Jobs at Highmark Health

Lead implementation and operational support for HashiCorp Vault-based secrets management and PKI solutions. Design, automate, and troubleshoot integrations across enterprise and public cloud environments (AWS/GCP/Azure). Collaborate with cross-functional teams, document processes, mentor junior engineers, and ensure secure, scalable, and compliant application onboarding and ongoing operations.

Join an agile scrum team to write, execute, analyze, and automate tests across digital channels. Create test plans, test cases, and results that adhere to SOC2; acquire and manage test data; participate in CI/CD improvements and code reviews. Mentor junior testers, coordinate releases, and perform manual and automated testing using Java, Selenium, and Appium. Engage in full SDLC activities from requirements to release.

Lead business systems analyst supporting specific applications: capture requirements, drive solutions, manage testing, produce complex ad-hoc reports, ensure compliance (e.g., SOC 2/HIPAA), mentor junior staff, and participate across the full project lifecycle to improve processes and system functionality.

Support Enterprise Transformation project teams by gathering and analyzing qualitative and quantitative data, testing hypotheses, building presentations and reports, facilitating workshops, and presenting findings. Own deliverables end-to-end, collaborate with clients and internal teams, and contribute to continuous improvement and learning initiatives while providing excellent client service.

Work with customers, engineers, and architects to gather and translate business needs into detailed requirements, support Agile scrum teams, create test cases, perform data analysis and root-cause investigations, provide production support, and ensure quality delivery and compliance. Mentor junior staff and troubleshoot production issues, often working nonstandard hours.

Design, develop, and maintain scalable, highly available software across digital channels. Participate in agile ceremonies, write and review code, monitor production, perform root-cause analysis and debugging, mentor junior engineers, and drive story creation and delivery.

Lead strategy, roadmap, and backlog for multiple digital products; prioritize initiatives, define KPIs, collaborate with design, development, and analytics, manage stakeholders and vendor evaluations, and drive AI-enabled product solutions to improve customer and clinician experiences.

Manage application software development for IT projects, lead and mentor teams, communicate with stakeholders, consult with clients, drive process improvements, oversee budgeting, compliance, and resource planning to deliver Epic ancillary solutions and ensure operational excellence.

Support data and reporting needs by gathering specifications, creating data sets, operational reports, and dashboards. Collaborate with teams to translate business needs into requirements, test deliverables, analyze data for issues and opportunities, manage defects, and ensure quality and compliance throughout the data delivery lifecycle.

Lead design, delivery, and administration of commercial and government insurance products. Drive multi-year product roadmap, cross-functional implementations, regulatory filings, performance management, portfolio simplification, and sales support while ensuring on-time, on-budget delivery and compliance.

Support and learn to implement and operate mainframe storage hardware and software. Assist with day-to-day storage operations, production monitoring, incident/change management, documentation, and on-call rotation. Collaborate with stakeholders and architecture, perform technical analysis, and follow standards and processes to deliver reliable enterprise storage solutions.

Perform HCC and ICD-10 coding for Medicare Advantage, ACA, and ESRD risk adjustment projects. Review physician documentation, support RADV and regulatory audits, and collaborate with providers and internal partners to improve documentation, coding accuracy, and processes. Participate in education and project work to meet productivity and CMS compliance.

Perform HCC and ICD-10 coding for Medicare Advantage, ACA, and ESRD projects; support RADV audits, review physician documentation, ensure CMS guideline compliance, contribute to provider education, documentation improvement, and process enhancements. Work collaboratively with clinicians, quality, compliance, and leadership to meet accuracy and productivity targets.

Lead and manage finance cloud application support for Oracle ERP suite (Finance, Supply Chain, PPM) including day-to-day operations, upgrades, vendor management, team leadership (onshore/offshore), and strategic implementations to ensure system performance and data integrity.

Lead financial analysis, develop and maintain financial models, forecasts, and databases; conduct and document financial studies; present findings and recommendations to management; coordinate cross-departmental projects and lead special finance projects from data gathering through reporting.

The Manager Decision Support Analytics oversees department operations, manages data analysis projects, and aligns reporting with clinical goals. This role includes developing dashboards and maintaining data integrity while leading a team in a healthcare environment.

Design, implement, and support cloud-based technical solutions across the organization. Collaborate with IT, product, analytics, and business teams to gather requirements, build automated cloud solutions, monitor production, document processes, and ensure alignment with architecture, security, and governance standards. Stay current with cloud offerings and assist in technical decision-making.

Lead and manage an actuarial team to develop pricing, rate filings, and reserving; collaborate with underwriting, product, and sales on rating strategies; analyze trends and ensure financial viability of products; oversee actuarial policies, hiring, performance, and technical guidance.

Configure, roll out, and support revenue cycle applications (primarily Epic). Perform business/systems analysis, requirements definition, testing, troubleshooting, and stakeholder communication to optimize revenue cycle workflows and drive continuous improvement.

Conduct and manage investigations into suspected provider, member, facility, pharmacy, group, or employee fraud, waste, and abuse. Develop and maintain the anti-fraud program, deliver training, perform audits and field investigations, coordinate with law enforcement and internal committees, and support recovery of improper payments. Prepare reports, refer cases as needed, and ensure regulatory compliance.