- Highmark Health (Providence, RI)
- …Highmark Health **Job Description :** **JOB SUMMARY** The Identity & Access Management Senior Security Engineer is responsible for acting as resource, leader, and ... development, testing, implementation, and integration of Identity and Access Management systems and solutions. Responsibilities include developing models and… more
- Highmark Health (Providence, RI)
- …job provides telephonic integrated behavioral and physical health case and condition management services to members with mental health, substance use, and co-morbid ... short and long-term health goals. They support members in developing self- management skills and adopting positive behavior change; identify and address gaps… more
- Highmark Health (Providence, RI)
- …range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member panel and utilizing data/analytics in ... the knowledge and skills to help members with anticipatory guidance (symptom management , managing signs/symptoms as a complication of treatment plan. The incumbent… more
- Highmark Health (Providence, RI)
- …with strategy / management consulting firms or internal strategy groups of healthcare companies **Preferred** + 3 years in the design of complex digital platform ... in a well-defined matrix reporting structure. **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities to include, but are not limited to: involved in… more
- Highmark Health (Providence, RI)
- … Healthcare or related field **EXPERIENCE** **Required** + 3 years of Digital Product Management + 2 years in the Healthcare Industry **Preferred** + 3 years ... of new technologies, market trends, and vendor capabilities. References the inventory of existing digital capabilities and determines whether they can solve… more
- Highmark Health (Providence, RI)
- …for productivity enhancements, competitive differentiation, and disruptive transformation in healthcare marketing. You will spearhead the integration of AI ... opportunity to be at the forefront of integrating generative AI into healthcare marketing, shaping the future of healthcare experiences. **ESSENTIAL… more
- Highmark Health (Providence, RI)
- …a variety of technology systems, designing solutions or developing applications in healthcare To Include: + 5 years of translating design mockups, prototypes and ... life cycle, including coding standards, unit testing, code reviews, source control management , build processes, testing, and operations + Strong track record in… more
- Highmark Health (Providence, RI)
- …reports, graphs, and charts to timely identify trends and patterns of potential healthcare fraud, waste and abuse. Communicate findings to company management of ... + Maintain current case related information on all applicable case management tracking systems. + Provide investigative support and mentoring to investigative… more
- Highmark Health (Providence, RI)
- …privacy, and other areas of risk.Prepare draft reports and other management reporting deliverables.Review all work prepared by less experienced team members ... Audit, Compliance, and other teams across the Enterprise to align risk management objectives, practices and procedures. + Interface with business areas, technical… more
- Highmark Health (Providence, RI)
- …following + 5 - 7 years in the Healthcare Industry + 5 - 7 years in Management + 5 - 7 years in Contract Development + 1 - 3 years in Legal **Preferred** + None ... :** **JOB SUMMARY** This job manages the business process of contract management with internal departments. The incumbent oversees the staff and facilitates the… more
- Highmark Health (Providence, RI)
- …and delivers of complex programs that require cross-functional collaboration and management of inter-dependencies between a group of projects and/or related ... activities within the constraint of scope, quality, time and budget. Includes the management of a group of internal exempt and/or matrixed employees and contractors… more
- Highmark Health (Providence, RI)
- …Analyzes associated policies, guidelines, market data to continuously improve risk management and gain appropriate enrollment or manage existing membership. Analyzes ... to account for these situations. + Apply corporate risk management policies and adjust for unusual situations that may...+ Actively pursuing a professional designation related to the healthcare industry and be willing to complete one course… more
- Highmark Health (Providence, RI)
- …new ideas and contribute to the advancement of AI and GenAI in the healthcare technology space. This role requires a professional dedicated to staying on top of ... that the system architecture balances functional, service quality and systems management requirements. + Use appropriate tools, including models of components and… more
- Highmark Health (Providence, RI)
- …**Substitutions** + None **Preferred** + Bachelor's Degree **EXPERIENCE** **Required** + Healthcare experience + Project Management experience **Preferred** + ... location. Work with Pharmacy Markets business owners, stakeholders and other management , as required, to achieve Pharmacy Markets growth objectives. Organize and… more
- Highmark Health (Providence, RI)
- …EDUCATION Required Bachelor's Degree in Computer Systems Analysis, Data Processing, Healthcare Informatics, Management Information Systems, or related field or ... of Database Administration Experience 1 - 3 years of Healthcare Industry Experience 1 - 3 Years of SQL...this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of… more
- Highmark Health (Providence, RI)
- …or more Epic modules. **Preferred** + 3 years of experience in the healthcare industry **SKILLS** + Ability to handle analysis, design, system configuration and ... organizational skills in managing priorities + Demonstrates knowledge of project management principles as they relate to assigned tasks **EDUCATION** **Required** +… more
- Highmark Health (Providence, RI)
- …aspects of requirements testing (eg testing plan, scenarios, documentation, defect management ) to ensure minimal production defects are realized and completing ... + Effectively communicate with team members, customers, partners and management , including assisting with or conducting requirement walkthroughs and sprint… more
- Highmark Health (Providence, RI)
- …contribute to highest levels of performance. **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities including, but 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… more
- Highmark Health (Providence, RI)
- …investigations. Performs modeling of data sources and flows, works with data management staff to define an operational framework that will define, develop and ... new areas. + Perform modeling of data sources and flows, work with data management staff to define an operational framework that will define, develop, and implement… more
- Highmark Health (Providence, RI)
- …as digital agencies, software vendors, BCBSA, and other key vendors. + Performs 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. + Plans, organizes, staffs, directs and… more