Security Project Specialist 1 Convergint CareerSecurity Project Specialist 1Canonsburg, PennsylvaniaRemoteExecutes many of the technical aspects of multiple projects with varying timelines and budgets including, programming, graphics development, start-up, certification testing, customer training, close-out documentation, and on-going technical support etc. Installs, programs, test, repairs, and services a variety of systems and equipment which may include security, fire alarm & life safety, and/or building automation with guidance as needed.
Engineering Supervisor Physical Electrical - Substation Services - REMOTE WORK Orbital Engineering IncEngineering Supervisor Physical Electrical - Substation Services - REMOTE WORKPittsburgh, PARemote$140,000–$180,000 / yearOur regional offices, hands-on mentality, and world-wide integrated teams provide an ability to leverage subject matter experts and industry best-practices wherever a project may lie geographically. Benefits: A commitment to excellence and hard work will be rewarded with a competitive salary, career advancement opportunities, and a comprehensive benefits package designed to support your health, financial security, and work-life balance.
Joint Use Department Manager - REMOTE WORK Orbital Engineering IncJoint Use Department Manager - REMOTE WORKPittsburgh, PARemote$120,000–$150,000 / yearThe Joint Use Department Manager will report to the Joint Use Senior Manager and be responsible for overall internal development and management including recruiting, strategic business planning, financial management, client growth, design innovation strategies, training, mentoring, quality, and safety. The ideal candidate will be a high performing, critical thinking, analytical, and experienced self-starter with excellent leadership skills, written and oral communication skills, customer service skills, and the ability to establish and maintain cooperative and effective working relationships with others.
Senior Substation Protection & Control Engineer - REMOTE WORK Orbital Engineering IncSenior Substation Protection & Control Engineer - REMOTE WORKPittsburgh, PARemote$97,000–$192,000 / yearOur regional offices, hands-on mentality, and world-wide integrated teams provide an ability to leverage subject matter experts and industry best-practices wherever a project may lie geographically. The candidate will prepare, provide guidance, or assist in preparing and developing the engineering deliverables for electric substation projects for utility customers.
Pharmacy Benefit Consultant - Remote/Hybrid Highmark IncPharmacy Benefit Consultant - Remote/HybridPARemoteDynamic and results-oriented Pharmacy Benefit Consultant, serving as the client-facing expert, driving growth and retention of Highmark's self-funded clients while ensuring seamless delivery of exceptional pharmacy benefit solutions. 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.
Complex Case Manager RN - Remote Highmark IncComplex Case Manager RN - RemotePARemoteThe incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to coordinate care, and identifying various resources to assist members in achieving their personal health goals. For assigned case load, create care plans to address members identified needs, remove barriers to care, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals and plan of regular contacts for re-assessment.
Complex Case Manager RN (Remote) Highmark IncComplex Case Manager RN (Remote)PARemoteThe incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to coordinate care, and identifying various resources to assist members in achieving their personal health goals. For assigned case load, create care plans to address members' identified needs, remove barriers to care, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals and plan of regular contacts for re-assessment.
Complex Case Manager RN - (Remote) Highmark IncComplex Case Manager RN - (Remote)PARemoteThe incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to coordinate care, and identifying various resources to assist members in achieving their personal health goals. For assigned case load, create care plans to address members' identified needs, remove barriers to care, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals and plan of regular contacts for re-assessment.
Complex Case Manager RN - Oncology (Remote) Highmark IncComplex Case Manager RN - Oncology (Remote)PARemoteThe incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to coordinate care, and identifying various resources to assist members in achieving their personal health goals. For assigned case load, create care plans to address members' identified needs, remove barriers to care, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals and plan of regular contacts for re-assessment.
Lead Hierarchical Condition Category (HCC) Coding Specialist (Remote) Highmark IncLead Hierarchical Condition Category (HCC) Coding Specialist (Remote)PARemoteApplies extensive clinical and coding knowledge and abilities, independently conducts coding research, aligns all aspects of audit, including coding adjudication and rebuttals with audit vendor, obtains provider attestations, identifies & obtains missing medical records, compares audit results to claims, and thoroughly reviews all in-house charts in chart repository for validation of audit. Completes analytics on providers and/or provider group coding trends and creates and delivers externally facing presentations to provider documentation and accuracy, act as the point person for the provider office for any questions and additional trainings, as needed.
VP Finance Technology & Integration Highmark IncVP Finance Technology & IntegrationPARemoteThe Vice President of Finance Technology and Integration will be be a critical member of the finance leadership team responsible for defining and executing the enterprise"s 5-year finance IT strategy and leading all finance-related integration activities for affiliations. Partner with IT, business leaders, and business unit finance to translate business needs into technology solutions and create a roadmap for the evolution of our finance systems, including ERP, financial planning & analysis (FP&A), and reporting platforms.
Complex Case Manager RN - Specialty Pediatrics (Remote) Highmark IncComplex Case Manager RN - Specialty Pediatrics (Remote)PARemoteThe incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to coordinate care, and identifying various resources to assist members in achieving their personal health goals. For assigned case load, create care plans to address members' identified needs, remove barriers to care, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals and plan of regular contacts for re-assessment.
Senior CRM Strategist Highmark IncSenior CRM StrategistPARemoteKey responsibilities include developing end-to-end strategies that will help with managing relationships with clinical partners, identifying C2V savings, overseeing wellness programs, addressing diagnosis and care gaps, and promoting member health through education and preventative steps. Campaign & Channel Support: Support the execution of marketing campaigns (e.g., email, direct mail, mobile app, etc.) using CRM tools, targeting specific cohorts with relevant messaging.
VP Reserving Forecasting & Trend Analytics Highmark IncVP Reserving Forecasting & Trend AnalyticsWorking at Home, PARemoteStrategic Actuarial & Financial Leadership: Serve as a trusted advisor to Senior Management and cross-functional teams, proactively identifying opportunities and advocating for strategic and tactical changes and best practices that align with Highmark"s enterprise-wide goals. Advanced Trend Analytics & Insights: Lead and empower the Trend Analytics team to identify, analyze, and interpret key trend drivers, developing early indicators that inform medical economics strategies and support proactive intervention.
Coder - Inpatient (CCS/CIC REQUIRED), Remote, Sign on Bonus Eligible Highmark IncCoder - Inpatient (CCS/CIC REQUIRED), Remote, Sign on Bonus EligibleWorking at Home, PARemoteIn 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. GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days.
Senior Pharmacist - Strategy Highmark IncSenior Pharmacist - StrategyWorking at Home, PARemoteThe incumbent develops and implements physician, pharmacy, account, and member educational initiatives that promote the organization's formularies, utilization management programs, and participates on cross-functional committees to develop and implement clinical and operational initiatives, working in close collaboration with matrix partners and stakeholders across the organization. The incumbent may write drug monographs for committee review; develop and implement the organization"s management programs including but not limited to: prior authorization, dose and duration edits, quantity limits, step-care edits, generic sampling, pharmacy policy review and development and/or review of member specific information to improve individual outcomes.
Manager Provider Communications Highmark IncManager Provider CommunicationsPARemoteIn 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. Provider Engagement & Communication Strategy: Develop and execute the provider communication roadmap, encompassing traditional and digital strategies to increase engagement, adoption, and support of organizational initiatives.
Associate Recruiter Highmark IncAssociate RecruiterWorking at Home, PARemoteEmploy a variety of candidate sourcing methods to build robust talent pipelines and maintain a talent pool of both active and passive candidates for key functional areas. Will use technology to streamline and enhance the entire recruitment process - leveraging the applicant tracking systems (ATS), AI-powered tools, video interviewing, and online assessments to help automate tasks and evaluate candidate selection.
Sales Leader- Pittsburgh Northeast Sales Territory State FarmSales Leader- Pittsburgh Northeast Sales TerritoryPittsburgh, PARemote$200,000–$310,000 / yearThis 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!