Senior Stop Loss Claims Analyst Highmark IncSenior Stop Loss Claims AnalystPAThis includes following a departmental claim checklist to ensure eligibility is met, the payment reimbursement request is accurate by auditing the claim for duplicate line-item charges and determining if all information is available to finalize the payment request. 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.
Manager Client Project Management Highmark IncManager Client Project ManagementPittsburgh, PAIn 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. 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.
Regulatory Implementation and Assurance Analyst - Audit Oversight Highmark IncRegulatory Implementation and Assurance Analyst - Audit OversightPittsburgh, PAJOB SUMMARY This job is responsible for supporting the work of the department projects and initiatives related to the regulatory intake implementation and assurance activities of Highmark Health in support of a broad range of frameworks and oversight bodies including NIST, HITRUST, PCI, HIPAA, SOC, MAR, CMS, JCAHO, NCQA, the BCBSA, etc. The incumbent will partner with the Senior Analyst and Lead analyst to support their work with the organizational risk and business partners, the technology organization, and global delivery teams to meet Highmark Healths mission requirements in a manner consistent with the enterprise risk appetite.
Patient Access Coordinator II / ED - Full Time - Rotational - West Penn Highmark IncPatient Access Coordinator II / ED - Full Time - Rotational - West PennPittsburgh, PAConducts scheduling, registration, and admitting functions independently at bedside, validates patient demographic data, identifies and verifies insurance information through payor contacts via telephone, online resources or electronic verification systems utilizing accurate plan code and COB order. 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.
Social Work Case Manager - Casual - Overnight - Forbes Emergency Department Highmark IncSocial Work Case Manager - Casual - Overnight - Forbes Emergency DepartmentMonroeville, PAProvides crisis interventions in cases involving Child Abuse and Neglect, Domestic Violence, Adult and Older Adult Abuse, Institutional Abuse Sexual Assault, Mental Health Disorders, Substance Use Disorders, and Identification of a Surrogate Decision Maker/Guardianship. Collaborates to provide the safest transition plan for assigned patients (Inpatient/Observation/ED) to ensure a timely discharge and provide appropriate connection with post-discharge care providers and community-based resources.
Systems Engineer Carnegie RoboticsSystems EngineerPittsburgh, PAOur work is on display in industries including autonomous ground vehicles, autonomous and self-docking boats, logistics, industrial inspection, advanced digital cameras, precision GNSS-INS positioning, mining, ruggedized wearable computers, and minesweeping. Generate and maintain schedule, testing, and documentation tracking tools to help the team prioritize tasks, perform technical trades, and make decisions based on performance impacts, technical risks, and cost implications.
Business Experience Plan Expert PNC BankBusiness Experience Plan ExpertPittsburgh, PennsylvaniaIn addition, PNC generally provides the following paid time off, depending on your eligibility: maternity and/or parental leave; up to 11 paid holidays each year; 9 occasional absence days each year, unless otherwise required by law; between 15 to 25 vacation days each year, depending on career level; and years of service. This position is subject to the requirements of Section 19 of the Federal Deposit Insurance Act (FDIA) and, for any registered role, the Secure and Fair Enforcement for Mortgage Licensing Act of 2008 (SAFE Act) and/or the Financial Industry Regulatory Authority (FINRA), which prohibit the hiring of individuals with certain criminal history.
NewSenior Water Resources Engineer WSP Global IncSenior Water Resources EngineerPittsburgh, PAWell‑developed knowledge of dam safety and hydraulic infrastructure engineering, including flood hydrology, spillway hydraulics, dam breach analysis, floodplain delineation, risk analysis and watershed‑scale hydrologic modeling. The ideal candidate is an experienced engineer who enjoys balancing technical excellence, project delivery, client engagement, and team leadership while remaining actively involved in solving complex water resources challenges.
Social Work Case Manager - Inpatient - AGH Highmark IncSocial Work Case Manager - Inpatient - AGHPittsburgh, PAProvides crisis interventions in cases involving Child Abuse and Neglect, Domestic Violence, Adult and Older Adult Abuse, Institutional Abuse Sexual Assault, Mental Health Disorders, Substance Use Disorders, and Identification of a Surrogate Decision Maker/Guardianship. Collaborates to provide the safest transition plan for assigned patients (Inpatient/Observation/ED) to ensure a timely discharge and provide appropriate connection with post-discharge care providers and community-based resources.
Senior Manager, Quality Assurance (Clinton, PA) Haemonetics CorpSenior Manager, Quality Assurance (Clinton, PA)Clinton, PA$124,300–$211,700 / yearThis person is responsible for effective implementation and maintenance of Quality Systems and compliance programs in accordance with MDD 93/42/EEC, ISO 13485, CMDR, and applicable QSRs (21 CFR 820, 210, 211) for a specific plant or business unit. The role collaborates with teams responsible for CAPA, Complaints, Environmental Programs, Sterilization, Management Review, Change Control, Design Review, and manufacturing support to drive quality performance and continuous improvement.
Alternative Delivery Integration Manager (AD-IM) S&B USAAlternative Delivery Integration Manager (AD-IM)Pittsburgh, PAS&B USA Construction is a family of diversified heavy-civil and industrial construction companies with a primary focus on Alternative Delivery procurement projects such as Design-Build, Progressive Design-Build, Construction Manager/General Contractor (CM/GC), Construction management at risk (CMAR) and Public-private partnerships (P3). Effective communication Work in a multidisciplinary environment, actively communicating with the rest of SBC, the joint venture teams, S&B estimating and construction teams, and its other members to identify needs and evaluate alternative solutions.
Task Force Security Manager Pyramid Hotel GroupTask Force Security ManagerPittsburgh, PAWhether you are just starting out in the hospitality industry or are a seasoned professional, Pyramid Global Hospitality offers a supportive and collaborative work environment that encourages growth and fosters success, in over 230 properties worldwide. They will be a strong communicator, problem solver, and decision-maker who leads by example, remains calm under pressure, and responds professionally and effectively to security incidents and guest concerns.
National Account Manager (Grocery) Cirkul, IncNational Account Manager (Grocery)United$115,000–$135,000 / yearIt's a new way to hydrate—so much so that 96% of customers say they drink more water with Cirkul!* With over 150 flavor options available without sugar or calories, Cirkul provides customers with a fully customizable, reusable water bottle and cartridge system. You will act as the primary point of contact for assigned accounts, developing strategic plans, executing joint business planning, and collaborating cross-functionally to bring Cirkul's innovative hydration platform to more consumers nationwide.
Technology Engineer - SRC (Run the Bank/SRE) PNC BankTechnology Engineer - SRC (Run the Bank/SRE)Pittsburgh, PennsylvaniaIn addition, PNC generally provides the following paid time off, depending on your eligibility: maternity and/or parental leave; up to 11 paid holidays each year; 9 occasional absence days each year, unless otherwise required by law; between 15 to 25 vacation days each year, depending on career level; and years of service. PNC Employees take pride in our reputation and to continue building upon that we expect our employees to be: Customer Focused - Knowledgeable of the values and practices that align customer needs and satisfaction as primary considerations in all business decisions and able to leverage that information in creating customized customer solutions.
Senior Construction Management Representative Golden WolfSenior Construction Management RepresentativePittsburgh, PennsylvaniaOur people are our strength—we combine technical expertise, mission understanding, and operational excellence to deliver superior outcomes across the U.S. We take pride in improving operational effectiveness, resilience, and sustainability for complex facilities through informed strategy, innovative engineering, and exceptional performance. Or a combination of training (Relevant advanced training, professional registration, or certifications, including but not limited to Certified Construction Manager, Construction Quality Management, EIT, PE, RA, PMP, NICET, or similar credentials) and 5 years of experience as a Superintendent or similar position.
Client Service Account Manager MidCorp - Healthcare Payments - Vice President JPMorgan Chase Bank, N.A.Client Service Account Manager MidCorp - Healthcare Payments - Vice PresidentPittsburgh, PAFull timeMA $90,750.00 - $171,000.00 / year; NY $90,750.00 - $171,000.00 / year; IL $90,750.00 - $153,000.00 / year; Boston,MA $107,350.00 - $171,000.00 / year; Rochester,NY $90,750.00 - $143,000.00 / year; Chicago,IL $95,500.00 - $153,000.00 / year . JPMorganChase, one of the oldest financial institutions, offers innovative financial solutions to millions of consumers, small businesses and many of the world's most prominent corporate, institutional and government clients under the J.P.
Cyber Oracle Cloud Security - Consultant / Security Engineer II Deloitte Touche Tohmatsu LtdCyber Oracle Cloud Security - Consultant / Security Engineer IIPittsburgh, PA$82,600–$162,800 / yearIn this role, you will support Oracle Cloud security engagements focused on application security, governance, risk, and compliance across Enterprise Resource Planning (ERP), Human Capital Management (HCM), and Supply Chain Management (SCM) environments. Required: Bachelor of Arts or Bachelor of Science degree in Computer Science, Cyber Security, Information Security, Engineering, Information Technology, Management Information Systems, Finance, Accounting and Technology, or Business.
Construction Manager- Data Centers E Tech GroupConstruction Manager- Data CentersPittsburgh, PAWe'reone of the largest engineering and system integration firms in the United States providing value for our clientsthrough IT automation and control solutions for more than 30 years to the Life Sciences, Mission Critical, Metals& Mining, Warehousing & Distribution, and CPG/Food & Beverage industries. You will report to the lead PM of a given project, working transparently to ensure any issues with the installation portion of the project are addressed in a timely manner and that proactive measures are taken to ensure deadlines and scope expectations are met and exceeded.
Senior Technology Project Manager Reed Smith USSenior Technology Project ManagerPittsburgh, PennsylvaniaFull timeThis role serves as a trusted partner to executive sponsors, technology leadership, business stakeholders, technical teams, and external partners to translate business and technical needs into actionable delivery plans and support stakeholder alignment, informed decision-making, change readiness, adoption and business outcomes. Serve as a project-level escalation point and provide senior project management support for assigned at-risk, business-led, transitioning, or underperforming projects and programs, including recovery planning, stakeholder alignment, resource constraints, and complex delivery challenges.
NewProject Manager, Senior Naval Nuclear LaboratoryProject Manager, SeniorWest Mifflin, PA$86,100–$134,600 / yearNaval Nuclear Laboratory personnel are FMP employees who work at four DOE facilities: Bettis Atomic Power Laboratory, Knolls Atomic Power Laboratory, Kenneth A. Kesselring Site, and Naval Reactors Facility, and at the U.S. Department of Defense-owned Nuclear Power Training Unit-Charleston. For nearly 70 years, the Naval Nuclear Laboratory has developed advanced nuclear propulsion technology, provided technical support, and trained world-class nuclear operators to ensure the safe and reliable operation of our nation's submarine and aircraft carrier Fleets.