Highmark Health

Financial Planning and Analysis

• Manage all facets of the planning/forecasting cycles for the Organization
• Train, coach and develop staff members
• Direct the completion of revenue, claim and administrative expense components of the forecast
• Provide cost information support and prepare cost reports

Manager, Financial Planning and Cost Analysis

Associate

• Process provider applications and re-applications including initial mailing, review, and loading.
• Maintain provider database and communicate with providers regarding credentialing status.
• Perform credentialing, re-credentialing and related activities and coordinate credentialing verifications.
• Review and process complex additions, updates and deletions of provider information.
• Train credentialing personnel in the use of various systems, software, databases and procedures.
• Participate in projects which streamline, automate or enhance credentialing functions.

Associate Credentialing Representative

Physician Assistant

• Facilitate effective diagnostic and emergency care for patients in both outpatient and acute inpatient settings
• Proactively order and interpret a comprehensive array of laboratory, advanced radiological, and specialized diagnostic studies to inform patient management
• Independently institute immediate emergency measures and stabilization techniques for acute patient situations
• Prepare and electronically prescribe a full range of medications
• Actively coordinate complex care needs with patients, families, and the entire interdisciplinary team
• Ensure all medical record documentation is accurate, complete, and timely
• Educate patients and their families on health and illness prevention
• Engage in mandatory professional continuing education
• Perform specialized procedures such as assisting in surgical procedures, interventional radiology, or fluoroscopic procedures under supervision
• Perform all other duties as assigned or required

Physician Assistant – Radiology

Product Manager

• Understand the department's and the company's strategic roadmap and competitive position
• Develop a holistic product vision and the corresponding product strategy to drive maximum value
• Actively anticipate future needs and utilize metrics and qualitative input to identify asset improvement opportunities
• Represent the product in all governance meetings
• Clearly set and communicate roadmaps, priorities, experiments, and decisions across audiences, from product team to executive levels
• Serve as accountable owner for the sets of products/tools within the designated portfolio
• Identify and drive both cross-product and cross-customer value and shared learnings
• Own the product backlog and use input from internal and partner teams to frequently refresh and re-prioritize the backlog
• Provide coaching and guidance to team members on product vision and strategic road mapping

Senior Product Manager

• Facilitate effective diagnostic and emergency care for patients
• Order and interpret laboratory and radiological studies
• Coordinate complex care needs with patients and families
• Educate patients and families on health and illness prevention
• Engage in mandatory professional continuing education and ensure compliance with standards
• Perform specialized procedures and contribute to the education of staff and trainees

Nurse Practitioner – Neurosurgery

Architect

• Designs, develops, implements, supports, and optimizes architecture strategy to meet business capabilities and needs
• Provides strategic consultation to business customers in defining or designing business processes, functions and organizational structures
• Participates in enterprise strategy development
• Specifies and designs large or complex systems, solutions, networks, infrastructure elements, or processes
• Reviews others’ system design to ensure selection of appropriate technology, efficient use of resources and integration of multiple systems and technology
• Establishes policy for selection of architecture components
• Provides advice on technical aspects of system development, integration, and processes
• Communicates effectively with all levels of organization
• Participates in customer walkthroughs and plans for design and technical walkthroughs

Revenue Operations

• Provide systematic daily support to numerous health system management teams within the Revenue Cycle.
• Supports the business, technical, and operational needs of the Revenue Cycle departments.
• Coordinate various aspects of project implementations, system upgrades, break/fix issues, training and quality assurance processes.
• Designs/builds, tests, implements, and supports the needs of Epic software related to Revenue Cycle workflows.
• Function as a liaison between Information Technology, systems vendors and Revenue Cycle departments.
• Communicates easily, accurately and confidently.

Revenue Cycle Operations Analyst

Risk

• Develop plans and manage activities in support of Risk Adjustment and Quality/HEDIS
• Direct daily activities of direct reports supporting Risk Adjustment Coding and Quality/HEDIS
• Assess viability of current direction/projects/operations and recommend strategies
• Implement strategic and tactical improvements to Risk Adjustment Coding and Quality/HEDIS processes
• Manage information to ensure accurate and efficient projects

Supervisor, Strategic Risk Adjustment and Quality

General Counsel

• Investigate factual situations and present creative solutions based on independent legal research and analysis
• Provide timely and accurate legal advice and prepare effective documents
• Oversee diverse litigation docket, drive litigation strategy, and provide counsel to internal stakeholders
• Analyze potential litigation exposure and respond to pre-complaint investigations and demands

Senior Counsel – Litigation

Human Resources

• Accurately perform day-to-day transactional and administrative processes
• Timely completion of fulfillment activities and customer inquiries
• Customer focused ongoing communication with current and former employees
• Conduct scheduled audits related to regulatory compliance
• Participate as a team member in the requirements, design, and testing of new systems

HR Shared Services Administration Specialist

Data Scientist

• Drive the development of innovative AI based solutions for enterprise stakeholders
• Translate business needs into AI solutions that align with strategic goals
• Design and build best-in-class AI and agent evaluation capabilities
• Deliver the analytical solution to complex business problems
• Document objectives, assumptions and processes