Jobs at Highmark Health

The Functional Product Analyst supports product management lifecycle, focusing on provider data exchange, capturing requirements, and ensuring quality delivery while collaborating with stakeholders.

Delivers nursing care in preoperative, intraoperative, and postoperative settings, assisting with surgical tasks and managing patient care.

Perform CT and radiographic imaging independently: position patients, acquire and analyze images, administer contrast when ordered, monitor patient status, perform equipment setup and quality control, troubleshoot malfunctions, and document/ transmit scan results.

The Sales Executive identifies prospects and clients to sell core and supplemental products, actively seeking new business while nurturing relationships with brokers and consultants. They manage product sales in a specified territory and develop effective strategies for account acquisitions and closing sales, adapting to customer needs and market conditions.

Provide comprehensive critical care nursing in a 20-bed ICU: assess, plan, implement, and evaluate patient care; delegate and supervise staff; participate in interdisciplinary teams, quality and safety initiatives; mentor colleagues; maintain documentation and comply with HIPAA and hospital policies.

The role involves designing data management solutions, ensuring data quality, performing root-cause analysis, and improving data processes. Responsibilities include testing, documentation, and collaboration with customers to derive requirements.

Responsible for providing nursing care in a specialized telemetry observation unit, including patient assessment, treatment planning, and care management throughout hospitalization.

Lead a team in actuarial work, financial forecasting, and trend analytics to support Highmark's strategic direction and compliance in the healthcare industry.

This role involves actuarial analysis, statistical techniques for pricing, trends, and profitability analysis while developing queries and informing decisions efficiently.

Performs radiographic imaging procedures with independent judgment, positions patients, ensures image quality, prepares/administers contrast per scope, monitors patient status, operates and maintains imaging equipment, and documents/transmits scan results while following safety and privacy regulations.

Design and operate real-time and batch data pipelines (streaming telemetry and analytics) using Kafka, Cribl, ADX and Azure Data Factory. Ingest, model, and optimize high-volume data, apply medallion architecture, produce curated datasets and Power BI/Tableau dashboards, implement data governance and security, collaborate with stakeholders, and mentor junior engineers.

Designs, implements, maintains, and troubleshoots enterprise Identity and Access Management systems. Integrates IAM platforms, manages authentication/authorization, performs patching and monitoring, provides training and best-practice guidance, and supports compliance and incident resolution.

Lead enterprise data security architecture to protect sensitive data across its lifecycle. Define strategies for encryption, key management, tokenization, masking, DLP, classification, database security, and Zero Trust. Advise execs and engineering on secure design patterns for data platforms (e.g., Starburst), cloud/on-prem systems, APIs, data pipelines, and AI/ML workloads. Develop roadmaps, evaluate technologies, mentor staff, and drive secure-by-design adoption across the organization.

Lead and manage the information security and risk management function, overseeing staff, policies, projects, budgets, and security technology. Drive compliance with corporate and regulatory standards, deliver training and awareness, coordinate audits, and collaborate with stakeholders to implement security strategies and continuous process improvements.

Designs, implements, tests, and maintains enterprise IAM/SSO solutions. Troubleshoots authentication/authorization issues, integrates federation protocols (SAML/OAuth/SCIM), applies patches, trains stakeholders, and advises on IAM best practices and compliance.

Lead design and delivery of complex chat and voice conversational experiences combining NLU and generative LLMs. Define prompt templates, guardrails, RAG strategies, KPIs, and governance. Partner with product, engineering, and data science, mentor designers, and optimize live systems for safety, PHI protection, and performance.

Provides comprehensive critical care nursing for ICU patients: assesses, plans, implements and evaluates care, delegates tasks, mentors peers, participates in quality and safety initiatives, and maintains required certifications and clearances.

Lead design and delivery of multi-platform chat and voice conversational experiences blending traditional NLU and generative LLMs. Define prompt templates, guardrails, RAG strategies, KPIs, and tooling; collaborate with product, engineering, and data science; mentor designers and govern conversation design standards for clinical safety and privacy.

Perform membership enrollment and billing tasks including verifying and updating records, resolving billing and membership issues, processing accounts receivable and reconciliations, responding to member/client inquiries, producing membership/billing communications, and meeting service level metrics.

Design, prototype, and deliver multi-modal conversational chat and voice experiences using hybrid NLU and LLM systems. Create dialog interactions, prompts, personas, and fallback/error mitigation strategies. Partner with engineering and data teams, ensure PHI safeguards, analyze interaction data, and iterate on conversational product performance.