Jobs at Highmark Health

Leads data reporting and analytics initiatives by partnering with stakeholders, identifying business information needs, extracting and analyzing data, developing solutions, and presenting insights through clear reports, dashboards, and other communications. Provides guidance and training to less-experienced teammates, manages complex assignments, and monitors project accuracy and progress. Requires a bachelor's degree in a quantitative or information technology discipline and 7–10 years of data analytics or business intelligence experience.

Designs, develops, reviews, and maintains scalable, highly available software applications across digital channels. Responsibilities include creating technical specifications, writing maintainable code, evaluating architectural solutions, participating in Scrum ceremonies, managing user stories and tasks, monitoring development progress, and mentoring junior engineers. The role requires experience with Claude Code or Google Gemini, modern programming languages, web services, cloud platforms, and software architecture.

Processes patient and medical information release requests from internal and external parties, validates authorization, fulfills subpoenas and court orders, manages correspondence records, prepares documents for billing and audits, and ensures compliance with HIPAA, hospital policies, and applicable state and federal regulations.

Drives data collection, analysis, KPI reporting, dashboard development, forecasting, and executive presentations. Builds standardized reporting processes, improves data quality, investigates metric fluctuations, and translates business requirements into actionable insights. Collaborates with cross-functional teams, leadership, vendors, and partners to prioritize information needs, maintain data integrity, automate reporting, and communicate findings effectively.

Provides comprehensive registered nursing care in a labor, delivery, recovery, postpartum, and Level II NICU setting. Assesses patients and families, develops and evaluates care plans, administers and delegates care, collaborates with interdisciplinary teams, advocates for patients, promotes safety and quality initiatives, mentors colleagues, and supports patient-centered communication and satisfaction.

Provides outpatient pulmonary nursing care by assessing patients, developing and evaluating care plans, administering care, coordinating with interdisciplinary teams, supervising delegated staff, promoting safety and patient satisfaction, documenting changes, and supporting quality improvement and professional development.

Plans and delivers grief support sessions for children, families, and students; develops specialized programs; recruits, trains, and retains volunteers; leads outreach and education partnerships; assesses family needs and connects them with appropriate services. The role requires public speaking, community engagement, mental health expertise, and frequent evening or weekend availability.

Provides and coordinates professional nursing care for patients while supervising daily clinical and operational activities. Oversees quality measures, mentors and evaluates staff, coordinates care plans, supports staffing levels, and serves as a clinical nursing expert and role model for the mobile addiction team.

Leads program and project managers within a value stream, overseeing project assignments, delivery processes, budgets, risks, communications, schedules, and escalations. Partners with product leaders and stakeholders to resolve issues and improve delivery outcomes. Manages team hiring, coaching, performance, and development while supporting agile product and project delivery, data transformation initiatives, change controls, lessons learned, and project documentation.

Audits medical, dental, vision, FSA, and HRA claims for accuracy, compliance, and timely processing. Reviews plan documents, regulations, coding, and complex claims; records audit results; coaches claims staff; supports training, specialized audits, refund and payment processes, system testing, and workflow monitoring. Provides recommendations and guidance to claims teams while maintaining quality and production standards.

Leads complex data and reporting solutions across the product lifecycle. Partners with customers, engineers, architects, vendors, and project teams to gather requirements, build datasets, reports, and dashboards, analyze business problems, manage testing, resolve defects, assess risks, and deliver improvements. Provides subject matter expertise, strategic direction, customer communication, cost-benefit analysis, compliance oversight, and mentorship to data analysts.

Provides nursing care to critically ill neurological patients in a specialized Neuro ICU. Responsibilities include clinical assessment, care planning, safe patient care, team direction, multidisciplinary collaboration, and patient and family education. Requires Pennsylvania RN or enhanced Nurse Licensure Compact licensure, CPR certification, and state and FBI background clearances.

Provides pre-award grants and contracts administration for Principal Investigators, including funding opportunity assessment, proposal submission, budget preparation, financial planning, award negotiation, subagreement and legal document drafting, and liaison work with investigators, accounting, management, and external organizations. Supports annual budgeting and prepares management reports while ensuring compliance with applicable federal regulations, policies, confidentiality requirements, and organizational procedures.

Provides nonclinical support in a hospital imaging department by transporting and identifying patients, assisting technologists with procedure preparation, completing discharge and room cleanup, restocking supplies, managing inventory, handling imaging reports, entering electronic medical record data, and performing other departmental duties.

Implements and maintains enterprise compliance and risk programs for assigned healthcare entities. Advises business leaders, conducts risk assessments, audits, investigations, and privacy reviews, and oversees regulatory reporting, training, policies, corrective actions, and risk treatment plans. Serves as the primary liaison for internal stakeholders, legal counsel, regulators, and risk committees while monitoring compliance with federal and state laws, managed care requirements, HIPAA, privacy standards, and information security expectations.

Provides safe, effective, and cost-conscious pharmaceutical care in a hospital setting. Reviews and dispenses prescriptions, compounds medications, monitors drug therapies, provides drug information, and intervenes to prevent medication-related problems. Supervises and trains pharmacy technicians, students, and support staff; manages inventory and controlled substances; supports regulatory compliance, department operations, and patient safety. Night pharmacists may triage pharmacy activities and resolve medication-related technology and operational issues.

Performs radiographic imaging procedures, positions and educates patients, reviews orders and histories, administers contrast media when ordered, monitors patient condition, evaluates image quality, selects exposure parameters, maintains equipment, follows imaging safety standards, and troubleshoots malfunctions. Requires an associate degree or equivalent experience, ARRT radiography certification within six months, CPR certification, and Pennsylvania background and child-abuse clearances.

Performs HCC and medical coding for Medicare Advantage, ACA, and ESRD risk-adjustment programs. Reviews medical records, interprets documentation into ICD-10 diagnoses and HCC categories, supports RADV audits, analyzes coding trends, and identifies documentation improvements. Develops training materials, mentors coders, educates providers, presents coding guidance, supports vendor quality reviews, and manages process-improvement projects while complying with CMS and company guidelines.

Performs HCC and medical coding for Medicare Advantage, ACA, and ESRD risk-adjustment programs. Reviews medical records, interprets documentation into ICD-10 diagnoses and HCC categories, supports RADV audits, analyzes provider coding trends, and identifies documentation improvements. Develops and delivers coding training, mentors coworkers, presents findings to providers, supports vendor quality reviews, and manages assigned projects while maintaining CMS compliance, productivity, and accuracy standards.

Provides outpatient pediatric nursing care by assessing patients and families, developing and implementing care plans, evaluating outcomes, administering delegated responsibilities, coordinating with interdisciplinary teams, promoting safety and quality initiatives, educating and supporting families, documenting changes, and advocating for patient-centered care. The RN also mentors peers, supervises LPNs as appropriate, addresses concerns, and maintains professional licensure, certifications, and compliance requirements.