineer team, responsible for building complex scalable software applications across all digital channels to serve our customers. The incumbent 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 incumbent and team, will be involved in every aspect at part of the software application build process from idea generation, business analysis, technical design and software development using the latest technologies and design patterns. The senior level acts as subject matter expert and provides guidance/mentor to lower level Software Engineers. This role supports the ETO digital team specific initiatives. ESSENTIAL RESPONSIBILITIES Responsible for designing and creating engineering specifications for software applications and programs. Responsible for designing & writing code that adheres to coding standards set forth by the Principal Engineers. Perform code reviews.Responsible for idea generation, exploring and implementing appropriate technical solutions to achieve the required product features, as well as monitoring technical process against project plan while safeguarding functionality, scalability and performance.Responsible for complex software applications/projects/products. May be part of a subset of the team that is responsible for setting direction on technical architecture based on business requirements. A part of an agile work team and responsible for participating in all scrum ceremonies, assisting in sprint planning and completing required sprints in the development through final execution of software applications/programs. Communicate any issues/blockers to the Scrum Master in a timely manner.Drive story creation (i.e. DoD, Acceptance Criteria, estimation). Creates Tasks for their stories in RTC or Jira, and updates status and assignment accordingly within Digital team.Monitor work against production schedule and provide progress updates and report any issues or technical difficulties to lead developers on a regular basis.Mentor and coach other associate software engineers as needed on ETO Digital team.Comprehension and utilization of the newest, emerging, innovative technologies and applications.Apply lead level knowledge of software development best practices, including coding standards, code reviews, source control management, build processes, testing, and operations.Expected to conduct analysis of requirements to deliver codable solutions.Other duties as assigned or requested. QUALIFICATIONS Required Bachelor's Degree in Computer Science, Information Technology or closely related discipline3 years in design and analysis of algorithms, data structures, and design patterns in the building and deploying of scalable; highly available system to Include: A) 3 years with at least one modern programming languages (Java, JavaScript preferred) and at least two of the following: Angular v4+, NodeJS, NoSQL databases, HTML5, CSS, Google Cloud Platform or Amazon Web Services and B) 3 years using web services technologies such as REST, HTTPS, JSON Preferred Master's DegreeProven working experience of developing Android Mobile applications with Java and Kotlin and iOS Mobile applications with Swift, Objective-C and Xcode Experience of developing applications using the coordinator pattern and deep linking techniques Experience of connecting Web and Mobile applications to third party libraries and back-end services via APIs. Experience of working with Code versioning tools like Git, Maven and Swift Package Manager (SPM). Experience of publishing application(s) to the Apple App Store & Google Play Store Developing and hosting Web & Mobile applications on Google Cloud Platform. Experience using Jetpack components. KEY SKILLS Experience working with agile methodology of scrumKnowledge of professional software engineering practices & best practices for the full software development life cycle, including coding standards, unit testing, code reviews, source control management, build processes, testing, and operationsStrong track record in designing and implementing large scale consumer facing applications Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $67,500.00 Pay Range Maximum: $124,800.00 Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
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    Company :enGenJob Description : JOB SUMMARY This job is an integral member of the Enterprise Technology & Operation's Digital team, within their agile software engineer team, responsible for building complex scalable software applications across all digital channels to serve our customers. The incumbent 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 incumbent and team, will be involved in every aspect at part of the software application build process from idea generation, business analysis, technical design and software development using the latest technologies and design patterns. The senior level acts as subject matter expert and provides guidance/mentor to lower level Software Engineers. This role supports the ETO digital team specific initiatives. ESSENTIAL RESPONSIBILITIES Responsible for designing and creating engineering specifications for software applications and programs. Responsible for designing & writing code that adheres to coding standards set forth by the Principal Engineers. Perform code reviews.Responsible for idea generation, exploring and implementing appropriate technical solutions to achieve the required product features, as well as monitoring technical process against project plan while safeguarding functionality, scalability and performance.Responsible for complex software applications/projects/products. May be part of a subset of the team that is responsible for setting direction on technical architecture based on business requirements. A part of an agile work team and responsible for participating in all scrum ceremonies, assisting in sprint planning and completing required sprints in the development through final execution of software applications/programs. Communicate any issues/blockers to the Scrum Master in a timely manner.Drive story creation (i.e. DoD, Acceptance Criteria, estimation). Creates Tasks for their stories in RTC or Jira, and updates status and assignment accordingly within Digital team.Monitor work against production schedule and provide progress updates and report any issues or technical difficulties to lead developers on a regular basis.Mentor and coach other associate software engineers as needed on ETO Digital team.Comprehension and utilization of the newest, emerging, innovative technologies and applicationsApply lead level knowledge of software development best practices, including coding standards, code reviews, source control management, build processes, testing, and operations.Expected to conduct analysis of requirements to deliver codable solutionsOther duties as assigned or requested. QUALIFICATIONS Required Bachelor's Degree in Computer Science, Information Technology or closely related discipline5 years in design and analysis of algorithms, data structures, and design patterns in the building and deploying of scalable; highly available systems to include: A) 5 years with at least one modern programming languages (Java, JavaScript preferred) and at least two of the following: Angular v4+, NodeJS, NoSQL databases, HTML5, CSS, Google Cloud Platform or Amazon Web Services B) 5 years using web services technologies such as REST, HTTPS, JSON C) 5 years with one or more general purpose programming languages including but not limited to: Java, C/C++, C#, Objective C, Python, JavaScript, or Go and D) 5 years of defining system architectures and exploring technical feasibility trade-offs for optimizing short term execution while planning for long term technical capabilities Preferred Master's Degree in Computer Science, Information Technology or closely related disciplineExperience of technically leading Web/Mobile application design, development and mid-level developersProven working experience of developing Android Mobile applications with Java and Kotlin and iOS Mobile applications with Swift, Objective-C and XcodeExperience of developing applications using the coordinator pattern and deep linking techniques Experience of connecting Web and Mobile applications to third party libraries and back-end services via APIs. Experience of working with Code versioning tools like Git, Maven and Swift Package Manager (SPM). Experience of publishing application(s) to the Apple App Store & Google Play Store Developing and hosting Web & Mobile applications on Google Cloud Platform Experience using Jetpack components. KEY SKILLS Have experience working with agile methodology of scrumKnowledge of professional software engineering practices & best practices for the full software development life cycle, including coding standards, unit testing, code reviews, source control management, build processes, testing, and operationsStrong track record in designing and implementing large scale consumer facing applicationsExperience and willingness to mentor junior engineers and help develop their skills and leadership Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $78,900.00 Pay Range Maximum: $146,000.00 Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
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    Company :Highmark HealthJob Description : JOB SUMMARY We are open to candidates throughout the continental United States. If the candidate is within 50 miles of Pittsburgh, PA, Camp Hill, PA or Buffalo, NY, the position would be hybrid with 3 days on-site. Anyone outside of the 50-mile radius would be remote with periodic travel to a corporate location. This job will play a critical role in transforming the finance organization and will be responsible not only for oversight and management of the EPM System Administration team, but also play a pivotal role in implementing new EPM solutions across the organization. The incumbent will have a solid foundation on both the technical and functional aspects of the EPM solution and will be the go to person for all questions regarding end to end EPM solutions. This job leads the support of one or more analytical aspects of the application product life cycle, including capability enablement with cross-team dependencies within a product scope, uses significant independent judgement and discretion to collaborate with customers on the most complex issues, understands capability needs, translates high-level business needs into complex detailed design for new capabilities (and change request/enhancements on existing capabilities), and identifies opportunities for process improvements. The incumbent will oversee the creation and execution of test plans, corrective action plans, conduct root cause analysis, and verify customers needs are met through quality delivery. This job uses functional and organizational knowledge to lead others, and may actively participate as a SME on complex projects (cross functional, with potential regulatory risk exposure, customer & financial impacts). The incumbent resolves the most complex issues (which may involve multiple systems) and/or develops alternative solutions while understanding and mitigating risks and impact. The incumbent is a subject matter expert on how the most complex new enhancement/applications are developed using an expert level of understanding of end-to-end processes and potential integration issues. This job requires expert level understanding of the end system's impact of changes across enterprise-wide systems. 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 budgetary responsibility and authority.Management of system administration team of the EPM application. Act to resolve issues that prevent the team from working effectively. Assist team on troubleshooting the larger complicated issues and serve as the point of contact for Oracle SR escalations with EPM. Identify and implement Oracle EPM best practices.Oversee production support as required to maintain the overall EPM production environment. Manage Data Load process and Forms.Act as the liaison between technical teams, business functions and system integrators to drive progress as we implement new functionality. Manage engagement deliverables that include documented Financial Planning & Analysis processes, reports and EPM solutions designs. Assist with solution design analysis, solution architecture assessment and roadmap creation for finance planning, consolidation, and analytics.Monitor financial systems improvement opportunities (efficiency, cost reductions, consolidations, improved integrations).Assure compliance for required standards and all necessary approvals have been obtained throughout the project lifecycle. Seek to standardize processes where possible. Communicate in an exemplary manner with team members, customers, partners and management, including assisting with or conducting design walkthroughs and sprint reviews, enabling vendor solutions and providing accurate and concise documentation. Own relationships with critical internal stakeholders - ERP, IT, Operations, etc.Mentor and provide guidance and education to business functional users and team Other duties as assigned or requested. EDUCATION Required Bachelor's degree in information systems, Computer Science, Accounting, Finance, Business or closely related field Preferred None EXPERIENCE Required 7 years of experience with Oracle EPM products - Planning and Budgeting Cloud Service (PBCS) or Financial Consolidations and Close (FCC). 7 years of experience in designing, building or implementing technical solutions OR accounting, finance, business analyst experience. 3 years of experience in a leadership or management role. Preferred Health care or health insurance industry experience LICENSES or CERTIFICATIONS Required None Preferred Oracle EPM certification SKILLS Deep knowledge of Oracle EPM Cloud Application Development and Support – Planning, PBCS, FCC, ARCS, Ent Report, Tax Reporting, EDM including leading multiple system implementations for Oracle EPM Ability to define and lead EPM strategy, inspire change, provide subject matter expertise on Oracle EPM best practices and identify areas to improve performance of EPM applicationsFamiliarity with the Software Development Lifecycle Process and Project Management LifecycleStrong interpersonal, written and verbal communication skills including the ability to present to leadership and articulate both business and technical information Strong analytical skills with the ability to collect, organize, analyze, and disseminate significant amounts of information with attention to detail and accuracy Strong technical competenecy in an evolving environment - ability to find solutions and deliver results within a rapid, fast changing, entrepreneurial, technology-driven culture. Ability to create applications, design dimensions , set-up formulas and complex business rules.Business Acumen - understand business needs, understand financial processes (budget, forecast, plan and close), maintain strong cross-functional relationships, merge business and technical knowledge to identify potential business cases for evolving technologies. Strong SQL & OLAP skills as well as architecture experience Language (Other than English): None Travel Requirement: 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-based Teaches / trains others regularly Frequently Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $92,300.00 Pay Range Maximum: $170,800.00 Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
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    Company :enGenJob Description : JOB SUMMARY This job is accountable for the development and product management of a service and or analytic product within the organization with a unique focus on the applicable business unit. The incumbent is the primary point of contact to agile, large cross-functional teams on behalf of the customer to identify the product requirements for development. The incumbent is accountable for the product's ability to produce business value by focusing on the translation of strategy to agile execution. Oversees priority, scope and the validation of work that is required in order to deliver a quality product. Will need a deep understanding of the product, the market, business strategy and operating model. Accountable for the alignment with product management leadership, direct stakeholder involvement and support of the primary business objectives for the organization. ESSENTIAL RESPONSIBILITIES Prioritize and own the team backlog of the work to be performed. Proactively identify new initiatives/themes and builds out backlog items under these new initiatives or themes based upon value. Supports the program backlog and uses multi-directional input to refresh and clarify the backlog to drive business value. Mitigate business related impediments impacting successful team completion of product development goals. Participate in the creation and communication of the product vision, strategy, and roadmap. Incorporate stakeholder feedback when needed and clearly articulates team backlog items and acceptance criteria to the team. Represent the product in governance meetings. Servant-Leader for a cross functional team or teams of indirect reports with a portfolio of several products. Ability to work with agile program and team metrics. Empower team to manage their work by setting clear priorities and scope from the team backlog. Accepts stories as “Done” from the team, ensuring that the stories have been developed, tested, and meet the defined acceptance criteria.Responsible for streamlining the execution of program priorities while maintaining the conceptual and technical integrity of the Features or components for the team.When called upon, works with customers to review releases and adjust development accordingly. Maintains a clear vision on the highest value program backlog items and works closely with the team to reprioritize when needed. Makes trade-offs and negotiates with Product Management based on team capacity to determine the backlog.Understands and supports prioritized Portfolio and Value Stream work by collaborating with Solution Architect, Business Architect, Product Manager and stakeholders to breakdown features into user stories.Collaborates with the business regarding progress and agile metrics. Monitors outcomes, customizes and adds metrics to continuously provide stakeholders with an updated view of the product's success. Evaluates agile metrics and discusses methodologies to deliver against outcomes. Actively anticipates future needs and utilizes product health metrics to identify improvement opportunities. Generates a high-level release plan with the team. Continually re-prioritizes team's tasks based upon new information, discussions with stakeholders, and probability to drive business outcomes.Other duties as assigned or requested. ​ QUALIFICATIONS Required Bachelor's Degree in Business Administration, Marketing, Healthcare Discipline, Information Management OR related field3 years as a Product Owner OR in Product Development & Management, Project/Program Management or Strategic Consulting Preferred Master's Degree in Business Administration, Marketing, Healthcare Discipline, Information Management OR related field3 years of Analytic ConsultingAgile certification from a known vendor (Scrum.org, SAFe, Scrum Alliance, etc.) KEY SKILLS Ability to create Features, User Stories and an understanding of story point estimationLeadership of cross functional teamsEmpowered problem solving capabilities, focusing on the customer and business needsStrong Collaboration SkillsStrong understanding of the healthcare industry, consumer engagement and customer designEffective Communicator​ Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $78,900.00 Pay Range Maximum: $146,000.00 Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
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    Company :Highmark Inc.Job Description : JOB SUMMARY This job supports one or more analytical aspects of the application product life cycle, within a sub-product scope (one or more application components). Uses regular judgement and discretion to collaborate with customers in order to: Understand capability needs; Gather project specifications; Create business cases and cost sheet analysis; Translate high-level business needs into detailed requirements for new capabilities (and change request/enhancements on existing capabilities); Analyze data to determine business problems, trends, or opportunities for process improvements; Create/execute test cases; Provide root cause analysis and corrective action plans; Verify delivery of customer needs, and Ensure quality delivery. The incumbent identifies, documents, and resolves risks, defects and issues. Analyzes market trends for competitive insight to correlate into business value statements. Builds organizational and platform knowledge in one or more disciplines to advance professional track career. Uses functional and organizational knowledge to mentor junior resources. Requires thorough understanding of end systems impact of changes across multiple systems. ESSENTIAL RESPONSIBILITIES Work with customers, Software Engineers, Architects, Capability Managers, and other team members to capture capability needs and drive quality business solutions. Create and maintain deliverables such as business vision, requirements and personalization to different clients, and user interface design.Participate in the full software development life cycle by actively participating on Agile scrum teams in various roles, including, but not limited to, Scrum Master, Business Technical Analyst, User Interface designer, Capability Manager, or Tester, based upon experience and need.Support various aspects of requirements testing (e.g. testing plan, scenarios, documentation, defect management) to ensure minimal production defects are realized and completing analysis of the results tying back to customer impacts. Ensure compliance for required standards and all necessary approvals have been obtained throughout the project lifecycle.Effectively communicate with team members, customers, partners and management, including assisting with or conducting requirement walkthroughs and sprint reviews, reporting project status, enabling vendor solutions and providing accurate and concise documentation.Other duties as assigned. EDUCATION Minimum Bachelor's Degree in Business Management, Information Systems, or closely related field Substitutions None Preferred None EXPERIENCE Minimum 3 - 5 years in IS/IT Preferred 1 - 3 years in Lean/Six Sigma experience1 - 3 years in the Health Insurance Industry1 - 3 years in the Healthcare industry LICENSES OR CERTIFICATIONS Required None Preferred Information Technology Infrastructure Library (ITIL)The Open Framework Group (TOGAF)Six SigmaProject Management Professional (PMP) SKILLS Analytical SkillsProblem-SolvingCommunication SkillsReport WritingSQLAgile MethodolgyAgile Project Management Language Requirements (other than English) None Travel Required 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-Based Teaches / trains others regularly Rarely Travel regularly from the office to various work sites or from site-to-site Occasionally Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Rarely Lifting: 10 to 25 pounds Rarely Lifting: 25 to 50 pounds Rarely Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
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    Company :enGenJob Description : JOB SUMMARY This job supports one or more analytical aspects of the application product life cycle, within a sub-product scope (one or more application components). Uses regular judgement and discretion to collaborate with customers in order to: Understand capability needs; Gather project specifications; Create business cases and cost sheet analysis; Translate high-level business needs into detailed requirements for new capabilities (and change request/enhancements on existing capabilities); Analyze data to determine business problems, trends, or opportunities for process improvements; Create/execute test cases; Provide root cause analysis and corrective action plans; Verify delivery of customer needs, and Ensure quality delivery. The incumbent identifies, documents, and resolves risks, defects and issues. Analyzes market trends for competitive insight to correlate into business value statements. Builds organizational and platform knowledge in one or more disciplines to advance professional track career. Uses functional and organizational knowledge to mentor junior resources. Requires thorough understanding of end systems impact of changes across multiple systems. ESSENTIAL RESPONSIBILITIES Work with customers, Software Engineers, Architects, Capability Managers, and other team members to capture capability needs and drive quality business solutions. Create and maintain deliverables such as business vision, requirements and personalization to different clients, and user interface design.Participate in the full software development life cycle by actively participating on Agile scrum teams in various roles, including, but not limited to, Scrum Master, Business Technical Analyst, User Interface designer, Capability Manager, or Tester, based upon experience and need.Support various aspects of requirements testing (e.g. testing plan, scenarios, documentation, defect management) to ensure minimal production defects are realized and completing analysis of the results tying back to customer impacts. Ensure compliance for required standards and all necessary approvals have been obtained throughout the project lifecycle.Effectively communicate with team members, customers, partners and management, including assisting with or conducting requirement walkthroughs and sprint reviews, reporting project status, enabling vendor solutions and providing accurate and concise documentation.Other duties as assigned. EDUCATION Minimum Bachelor's Degree in Business Management, Information Systems, or closely related field Substitutions None Preferred None EXPERIENCE Minimum 3 - 5 years in IS/IT Preferred 1 - 3 years in Lean/Six Sigma experience1 - 3 years in the Health Insurance Industry1 - 3 years in the Healthcare industry LICENSES OR CERTIFICATIONS Required None Preferred Information Technology Infrastructure Library (ITIL)The Open Framework Group (TOGAF)Six SigmaProject Management Professional (PMP) SKILLS Analytical SkillsProblem-SolvingCommunication SkillsReport WritingSQLAgile MethodolgyAgile Project Management Language Requirements (other than English) None Travel Required 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-Based Teaches / trains others regularly Rarely Travel regularly from the office to various work sites or from site-to-site Occasionally Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Rarely Lifting: 10 to 25 pounds Rarely Lifting: 25 to 50 pounds Rarely Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $57,700.00 Pay Range Maximum: $106,700.00 Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
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    Company :enGenJob Description : JOB SUMMARY Due to confidentiality restrictions, only US citizens will be eligible to fill this role. This job is involved with the most complex issues (may involve multiple systems) and/or develop alternative solutions, ensuring that resolution addresses all potential impacts. Provides the most complex architecture and technical designs including data mapping and process modeling in order to understand capability gaps when analyzing issues. Recommends changes based on this analysis. Analyze data to determine business problems, trends, or opportunities for process improvement. Provide root cause analysis and corrective action plan, verify delivery of customer needs, and ensure quality delivery. Scan and debug complex technology to maintain optimum system performance. Will proactively assist with monitoring and support; will make sure monitoring has been completed as new development and projects are completed. Has full technical knowledge of all phases of applications systems analysis and programming. Has excellent understanding of the business or function for which application is designed. Assist with quality assurance reviews. Uses functional and organizational knowledge to mentor Associate, Intermediate, and Senior Application Developers, as well as others outside of immediate team. ESSENTIAL RESPONSIBILITIES Provide the most complex architecture and technical designs including data mapping and process modeling in order to understand capability gaps or new requirements, particularly when onboarding new clients. Recommend changes to the client based on this analysis.Responsible for all aspects of the application life cycle, including coordination with user groups to identify solutions that improve business processes, implementing the most complex process and system changes, system training, and other user-focused activities.Conduct the most complex analysis and provide estimates based on technical component changes. Plan the installation of enhancements, integrations, and other systems changes. Ensure adherence to project schedule.Scan and debug complex technology to maintain optimum system performance.Provide guidance and education to lower level employees.Other duties as assigned or requested. EDUCATION Required Bachelor's Degree in Information Technology, Computer Science or closely related field Substitution none Preferred Master's Degree in Information Technology, Computer Science or closely related field EXPERIENCE Required 7 years of Application Development experience To Include: 3 years of Business Systems experience Preferred None LICENSES/CERTIFICATIONS Required None Preferred Java DeveloperDB2PEGAEnterprise Architect (SCEA)Project ManagementLean/Six Sigma CertificationAngular, Services SKILLS IMS, DB2, Oracle and Teradata Databases, Data WarehousingCOBOL, Visual Basic, C C++, SASJava/JavaScript FrameworkPEGA, CSS3, Mobile, JSON, Cognos, Hadoop, SQL, J2EE, HTML5/XMBusiness ObjectWaterfall, Agile, RationalAnalytical SkillsCommunication SkillsProblem-Solving Skills ​Language required (other than English) None Travel Required 0% - 25% PHYSICAL, MENTAL DEMANDS, AND WORKING CONDITIONS Position Type Office-Based Teaches / trains others regularly Frequently Travel regularly from the office to various work sites or from site-to-site Never Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $78,900.00 Pay Range Maximum: $146,000.00 Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
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    Company :Highmark Inc.Job Description : JOB SUMMARY *** This position is a hybrid role and will require you to work onsite at our Buffalo, NY location up to 3 days a week. This job serves as the single-point-of-contact for sales teams and assigned customers, delivering insights and recommendations to sales in order to aid customer acquisition/retention while maintaining performance goals. Customers will typically be the least complex, requiring more routine type analysis. This incumbent will collaborate with cross functional team members on client-level quotes and function as a trusted adviser by providing financial and risk management support to sales as well as strategic insight. ESSENTIAL RESPONSIBILITIES Actively work with Sales team and Underwriter peers/leaders to manage portfolio of clients towards financial and business targets, e.g. membership, revenue, margin, etc.; have basic understanding of department and the company's strategic goals and competitive position and drives client-level results towards these ends. (25%)Respond to questions and draw insights from quote details, client understanding and regional insights to deliver best-possible recommendation to Sales. State and maintain independent perspective - identifying opportunities and concerns. (20%)Responsible for portfolio of clients through underwriting process. (15%)Assess risk by looking at various risk measures such as risk scores, demographic analysis, and turnover considerations. (15%)Serve as the accountable owner for all quotes delivered to sales partners. Develop a perspective on each client package deliverable. Clearly communicates Underwriting’s position on the risk profile of each client. (10%)Maintain accurate book management details including concession budget. (10%)Perform administrative tasks and aide in workload coordination. (5%) Other duties as assigned or requested. EXPERIENCE Required None Preferred 1 year of Health care underwriting OR risk management OR actuary work OR applying advanced mathematics. SKILLS Understanding of health products, services, risk assessment and techniques Consultative mindsetStrong Oral and Written Communications skills EDUCATION Required Bachelors degree in Science, Technology, Mathematics, Accounting, Finance, Business or related field Substitutions Four (4) years relevant experience in lieu of Bachelors degree. Preferred None LICENSES or CERTIFICATIONS Required None Preferred None Language (Other than English): None Travel Requirement: 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Non - Office based position Teaches / trains others Rarely Travel from the office to various work sites or from site-to-site Occasionally Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Rarely Lifting: 25 to 50 pounds Never Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.  In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.  Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $24.12 Pay Range Maximum: $43.42 Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
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    Company :Highmark Inc.Job Description : JOB SUMMARY ***This position will is a hybrid role and will require you to go into our Buffalo office 3 days a week and work. This job serves as the single-point-of-contact for sales teams and assigned customers, delivering insights and recommendations to sales in order to aid customer acquisition/retention while maintaining performance goals. This incumbent will collaborate with cross functional team members on client-level quotes and function as a trusted adviser by providing financial and risk management support to sales as well as strategic insight. ESSENTIAL RESPONSIBILITIES Understand department and the company's strategic goals and competitive position and drives client-level results towards these ends. Actively work with Sales team to manage portfolio of clients towards financial and business targets, e.g. membership, revenue, margin, etc.Proactively draw insights from quote details, client understanding and regional insights to deliver best-possible recommendation to Sales. State and maintain independent perspective, including under pressure from more senior individuals, identifying opportunities and concerns.Responsible for portfolio of clients through underwriting engagement, from identification through documentation of final sold-contract detailsAssess risk by looking at various risk measures such as risk scores, demographic analysis, and turnover considerations.Serve as the accountable owner for all quotes delivered to sales partners. Develop a perspective on each client package deliverable. Clearly and confidently communicates Underwriting’s position on the risk profile of each clientIdentify tool improvement needs and communicates needs to Product Development teamsMaintain accurate book management details including concession budgetOther duties as assigned or requested.Required Bachelor's Degree in Science, Technology, Mathematics or related field Substitutions Six (6) years additional experience required in lieu of degree Preferred None EXPERIENCE Required 3 years of Health Care Underwriting OR risk mgmt OR actuary work OR applying advanced mathematics to include 1 years of external client interaction or comparable external interactionsPreferred 1 year in Risk Management OR of Actuary work OR of applying Advanced Mathematics LICENSES or CERTIFICATIONS Required NonePreferred None SKILLS Understanding of health products, services, risk assessment and techniques Consultative mindsetStrong Oral and Written Communications skills Language (Other than English): None Travel Requirement: 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Hybrid - 3 days in office Teaches / trains others regularly Rarely Travel regularly from the office to various work sites or from site-to-site Occasionally Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Rarely Lifting: 25 to 50 pounds Never Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $50,200.00 Pay Range Maximum: $90,300.00 Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
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    Company :Highmark HealthJob Description : JOB SUMMARY *** This position is a Hybrid position, and will require you to be onsite up to 3 days a week at either our Pittsburgh, PA or Buffalo, NY locations. This job works collaboratively to support of all risk and compliance assessment activities of Highmark Health across a broad range of frameworks including NIST, HITRUST, PCI, HIPAA, SOC, MAR, CMS, JCAHO, etc. The incumbent will partner with the organizational risk and business partners, the technology organization, and global delivery teams to meet Highmark Health’s mission requirements in a manner consistent with the enterprise risk appetite. This individual must have a proactive mindset and approach, and feel comfortable working in a highly matrixed environment. ESSENTIAL RESPONSIBILITIES Completes assessment activities according to the appropriate framework, including but not limited to NIST, HITRUST, PCI, HIPAA, SOC, MAR, CMS, JCAHO, in order to identify, assess, prioritize, evaluate and address compliance, financial, information security, privacy, and other areas of risk. Prepares draft reports and other management reporting deliverables. Prepares all work paper and supporting documentation evidence according to audit quality standards in a consistent manner.Schedules, delivers, and follows-up to ensure risk questionnaires and other risk assessments are completed timely in order to ensure compliance requirements are met across the Enterprise. Assists in training and mentoring less experienced team members on multi-faceted engagements, platform customer dependencies, and assists with the review and interpretation of less-complex authoritative guidance.Delivers risk assessments to internal and external contacts. Assists with the review of inherent risk assessment results and the stratification of engagement risks, and assists with the development of assurance plans (e.g., on-site audit, contract review, financials assessment, purchasing data analysis) to address relevant risk areas and to ensure proper controls are implemented. Reviews and interprets information provided (including, but not limited to NIST, HITRUST, PCI, HIPAA, SOC, MAR, CMS, JCAHO reports) and assists with performing qualitative and quantitative impact assessments based on physical, technical, and administrative safeguards as well as contractual requirements; conducts additional information gathering and risk assessments with external points of contact, as-needed; documents and reports results.Documents and interprets complex data flow/ information sharing activities, customer integrations, and information safeguards into simplified and high-level terminology and/or process/data flows. Assists with maintaining enterprise supplier risk management reporting dashboards in RSA Archer applications in order to keep information complete, accurate, and current. Prepares and assists with the delivery of risk assurance reports to management. Assists with preparation of project plans to support risk assessment and risk decisioning processes in coordination with business owners and other stakeholders within task-based budgets. Collaborates with Information Security, Privacy, Procurement, Audit, Compliance, and other teams across the enterprise to align risk management objectives, practices and procedures.Maintains departmental desk-level procedures, assessment methodology, assessment procedures, questionnaires, training, etc.. Reviews and documents activities which demonstrate and support compliance with departmental metrics, performance of internal control activities, awareness of contractual obligations, regulatory requirements, and assistance with responding to customer inquiries / audits. Interfaces with business areas, technical staff, project teams, and third parties to execute cross-functional risk assurance projects. Prepares materials to support communication of assessment results and findings with multiple stakeholder groups. Assists with providing input and consultation on risk and assurance requirements. Consults with other areas (e.g., Procurement, Privacy, Information Security, Legal) throughout the engagement lifecycle along with internal business and contract administration partners. Assists in contract reviews and providing timely feedback on contract terms and conditions.Other duties as assigned or requested. EDUCATION Required Bachelor's Degree in Accounting, Finance, Business Administration/Management, Information Technology, Pre-Law, or related field Substitutions 6 years of related and progressive experience in lieu of Bachelor's degree Preferred Master's Degree in Accounting, Finance, Business Administration/Management, Information Technology, Pre-Law, or related field EXPERIENCE Required 1 year in Audit and Compliance To Include: 1 year in Business Process Design1 year in Project Management Preferred None LICENSES or CERTIFICATIONS Required None Preferred (any of the following) Certified Public Accountant (CPA)Certified Information Systems Analyst (CISA)Certified Information Privacy Professional (CIPP)Certified Information Systems Security Professional (CISSP) SKILLS Demonstrate expert knowledge of business and technology processes, risk and control frameworks, and assessment methodologies, particularly as applied to healthcare (payer and provider) business processes.Knowledge of relevant regulatory guidelines, vendor management, sourcing and procurement, and completing assessments of vendors Excellent resource and project planning capabilities, decision making skills, history of results-oriented delivery, and effective team building across a cross-campus and diverse team of management and staff. Strong written and verbal communication skills for diverse audiences (senior management, board, peer, and team). Strong relationship building skills and ability to influence with and without authority in a matrixed organization. Leadership qualities with an ability to motivate and inspire a group of individuals to achieve superior results. High capacity to think analytically, interpret information / observations, apply judgment and make effective, strategic decisions. Language (Other than English): None Travel Requirement: 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
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    Company :enGenJob Description : JOB SUMMARY This job performs financial and business-related research and analysis such as the preparation of forecasts and/or analysis of financial reports, records and trends; develops and maintains spreadsheets and databases to facilitate analysis and reporting; and is responsible for conducting and documenting financial analysis projects. ESSENTIAL RESPONSIBILITIES Communicate effectively. Display effective communication skills.Coordinate and communicate with other departments, locations, and divisions to resolve problems.Communicate with Management at Highmark, subsidiaries, affiliates, other third parties, etc. as to project status and completion deadlines.Conduct presentations to all levels of management in order to provide a summary of analysis regarding financial results and trends.Develop and maintain spreadsheets and databases in MS Excel.Analyze and facilitate analysis and reporting, utilizing MS Excel and Power Bi, to compile and prepare reports, graphs and charts of data developed.Conduct financial and business-related analyses and research including the preparation of forecasts and/or analysis of trends.Independently pursue fundamental problem solving and documents the recommendations to management.Lead and document financial analysis projects including the preparation of ad hoc reports; to include but not limited to; gathering of data, analysis, documentation of findings, and calculation of results and generation of reports for distribution. Advise management of expected outcomes, and recommending ways to improve the outcomes.Develop and/or document business policies, and processes. Conducts special financial and business-related studies and cooperate with other departments in the preparation of analyses.Serve as a project lead for special projects within the department.Coordinate activities to ensure the project is advancing properly and to ensure the project is completed within the timeframes established. Included in this process will be communication with Management at Highmark, subsidiaries, affiliates, other third parties, etc. as to project status and completion deadlines.Make recommendations based on findings when necessary.Other duties as assigned or requested. QUALIFICATIONS Minimum Bachelor’s degree EDUCATION Required Bachelor's DegreeSubstitutions NonePreferred None EXPERIENCE Required 5 - 10 years of relevant, progressive experience in Accounting and/or FinanceExperience with various computer applications to include MS Excel and/or MS AccessPreferred None LICENSES or CERTIFICATIONS Required NonePreferred None SKILLS Strong written and oral communication skillsStrong relationship building skillsClient focused with strong business acumenSelf-starter with the ability to work under pressure independently and as part of a team.Ability to think strategically and act proactively to create strong trust and confidence with business unitsStrong innovative problem-solving capabilities Language (Other than English): None Travel Requirement: 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Never Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $57,700.00 Pay Range Maximum: $106,700.00 Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
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    Company :Highmark Inc.Job Description : JOB SUMMARY This job analyzes data such as type of industry, financial condition, and other characteristics to assess risk for a book of business consisting of moderately complex clients. Applies judgment when clients do not comply with established underwriting policies, practices and standards. ESSENTIAL RESPONSIBILITIES Responsible for a block of business (new or renewal) or for those new/renewing accounts assigned, including all rating methods.Develop recommendations of policy adaptation and rating adjustments to cover questionable claim patterns or unusual situations not anticipated within standard pricing formulae. Effectively communicate Underwriting rationale and case specific underwriting results to aid Sales Management in making effective pricing decisions.Assist lower level Underwriters to successfully underwrite accounts requiring rating adjustment factors.Support maintenance of departmental tools and processes.Other duties as assigned. EDUCATION Required Bachelor's Degree in Mathematics, Actuarial Science, Finance, Business, Computer Science or other quantitative analysis discipline Substitutions 6 years of related experience in lieu of a Bachelor's Degree Preferred None EXPERIENCE Required 3 years of relevant underwriting experience Preferred 4 years of relevant underwriting experience LICENSES OR CERTIFICATIONS Required Actively pursuing a relevant professional designation from an organization such as (but not limited to) HIAA/AMHC, CEBS, SOA Preferred None SKILLS Ability to work independently and assume responsibility for moderately complex account situations without additional guidanceUnderstands the relationships between different systems and data sourcesCan develop recommendations for issue resolution and discusses with higher level staff to determine best approachStrong communication skills. Explains renewals and/or quotes in terms understood by internal audiencesInteracts with internal customers in a manner that fosters cooperation, teamwork and collaboration Language (Other than English): None Travel Requirement: 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $50,200.00 Pay Range Maximum: $90,300.00 Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
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    Company :Allegheny Health NetworkJob Description : GENERAL OVERVIEW: Coordinates financial activities and provides customer support. Assists with coordination of day-to-day operations. ESSENTIAL RESPONSIBILITIES: Counsels patients and families regarding insurance coverage, medical policy and all other aspects related to the financial and billing process. Assists patients regarding alternate funding agencies and resources. (20%)Collects payments and reconciles accounts according to established fee schedules. (20%)Negotiates with external agencies, insurance carriers, providers, patients, etc for information/documentation, payment settlements, authorization issues, and resolution of benefit issues. (20%)Monitors outstanding accounts and informs management of backlog issues. Resolves and addresses issues and deficiencies related to reimbursement and denials. Notifies management of any barriers effecting reimbursement. (10%)Provides analytical support for identification and notification of trends, and regulatory changes. (10%)Provides staff resources or technical guidance and problem resolution related to insurance verification, billing, collections, and financial counseling processes. Supports in training new members of PFS team. (10%)Identifies work flow issues such as duplication of efforts, need for automation of manual processes, need for written work flow procedures, failure to utilize existing computerized system capabilities. Provides continuous quality improvement through system analysis, making recommendations, and implementing work flow changes. (10%)Performs other duties as assigned or required. QUALIFICATIONS: Minimum Associate’s Degree or equivalent from a two-year college or technical school; or 3-5 years’ coordinator experience and/or training; or equivalent combination of education and experience.3-5 years’ experience performing collections, benefits verification, and customer service. Preferred Bachelor’s Degree. Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
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    Company :Allegheny Health NetworkJob Description : GENERAL OVERVIEW: This job monitors and coordinates technical lab billing issues. Assists with day to day operational oversight of billing department and ensures daily duties are completed per established guidelines. ESSENTIAL RESPONSIBILITIES: Troubleshoots billing issues and takes appropriate actions. (35%)Assists customers with patient billing inquiries. Identifies unpaid balances (insurance and patient) through A/R reports and takes appropriate actions. (25%)Supervises work performed by billing staff. (10%)Maintains current knowledge of federal and state reimbursement policies/regulations and system policies. Ensures compliance with regulatory requirements. (10%)Obtains and enters patient demographic, insurance, and referral/precertification information in the billing system. (10%)Verifies insurance information via hospital and insurance carrier systems. (10%)Performs all other duties as assigned, including but not limited to supporting front end office processes. QUALIFICATIONS: Minimum High school diploma or GED.Graduate of a medical billing program or equivalent experience.3-5 years’ experience in healthcare billing role. Preferred Associate’s Degree. Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
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    Company :Allegheny Health NetworkJob Description : GENERAL OVERVIEW: This job is responsible for providing support, covering all aspects of insurance billing, claims follow up and collections, including direct contact to the appropriate third-party payers for all unpaid claims including denied claims and those requiring appeal. ESSENTIAL RESPONSIBILITIES: Ensures efficient processing of billing claims, insurance follow up, collection activities and denials. Assists in meeting cash collection goals by reviewing, completing, and submitting appropriate documentation based on payer requirements. Conducts research and provides updates and current status of collection efforts using the appropriate data management system (EPIC/Meditech).Performs billing, follow-up and collection functions for third parties, resolving issues that impact or delay claims payment. Communicates information and ideas to make system-wide process improvements. Updates data regarding changes and modifications in plan benefits and other contract information relevant to the billing or claims follow up and collection process.Serves as support staff for various departments and external payers by developing positive relationships with managed care organizations and outside agencies, and clinical areas within the organization. Reviews and responds to correspondence and inquiries generated by third party payers. Provides medical record copies and other pertinent information to the appropriate sources throughout the billing and collection process. Works collaboratively to facilitate the insurance billing and collections process to improve overall cash collection.Supports overall Revenue Cycle processes to achieve established targets and goals, including the completion of special/specific assigned projects or tasks.Monitors the status of denials, appeals, and claim errors by using folders/work queues and conducting routine, periodic follow up on previously researched claims items. Monitors, reviews, and suggests revisions or updates to existing forms, documents, and processes required to facilitate timely billing and collections.Ensures completeness of claims by following national, local, and internal billing requirements promoting prompt and accurate submission and payment. Maintains awareness of current regulations. Initiates practices that support current regulations.Performs other duties as assigned or required QUALIFICATIONS: Minimum Health care experience of up to 3 years Preferred Associate's Degree/completion of college level coursework Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $17.03 Pay Range Maximum: $26.03 Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
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    Company :Allegheny Health NetworkJob Description : GENERAL OVERVIEW: This job is responsible for providing support, covering all aspects of insurance billing, claims follow up and collections, including direct contact to the appropriate third-party payers for all unpaid claims including denied claims and those requiring appeal. ESSENTIAL RESPONSIBILITIES: Ensures efficient processing of billing claims, insurance follow up, collection activities and denials. Assists in meeting cash collection goals by reviewing, completing, and submitting appropriate documentation based on payer requirements. Conducts research and provides updates and current status of collection efforts using the appropriate data management system (EPIC/Meditech).Performs billing, follow-up and collection functions for third parties, resolving issues that impact or delay claims payment. Communicates information and ideas to make system-wide process improvements. Updates data regarding changes and modifications in plan benefits and other contract information relevant to the billing or claims follow up and collection process.Serves as support staff for various departments and external payers by developing positive relationships with managed care organizations and outside agencies, and clinical areas within the organization. Reviews and responds to correspondence and inquiries generated by third party payers. Provides medical record copies and other pertinent information to the appropriate sources throughout the billing and collection process. Works collaboratively to facilitate the insurance billing and collections process to improve overall cash collection.Supports overall Revenue Cycle processes to achieve established targets and goals, including the completion of special/specific assigned projects or tasks.Monitors the status of denials, appeals, and claim errors by using folders/work queues and conducting routine, periodic follow up on previously researched claims items. Monitors, reviews, and suggests revisions or updates to existing forms, documents, and processes required to facilitate timely billing and collections.Ensures completeness of claims by following national, local, and internal billing requirements promoting prompt and accurate submission and payment. Maintains awareness of current regulations. Initiates practices that support current regulations.Performs other duties as assigned or required QUALIFICATIONS: Minimum Health care experience of up to 3 years Preferred Associate's Degree/completion of college level coursework Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $17.03 Pay Range Maximum: $26.03 Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
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    • 0
    Company :HM Insurance GroupJob Description : GENERAL OVERVIEW: SVP, Underwriting position is responsible for profitability and revenues of the billion dollars of stop loss business underwritten by or on behalf of HM Insurance Group. Major responsibilities include development and execution of the stop loss product line, pricing and underwriting strategies to achieve revenue and profitability target objectives set forth by HMIG and approved by its board of directors. This multi-faceted position plays a key role in the corporate strategic planning, assessments and execution of business opportunities and strategic alliances, assessments of market conditions and their impact on the short and long term strategies for the corporation. In addition to the financial responsibilities, the SVP, Underwriting is responsible for successful management of the multi-discipline and highly diversified Underwriting Department coupled with extensive management of any external partners performing underwriting functions on behalf of HM Insurance Group. ESSENTIAL RESPONSIBILITIES: Development, execution and monitoring of the product line pricing and underwriting strategies for all lines of business underwritten by and on behalf of HM Insurance Group.Management of the multi-disciplined Underwriting department.Management of the external partners performing underwriting functions on behalf of HM Insurance Group.Participating in development and execution of the corporate strategic initiatives. Development and maintenance of relationships with key external producers and vendorsOther duties as assigned or requested. QUALIFICATIONS: Minimum Bachelor’s degree10+ years of experience in Underwriting of multiple product lines Preferred Graduate Degree in business Knowledge, Skills and Abilities Effective leadership skills in a diversified environmentExtensive expertise in underwriting of stop loss, Workers Comp and ancilliary life and accident productsEffective negotiator and closerUncommon adaptability to changing environments.Effective coaching skills • Effective global thinker SCOPE OF RESPONSIBILITY Does this role supervise/manage other employees? Yes If yes, indicate the number of direct reports: 5 Indicate the total number of direct and indirect reports: 65 If yes, please include a copy of the organization chart and complete the supervisor/management tab. WORK ENVIRONMENT Is Travel Required? Yes This job requires the ability to work as a team member. Additionally, this job requires the willingness and ability to report to work on a regular and timely basis and may require irregular work hours, holidays and/or weekends. Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $198,900.00 Pay Range Maximum: $400,468.00 Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
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    • 0
    Company :Highmark Inc.Job Description : JOB SUMMARY This job performs financial and business related research and analysis such as the preparation of forecasts and/or analysis of financial reports, records and trends; develops and maintains spreadsheets and databases to facilitate analysis and reporting; and is responsible for conducting and documenting financial analysis projects. This role will be supporting our sales team and will be a data driven role. In this role you will be analyzing financial claims data. PLEASE NOTE: This role will be hybrid role and will be located in our Pittsburg office. ESSENTIAL RESPONSIBILITIES Communicate effectively. Display effective communication skills. Coordinate with other departments, locations, and divisions. Communicate with other departments and/or outside agencies to resolve problems. Communicate with Management at Highmark, subsidiaries, affiliates, other third parties, etc. as to project status and completion deadlines. Advise management of expected outcomes, and recommending ways to improve the outcomes. Conduct presentation to all levels of management in order to provide a summary of analysis regarding financial results and trends. Communicate with Management as to project status and completion deadlines. Perform financial and business related analysis. Analyze, evaluate and interpret appropriate financial and statistical data. Develop and/or document business policies, conducts special financial and business related studies and cooperate with other departments in the preparation of analyses. Conduct financial and business related analyses and research including the preparation of forecasts and/or analysis of trends. Analyze financial reports and records. Provide reasoning for variances and make recommendations relative to the accounting of reserves, assets, and expenditures. Advise management of expected outcomes, and recommend ways to improve the outcomes. Independently pursue fundamental problem solving and documents the recommendations to management. Facilitate analysis and reporting Utilize computer to input, retrieve or display accounting information. Develop and maintain spreadsheets and databases. Utilize PC and/or mainframe based systems and software, compile and prepare reports, graphs and charts of data developed. Serve as a project lead for special projects within the department. Lead and document financial analysis projects including the preparation of ad hoc reports; to include but not limited to; gathering of data, analysis, documentation of findings, and calculation of results and generation of reports for distribution. Coordinate activities to ensure the project is advancing properly and to ensure the project is completed within the timeframes established. Included in this process will be communication with Management at Highmark, subsidiaries, affiliates, other third parties, etc. as to project status and completion deadlines. Make recommendations based on findings when necessary. Other duties as assigned or requested. QUALIFICATIONS EDUCATION Required Bachelor's Degree or relevant experience and/or education as determined by the company in lieu of bachelor's degree Preferred None EXPERIENCE Required 5 - 10 years of relevant, progressive experience in Accounting and/or Finance Experience with various computer applications to include MS Excel and/or MS Access Preferred Experience supporting a sales organization and working with a sales team. LICENSES or CERTIFICATIONS Required None Preferred None SKILLS Strong written and oral communication skills Strong relationship building skills Client focused with strong business acumen Self-starter with the ability to work under pressure independently and as part of a team. Ability to think strategically and act proactively to create strong trust and confidence with business units Strong innovative problem-solving capabilities Language (Other than English): None Travel Requirement: 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Never Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
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    Company :Highmark HealthJob Description : JOB SUMMARY This job manages all facets of the planning/forecasting cycles for the Organization. These facets include but are not limited to: reporting, financial analysis, variance analysis, bid process support, administrative cost allocations, forecast model enhancement, and the period to period risk and opportunities process. The incumbent manages the completion of other ad-hoc financial planning activities and assist in the development and review of business cases for strategic initiatives. Train, coach and develop staff members. 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 budgetary responsibility and authority.Direct the completion of revenue, claim and administrative expense components of the forecast and communicate results to Senior Management.Provide cost information support and prepare cost reports consistent with allocation methodologies to the business.Manage the completion of various ad-hoc financial analyses and communicate results to Sr leadership.Other duties as assigned. EDUCATION Required Bachelor’s degree in Finance, Business Administration, Accounting or related field or relevant experience and/or education as determined by the company in lieu of bachelor's degree. Preferred Master's Degree in Finance, Business Administration, Accounting or related field EXPERIENCE Required 5 years in Finance3 years in a management role Preferred None LICENSES OR CERTIFICATIONS Required None Preferred Certified Management Accountant (CMA)Certified Public Accountant (CPA) SKILLS Business ConsultingAnalytical SkillsBusiness Process ImprovementBusiness AnalysisDeveloping RelationshipsLeadershipFinancial Forecasting and ModelingOperational PlanningWritten & Oral Presentation SkillsPrioritizing Languages (other than English) None Travel Requirement 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-Based Teaches / trains others regularly Frequently Travel regularly from the office to various work sites or from site-to-site Frequently Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required No Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Does Not Apply Lifting: 25 to 50 pounds Does Not Apply Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
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    • 0
    Company :Allegheny Health NetworkJob Description : GENERAL OVERVIEW: Acts as a consultant to service line leadership. Analyzes financial results, trends and performance metrics, prepares business plans including periodic plan tracking, and evaluates physician compensation. Acts as a mentor to peers within department. Communicates effectively with management, steering committees, project sponsors, and technical experts. ESSENTIAL RESPONSIBILITIES: Handles multiple loosely-defined projects simultaneously from problem statement stage to resolution. (20%)Analyzes physician incentive compensation to ensure accuracy of contractual payments. Assists with new compensation modeling. (20%)Reviews due diligence and creates business plans for potential practice acquisitions, physician recruitments and new programs. (20%)Performs ad-hoc analyses of specific plans or initiatives to track performance to projected results. (20%)Facilitates monthly operational review meetings between financial and operational leadership, including ownership of documents, engagement in meeting, and making financial recommendations for improvements. (10%)Analyzes results, provides insight and recommendations to operational and financial leadership. (10%)Performs other duties as assigned or required. QUALIFICATIONS: Minimum Bachelor's degree in Finance, Accounting, or Business or relevant experience and/or education as determined by the company in lieu of bachelor's degree3-5 years’ experience working with spreadsheet, presentation and other data management tools Preferred Master's degree1-3 years’ experience with physician practices1-3 years’ experience with physician practices Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
    • Full Time
    • 0
    • 0
    Company :Allegheny Health NetworkJob Description : GENERAL OVERVIEW: Acts as a consultant to service line leadership. Analyzes financial results, trends and performance metrics, prepares business plans including periodic plan tracking, and evaluates physician compensation. Acts as a mentor to peers within department. Communicates effectively with management, steering committees, project sponsors, and technical experts. ESSENTIAL RESPONSIBILITIES: Handles multiple loosely-defined projects simultaneously from problem statement stage to resolution. (20%)Analyzes physician incentive compensation to ensure accuracy of contractual payments. Assists with new compensation modeling. (20%)Reviews due diligence and creates business plans for potential practice acquisitions, physician recruitments and new programs. (20%)Performs ad-hoc analyses of specific plans or initiatives to track performance to projected results. (20%)Facilitates monthly operational review meetings between financial and operational leadership, including ownership of documents, engagement in meeting, and making financial recommendations for improvements. (10%)Analyzes results, provides insight and recommendations to operational and financial leadership. (10%)Performs other duties as assigned or required. QUALIFICATIONS: Minimum Bachelor's degree in Finance, Accounting, or Business or relevant experience and/or education as determined by the company in lieu of bachelor's degree3-5 years’ experience working with spreadsheet, presentation and other data management tools Preferred Master's degree1-3 years’ experience with physician practices1-3 years’ experience with physician practices Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice
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