highmark

Highmark Health is a leading national blended health organization based in Pittsburgh, PA, comprising one of America's largest Blue Cross Blue Shield insurers and a regional hospital network, with 35,000 employees serving millions of customers through various health-related services including insurance, care delivery, and population health management.

Related companies:

🏢 Altera Digital Health Inc. United States

🏢 CrowdStrike

👥 5001-10000💰 $4.6m Post-IPO Equity on 2022-12-01Computer and Network Security

Website LinkedIn Email Phone # Facebook Twitter

🏢 Acquia

Jobs at this company:

Apply

🔥 Patient and Client Engagement Guide

Posted 2024-11-22

📍 United States of America

🔍 Healthcare

High School diploma or GED is required.
Preferred qualification includes a Bachelor's degree in Business Administration/Management or Nursing.
1 - 3 years of experience in Customer Service or Healthcare retail sales is required.
Preferred experience includes 1 year in an AHN department and familiarity with scheduling in the medical record, EPIC.
No licenses or certifications are required.

Perform outbound telephonic call campaigns, focusing on scheduling appointments for patients not engaged in their healthcare.
Assist individuals and families in establishing care with a Primary Care Provider.
Ensure patients remain aligned with AHN by scheduling Specialty Provider or Imaging appointments.
Manage inbound requests via calls, email, and fax for care coordination support.
Help individuals access care, close care gaps, and schedule further appointments.
Deliver timely outreach campaign success and report trends for future improvement.
Identify appointment escalation needs by partnering with various departments.
Participate in community and client events.

Communication SkillsAnalytical SkillsCollaborationProblem SolvingCustomer serviceAttention to detailOrganizational skillsPresentation skillsTime ManagementWritten communicationMultitasking

Posted 2024-11-22

Apply

🔥 Complex Case Manager RN (Remote)

Posted 2024-11-20

📍 United States of America

🧭 Full-Time

💸 57700 - 106700 USD per year

🔍 Health Insurance

High School Diploma/GED required; Bachelor's Degree in Nursing preferred.
7 years of clinical, case management, or health insurance experience required.
Advanced training in cognitive behavioral therapy, motivational interviewing, or dialectical behavior therapy preferred.
RN license in PA, WV, DE, or NY required; other state licenses must be obtained within 6 months.

Maintain oversight over specified panel of members by ongoing assessment of health management needs and identifying clinical interventions.
Create care plans addressing members' needs with long and short term goals, and plan of regular contacts for re-assessment.
Ensure achievement of patient goal metrics and maintain compliance with documentation and regulatory standards.
Support members in overcoming barriers and coordinating care through outreach and resource identification.

NegotiationPresentation skillsTime ManagementCompliance

Posted 2024-11-20

Apply

🔥 Manager, Program Manager/Product Realization

Posted 2024-11-19

📍 United States of America

💸 92300 - 170800 USD per year

🔍 Health Care Insurance

Minimum of a High School Diploma; Bachelor's degree preferred.
At least 5 years of project management experience required.
Leadership experience preferred.
Knowledge of the Health Care Insurance industry is desired.
Experience in managing large, complex projects.
Familiarity with standard software development lifecycle.
Proficient in using Portfolio and Project Management Tools.

Provide thought-leadership and project management expertise for strategic initiatives.
Oversee the day-to-day operations and staff performance.
Ensure projects are delivered on schedule, within scope, and within budget.
Perform budget management, project reporting, and risk mitigation.
Manage a portfolio of initiatives, resolving issues and assessing resource demands.
Maintain positive relationships with stakeholders and deliver project status presentations.
Ensure compliance with project management methodologies and promote training.

LeadershipProject ManagementCommunication SkillsNegotiationPresentation skillsWritten communicationComplianceCoaching

Posted 2024-11-19

Apply

🔥 Behavioral Health Specialist - Licensed (Remote)

Posted 2024-11-10

📍 United States of America

💸 57700 - 106700 USD per year

🔍 Behavioral Health

High School Diploma/GED with RN license or Master's Degree if licensed Behavioral Health Professional.
Preferred: RN with BSN or MSN.
3 years of post-licensure experience in behavioral health clinical, case management or condition management.
Preferred: training in cognitive behavioral therapy (CBT), experience with diverse populations, proficiency in a second language.
Required licenses: RN, LSW, LCSW, LMSW, LPC, LMHC, LMFT, or PhD.

Function as a primary contact for members with behavioral health needs.
Conduct clinical and psycho-social assessments through telephonic interactions.
Develop case-specific care plans and maintain regular contact with members.
Communicate with treating providers in complex situations.
Identify and assist members in accessing resources for their health goals.
Incorporate lifestyle improvement opportunities into member interactions.
Document activities in compliance with business and regulatory standards.
Collaborate with management teams to provide co-management activities.
Participate in training related to behavioral health.

Communication SkillsAnalytical SkillsCollaborationOrganizational skills

Posted 2024-11-10

Apply

🔥 Wellness Coach - Registered Dietitian (Remote)

Posted 2024-11-09

📍 United States of America

💸 50200 - 90300 USD per year

🔍 Health and wellness

Master's Degree in Nutrition, Health Education, Health Promotion, Exercise Science, Public Health, Social Work/Psychology, or a related field.
3 years of experience as a Registered Dietitian, Exercise Physiologist, or Wellness/Lifestyle Coach in a wellness-focused environment.

Primary ownership and oversight over a specified panel of members.
Assess health management needs and utilize data/analytics for interventions.
Conduct outreach, develop personalized care plans, encourage behavior changes, and help coordinate care.
Engage with members to achieve improved health outcomes and monitor quality outcomes.

Posted 2024-11-09

Apply

🔥 Senior Software Engineer - ML Engineer – AI Platforms and Services

Posted 2024-11-05

📍 United States of America

🧭 Full-Time

💸 78900 - 146000 USD per year

🔍 Healthcare

Bachelor's Degree in Computer Science, Computer Engineering or a closely related field.
5 years proficiency in the design and analysis of algorithms and data structures.
5 years experience in modern programming languages (Java, Python, JavaScript, etc.).
5 years understanding of web services technologies such as REST, HTTPS, and JSON.
5 years experience with general-purpose programming languages.
5 years in defining system architectures and optimizing technical capabilities.
Preferred: 3 years in enterprise-scale ML solutions and deploying ML APIs.
Ability to collaborate effectively across teams and communicate technical concepts.

Understanding and translating business and functional needs into machine learning problem statements.
Translating complex machine learning problem statements into specific deliverables and requirements.
Designing and developing scalable solutions that leverage machine learning and deep learning models.
Translating machine learning algorithms into production-level code.
Collaborating with development teams to test and deploy machine learning models.
Monitoring the performance of deployed models and retraining as necessary.
Ensuring adherence to performance standards and data security requirements.

PythonSoftware DevelopmentAgileBusiness AnalysisDesign PatternsDjangoFlaskCSSJavaJavascriptMachine LearningSCRUMJavaScriptJiraProduct DevelopmentAlgorithmsAmazon Web ServicesData StructuresFastAPIGoHTML5AngularNosqlReact

Posted 2024-11-05

Apply

🔥 Medical Case Manager - Pennsylvania (Remote)

Posted 2024-10-21

📍 United States of America

💸 57700 - 106700 USD per year

🔍 Healthcare

Minimum of a Bachelor's degree in nursing or Master’s degree in Social Work with 3 years of experience in Acute or Managed Care.
Bachelor’s degree in Social Work with five years of experience in Acute or Managed Care.
Preferred experience with high-risk pregnant women or chronic conditions.
3-5 years working with Medicaid or Medicare populations.
Case Management Certification and bilingual skills in English/Spanish are a plus.

Assure access to quality healthcare for members with complex needs.
Assist in holistic assessment, planning, and coordination of care.
Advocate for appropriate care plans and follow regulatory guidelines.
Educate members on their health conditions to improve care plan adherence.
Collaborate with various healthcare professionals to coordinate member care.
Develop individualized care plans and continuously monitor member progress.

Communication SkillsAnalytical SkillsCollaboration

Posted 2024-10-21

Apply

highmark

Related companies:

Jobs at this company:

🔧 Requirements

💡 Responsibilities

🔧 Requirements

💡 Responsibilities

🔧 Requirements

💡 Responsibilities

🔧 Requirements

💡 Responsibilities

🔧 Requirements

💡 Responsibilities

🔧 Requirements

💡 Responsibilities

🔧 Requirements

💡 Responsibilities