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Highmark Health Careers 38 Jobs in Nashville, TN

  • Project Manager

    Highmark Health - Nashville, Tennessee
    ... the constraint of scope, quality, time and budget. Includes the management of a group of internal ... manager role and/or in a project leadership role Preferred Health Care Insurance ...
  • Claims Processor

    Highmark Health - Nashville, Tennessee
    ... responsible for screening, reviewing, evaluating online entry, correcting errors and/or performing quality ... . Meets all production and quality standards, ensuring timeliness and accuracy of all work given by ...
  • Complex Case Manager RN - Oncology (Remote)

    Highmark Health - Nashville, Tennessee
    ... maintains quality outcomes (clinical, financial and functional) for the specified panel of members ...
  • Complex Case Manager RN - Oncology (Remote)

    Highmark Health - Nashville, Tennessee
    ... maintains quality outcomes (clinical, financial and functional) for the specified panel of members ...
  • Application Developer – Salesforce Marketing Cloud

    Highmark Health - Nashville, Tennessee
    ... requirements that drive the analysis and design of quality technical solutions. Concentrates on providing ... project roles, including, but not limited to, Developer, Technical Lead and Project Manager, based upon ...
  • Senior Application Developer

    Highmark Health - Nashville, Tennessee
    ... availability, performance and quality levels required by their customers. May mentor less experienced team ... understand business requirements that drive the analysis and design of quality technical solutions ...
  • Care Manager RN

    Highmark Health - Nashville, Tennessee
    ... opportunities for referral to a Health Coach/case management, and identification and resolution of quality ... manager’s professional discipline. Function in accordance with applicable state, federal laws and ...
  • Healthcare .NET Senior Application Developer

    Highmark Health - Nashville, Tennessee
    ... levels, system availability, performance and quality levels required by their customers. May mentor less ... members to understand business requirements that drive the analysis and design of quality technical ...
  • Finance Transformation Project Manager

    Highmark Health - Nashville, Tennessee
    ... of scope, quality, time and budget. Includes the management of a group of internal exempt and/or ... position will require the skillset of an experienced project manager who has successfully delivered large ...
  • Team Manager Oracle Cloud Performance Analytics

    Highmark Health - Nashville, Tennessee
    ... other strategies that optimize statistical efficiency and data quality. Develop work plans to meet ...
  • Business Systems Consultant

    Highmark Health - Nashville, Tennessee
    ... quality delivery. Identifies, documents, and resolves risks, defects and issues. Analyzes market trends ... capability needs and drive quality business solutions. Create and maintain deliverables such as business ...
  • Senior Project Manager

    Highmark Health - Nashville, Tennessee
    ... of scope, quality, time and budget. Includes the management of a group of internal exempt and/or ... ** Required 4 years of experience in a project manager role Preferred PMP ...
  • Senior Project Manager

    Highmark Health - Nashville, Tennessee
    ... of scope, quality, time and budget. Includes the management of a group of internal exempt and/or ... ** Required 4 years of experience in a project manager role Preferred PMP ...
  • Application Developer

    Highmark Health - Nashville, Tennessee
    ... the service levels, system availability, performance and quality levels required by their customers ... quality technical solutions. Concentrates on providing innovative solutions to business needs ...
  • Associate Claims Processor

    Highmark Health - Nashville, Tennessee
    ... responsible for screening, reviewing, evaluating online entry, correcting errors and/or performing quality ... supervision, as appropriate. (35%) Meets all production and quality standards, ensuring timeliness and ...
  • Sr Architect – Salesforce Data Cloud

    Highmark Health - Nashville, Tennessee
    ... complex major design options. Ensure that the system architecture balances functional, service quality and ... quality and appropriateness of the work performed and the realization of measurable business benefits ...
  • RN Registered Nurse - AHN Home Infusion - Pittsburgh and Surrounding Areas (TRAVEL)

    Highmark Health - Nashville, Tennessee
    ... actions as a licensed nurse and is accountable to patients for the quality of care delivered ... other health care team members and the Operations Manager pursuant to the Allegheny Health Network ...
  • Senior IT Project Manager

    Highmark Health - Nashville, Tennessee
    ... time, on budget and with a consistently high standard of quality. Collaborate with all project ...
  • Director Provider Quality Outcomes

    Highmark Health - Nashville, Tennessee
    ... , locations and departments to improve Stars and/or Quality Rating outcomes for Medicare Advantage across ... , implement and execute, the Provider STARs quality strategy, support/develop technology and data strategies ...
  • Senior Functional Product Analyst

    Highmark Health - Nashville, Tennessee
    ... delivery partners to verify and govern delivery of customer needs, and ensure on-time, quality delivery ... drive quality business solutions. Create and maintain deliverables such as business vision, business ...
  • Functional Product Analyst

    Highmark Health - Nashville, Tennessee
    ... and govern delivery of customer needs, and ensure on-time, quality delivery. The incumbent identifies ... drive quality business solutions. Create and maintain deliverables such as business vision, business ...
  • Senior Analytic Data Analyst

    Highmark Health - Nashville, Tennessee
    ... data anomalies, monitors data management metrics and data loads. Working with data quality teams ensure ... quality standards Drive functional efforts for programs across specific projects, including guidance ...
  • Director, Digital Planning & Operations (AHN)

    Highmark Health - Nashville, Tennessee
    ... project governance, risk, quality, resource allocation, and value delivery while leading a team and ... streamlining processes to increase productivity, reduce costs, and enhance quality. The incumbent is ...
  • Senior HRIS Analyst

    Highmark Health - Nashville, Tennessee
    ... ensure business processes execute as planned. Deploy application changes in a timely & quality manner ...
  • Data Reporting Analyst

    Highmark Health - Nashville, Tennessee
    ... that optimize statistical efficiency and data quality. Ensure consistency and accuracy of ... , and that consistency is maintained for team. Ensure the correct first time /quality review processes ...
  • Senior Data Analyst

    Highmark Health - Nashville, Tennessee
    ... solutions. Provides business process, system support and data quality governance through data coordination ... evaluates data management metrics. Recommends ways to strengthen data integrity, quality and availability ...
  • Epic Payer Platform Architect

    Highmark Health - Nashville, Tennessee
    ... balances functional, service quality and systems management requirements. Uses appropriate tools, including ... , and leads significant improvement programs, taking responsibility for the quality and appropriateness ...
  • Senior Test Engineer

    Highmark Health - Nashville, Tennessee
    ... for taking a software quality and customer view of software solutions so that the developers can build high quality applications to meet the needs of the product vision. The incumbent, and team, will be ...
  • Part-time/Remote Medical Director - Community-Based Care (Palliative Care)

    Highmark Health - Nashville, Tennessee
    ... quality improvement including tracking and trending of metrics, establishment of quality improvement ... interdisciplinary team in cooperation with the Executive Medical Director Evaluate quality assurance and ...
  • Senior Regulatory Implementation & Assurance Analyst

    Highmark Health - Nashville, Tennessee
    ... . Implement policies and procedures to facilitate a consistent, high quality, confidential, and compliant ...
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