Manager, Product Management, Member Interaction & Engagement Data Highmark IncManager, Product Management, Member Interaction & Engagement DataPARemoteThis role also requires demonstrated experience leveraging member engagement and interaction history data sourced from hybrid channels (voice, text, digital, print, etc.), coupled with robust data management and data product expertise, to drive personalization, improve administrative efficiency, and facilitate seamless omnichannel experiences across the organization. A core component of this role includes the ability to ideate and sequence innovative data products, build comprehensive data needs roadmaps aligned with business objectives, and rigorously evaluate data quality, accuracy, and availability requirements.
Care Manager RN - UM (Full-Time) Weekends (Remote) Highmark IncCare Manager RN - UM (Full-Time) Weekends (Remote)PARemoteThis job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization, identification of opportunities for referral to a Health Coach/case management, and identification and resolution of quality issues. 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.
Pledge Drive 2.0 MiCo2 GroupPledge Drive 2.0Mckeesport, PennsylvaniaRemoteIn this role, you'll speak directly with supporters and help make giving easy and rewarding. We’re seeking Donation Call Specialists to work remotely with leading nonprofit organizations.
NewSupervisor Appeals - Medicare (Remote) in PA or DE Highmark IncSupervisor Appeals - Medicare (Remote) in PA or DEPARemoteThe incumbent is responsible for the direct oversight and/or technical direction of non-clinical staff that make determinations to pay or deny services, identify provider education opportunities, and appropriate referrals to other contractors (Program Safeguard Contractor (PSC) for potential fraud and abuse activities, Qualified Independent Contractor (QIC) for second level appeals, etc…). 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.
Remote Customer Support – Travel Industry DreamstravelcrRemote Customer Support – Travel IndustryPittsburgh, PennsylvaniaRemoteIn this role, you will help travelers plan unforgettable experiences by providing destination guidance, organizing travel details, and supporting clients throughout their entire planning process. As a Travel Experience Specialist, you will work remotely while helping clients transform their travel ideas into well-organized itineraries and memorable experiences.
Medicare Field Agent- Allegheny HumanaMedicare Field Agent- AlleghenyPittsburgh, PennsylvaniaRemoteWork at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Comfortable with daily face-to-face interactions in prospective members' homes, at community-based events and engaging with the community through service, retail environment, organizations, volunteer work, or local events.
Medicare Field Agent- Butler HumanaMedicare Field Agent- ButlerCranberry Township, PennsylvaniaRemoteWork at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Comfortable with daily face-to-face interactions in prospective members' homes, at community-based events and engaging with the community through service, retail environment, organizations, volunteer work, or local events.
Medicare Field Agent- Westmoreland HumanaMedicare Field Agent- WestmorelandGreensburg, PennsylvaniaRemoteWork at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Comfortable with daily face-to-face interactions in prospective members' homes, at community-based events and engaging with the community through service, retail environment, organizations, volunteer work, or local events.
NewCase Manager RN (Remote) Highmark IncCase Manager RN (Remote)PARemoteThe Case Manager assesses member needs, develops and implements care plans, coordinates services, and monitors progress, while containing the cost of health care services. 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.
NewSpecialist Case Manager RN - Transplant (Remote) Highmark IncSpecialist Case Manager RN - Transplant (Remote)PARemoteMaintain oversight over specified panel of members by performing ongoing assessment of members" health management needs, identifying the right clinical interventions to address member needs and/or triaging members to appropriate resources for additional support. The Case Manager assesses member needs, develops and implements care plans, coordinates services, and monitors progress, while containing the cost of health care services.
Sr PBM Strategic Account Executive - Remote UnitedHealth Group IncSr PBM Strategic Account Executive - RemotePittsburgh, PARemoteEnsure that all client specific requirements are met including but not limited to (1) maintaining documentation of most current benefit designs, including exclusions, inclusions, formularies and co - pay structures and that information is accessible to Customer Service Pharmacy Technicians; (2) documenting plan change requests from clients and obtains appropriate approval, updates the Benefit Design Summary on the web, and confirms the plan change is completed and accurate; (3) following all audit requirements. The fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount.
Strategic Analytics Consultant - UM Transformation Highmark IncStrategic Analytics Consultant - UM TransformationPARemoteAct as a trusted advisor and internal thought partner to cross-functional stakeholders, including leadership, clinical operations, network, finance, and actuarial teams, proactively identifying their strategic needs and proposing analytical solutions. 5 years of progressive experience in strategic consulting, healthcare analytics, or a similar high-impact role, preferably within a large health plan, managed care organization, or consulting firm focused on healthcare.
Remote Travel Customer Representative AlmaaventureraRemote Travel Customer RepresentativePittsburgh, PennsylvaniaRemoteIn this 100% work-from-home role, you will assist clients with travel-related questions, provide trip support, and ensure a smooth, stress-free experience from start to finish. This position is ideal for someone who enjoys helping people, is highly organized, and is excited about working remotely in the travel industry.
Remote Travel Customer Representative SawmilldcllcRemote Travel Customer RepresentativePittsburgh, PennsylvaniaRemoteIn this 100% work-from-home role, you will assist clients with travel-related questions, provide trip support, and ensure a smooth, stress-free experience from start to finish. This position is ideal for someone who enjoys helping people, is highly organized, and is excited about working remotely in the travel industry.
NewRemote Customer Experience Coordinator Nexora TalentRemote Customer Experience CoordinatorPittsburgh, PARemoteAs a Customer Experience Coordinator, you will communicate with clients, assist with scheduling and service coordination, provide accurate information, and help create outstanding customer experiences. In this role, you will support clients by coordinating services, answering questions, and ensuring every interaction is smooth, organized, and positive from start to finish.
NewAcquisitions Sales Representative - Pittsburgh, Pennsylvania Kendall Hunt PublishingAcquisitions Sales Representative - Pittsburgh, PennsylvaniaPittsburgh, PARemoteWe want to partner with talented educators in charge of lower-level, higher-enrollment courses to develop more interactive and engaging materials that solve the needs of their students and can make an impact in their college career and in the difference, they make in the world in the future. The ideal candidate will be located in Pennsylvania (Pittsburgh, Harrisburg, Lancaster, York, Reading, Allentown) or Maryland (Towson, Hunt Valley, Timonium, Owing Mills, Frederick).
Sales Leader- Pittsburgh Northeast Sales Territory State FarmSales Leader- Pittsburgh Northeast Sales TerritoryPittsburgh, PennsylvaniaRemote$200,000–$310,000 / yearFull timeThis position requires you to obtain/maintain all applicable FINRA licensing exams (Securities Industry Essentials, Series 6, Series 63, and Series 65 or equivalent), sponsorship from State Farm VP Management Corp (SFVPMC) and State Farm Investment Management Corp. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!
Software Architect – Development WESCOSoftware Architect – DevelopmentPittsburgh, PARemoteGuiding development teams through all phases of software development life cycle (SDLC) and providing customer technical support solution analysis and design, and balancing technical and business aspects. Through comprehensive benefits (https://www.wesco.com/us/en/our-company/careers/work-at-wesco.html#benefits) and active community engagement, we create an environment where every team member has the opportunity to thrive.
Fluent Russian Speakers - US (Task-Based, Remote, Flexible) Prolific Academic LtdFluent Russian Speakers - US (Task-Based, Remote, Flexible)Pittsburgh, PARemoteYou'll join live video calls with other Russian-speaking participants, chatting naturally about everyday topics while your conversation is used to help AI models better understand how people actually speak. This is a genuinely interesting way to shape how AI understands human conversation, one call at a time - your natural way of speaking directly helps these models learn to communicate more like a real person.
NewCustomer Service Representative Remote Job QureosCustomer Service Representative Remote JobUnitedRemoteThe successful candidate will be responsible for assisting customers, responding to inquiries, resolving routine concerns, and ensuring that every interaction is handled professionally and efficiently. Odyssey Group is a professional organization focused on delivering quality services and solutions while building strong relationships with its customers and business partners.