MILITARY VETERANS **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** Support leadership of Highmark, or its affiliates with a range of strategy activities essential to Highmark's membership and margin goals. Strategy Analysts provide analytical/strategic-thinking and leadership support that enables project teams to: 1) isolate business issues; 2) help design and execute analytics for studying business issues (market research, scenario planning, forecasting, market share, profitability, etc.); 3) develop technical content (competitive intelligence, market trend analysis); 4) support development of formal recommendations to senior levels of Highmark leadership; 5) help create document components (go-to-market or operational strategies, etc.) that inform critical strategic issues and decisions. **ESSENTIAL RESPONSIBILITIES** + Work with business/ market owners to identify key business issues, articulate problem, apply right analytical framework, develop...

MILITARY VETERANS **Company :** Highmark Wholecare **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to assure appropriate resource utilization, identification of opportunities for referral to a Health Coach/case management, and identification and resolution of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members on a proactive basis; and analyzes qualitative and quantitative data in developing strategies to improve provider performance/satisfaction and member satisfaction. Responds to customer inquiries and offers interventions and/or alternatives. **ESSENTIAL RESPONSIBILITIES** + Implement care management review processes that are consistent with established industry and corporate standards and are within the care managers professional discipline. Effectively function in accordance...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm) OptumInsight Market Performance Partnerships (MPP) provide health systems the opportunity to utilize a unique partnership model to help accelerate growth and performance. The Revenue Cycle (RC) Director at Optum is responsible and accountable for all aspects of client focused Revenue Cycle Delivery for MPP partner health system organizations, including, but not limited to driving delivery and execution against Key...

Remote Work From Home Administrative Assistant - Entry Level Online Data Entry Clerk / Work From Home (Remote) - Customer Service Administrative Job (Remote) We are seeking individuals to be connected with companies who are hiring employees directly to work from their homes. You will find both full-time and part-time remote opportunities in a variety of career fields. Legitimate Data Entry Job (Remote) Work From Home Data Entry Clerk (Work At Home) are going to require that you have skills relevant to the position you’re applying for. Training is provided based on the position. Job Requirements Computer with internet access Quiet work area away from distractions Must be able to work independently and get the job done Ability to read, understand, and follow oral and written instructions. Data entry or administrative assistant experience is not needed but can be a bonus Job Requirements: You must apply on our website only. Our paid...

Job Title: QA Architect Job Type: Full-time, Permanent Location: Remote (EST candidates only) ***Sponsorship / C2C not available at this time*** Summary We are a DevOps focused software developer, reseller and consulting firm whose goal is to help companies streamline and optimize their DevOps pipelines, increasing efficiency and quality while reducing the risk of software failure. For more than 15 years, we have been a software quality leader, helping organizations achieve excellence with market-leading test management, test automation, enterprise testing, environment hosting, and mobile testing technologies. In 2017, we launched a new division - Advanced Technology Solutions (ATS) - which is a vanguard of our efforts to help clients optimize their DevOps transformation. We represent companies with software offerings across the entire software delivery spectrum, from data analytics and visualization services to continuous delivery and open source tooling. We have...

Job Profile Position Overview At PNC, our people are our greatest differentiator and competitive advantage in the markets we serve. We are all united in delivering the best experience for our customers. We work together each day to foster an inclusive workplace culture where all of our employees feel respected, valued and have an opportunity to contribute to the company’s success. This is a remote position and can sit anywhere within the PNC footprint, except for Colorado, Hawaii or Alaska. There is limited expectation for regular in person, in office activities. This position is part of PNC's C&IB Technology organization department. As a Software Developer Lead - Java, you will be responsible for the following: -Providing detailed technical design and development of software solutions using existing and emerging technology platforms. -Proposing & designs software solutions to...

Job Profile Position Overview At PNC, our people are our greatest differentiator and competitive advantage in the markets we serve. We are all united in delivering the best experience for our customers. The Technology Specialist will serve in a Middle Ware support role performing changes, break fixes, vulnerability management, automation, etc utilizing ServiceNow ticketing system. Experience in a Linux environment is required. Experience supporting Apache, WebSphere, Tomcat is a plus. Experience in Bash, PHP and Ansible also plus. This position will be based in Pittsburgh, Cleveland or remote. This is a second shift position so flexibility to work evenings is needed Job Description Administers, executes processes/procedures and addresses issues for products and services supported in Technology Infrastructure. May support analysis and report generation, exception...

Job Profile Position Overview At PNC, our people are our greatest differentiator and competitive advantage in the markets we serve. We are all united in delivering the best experience for our customers. We work together each day to foster an inclusive workplace culture where all our employees feel respected, valued and have an opportunity to contribute to the company’s success. As a Software Architect Sr. within PNC's C&IB Technology organization, this is a remote position and can sit anywhere within the PNC footprint, except for Colorado, Hawaii or Alaska. There is limited expectation for regular in person, in office activities. Your responsibilities will cross the industry disciplines of solution, application, data, integration, and business. You will be required to interact with technology teams to deliver innovative solutions built on our next generation architectures. You...

Job Profile Position Overview At PNC, our people are our greatest differentiator and competitive advantage in the markets we serve. We are all united in delivering the best experience for our customers. We work together each day to foster an inclusive workplace culture where all of our employees feel respected, valued and have an opportunity to contribute to the company’s success. As a Business Analysis Specialist Sr. - IT- within PNC's Corporate & Institutional Banking -Treasury Management Organization, you will be based remotely within the PNC Footprint except for (Colorado, Hawaii, Alaska). Qualifications: • Bachelor’s degree in Business or 2+ years of relevant professional experience • Payments working experience (Wire Transfer, SWIFT, CHIPS, Real-Time Payments, and ePayments) • Agile experience is preferred including story writing of business requirements and or...

Job Profile Position Overview At PNC, our people are our greatest differentiator and competitive advantage in the markets we serve. We are all united in delivering the best experience for our customers. We work together each day to foster an inclusive workplace culture where all our employees feel respected, valued and have an opportunity to contribute to the company’s success. As a Software Developer within PNC’s Corporate and Institutional technology organization, this is a remote position and can sit anywhere within the PNC footprint, except for Colorado, Hawaii or Alaska. There is limited expectation for regular in person, in office activities. In this role you will be responsible for basic support of current automation running, and the development of Infrastructure as Code (IaC) and Configuration as Code (CaC) automation. The team rotates an on-call support that this candidate...