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Highmark Health Careers 34 Jobs in Springfield, IL

  • Lead Clinical & Population Health Analyst

    Highmark Health - Springfield, Illinois
    ... creates data-driven insights which identify actionable opportunities through analytics and reporting ... clinical and population health analytics, leveraging advanced analytical expertise and experience to ...
  • Supervisor Market Facing Analytics

    Highmark Health - Springfield, Illinois
    ... , Analytics, Business Intelligence or Statistics 3 years of Consultation and Application of analytic ... business partner areas as well as other areas within EI. External constituents would include providers ...
  • Senior Analytic Data Analyst - FEP HEDIS Quality Analytics

    Highmark Health - Springfield, Illinois
    ... of Business Analyst Experience, or 5 - 7 years of Data Analytics Experience, or 5 - 7 years ... in the development and deployment of analytics to assist in the betterment of HEDIS Quality ...
  • Medical Economics Consultant

    Highmark Health - Springfield, Illinois
    ... cost analytics and insight into claim cost drivers to key business partners. Strong communication ... to work with business partners in communicating outcomes, partnering on analytics, and developing new ...
  • Clinical & Population Health Analyst

    Highmark Health - Springfield, Illinois
    ... understand patterns in varied and complex data; and articulates analytic findings, business implications, and ... clinical, administrative, operational, financial and technical stakeholders to ensure analytics are ...
  • Value-Based Reimbursement Specialist

    Highmark Health - Springfield, Illinois
    ... project, to include elements of project leadership, problem-solving, data analytics, team development ... analytics and infrastructure to support the creation, optimization, and maintenance of self-service ...
  • Technology Administrator

    Highmark Health - Springfield, Illinois
    ... critical technology administration services for Adobe Experience Manager (AEM) and Adobe Customer Journey Analytics (CJA). Responsibilities include maintaining the health, performance, and security of these ...
  • Director Pharmacy Financial Strategy and Operations

    Highmark Health - Springfield, Illinois
    ... assumptions. Pharmacy Benefit Manager (PBM), pharmacy Group Purchasing Organization (GPO) and vendor ... trends, improve decision-making and optimize performance through the use of pharmacy data analytics. The ...
  • Director Reimbursement Design & Market Evaluation

    Highmark Health - Springfield, Illinois
    ... across all of Highmark's markets and lines of business. This will require aligning new models to the ... both the commercial and government lines of business. This team will be responsible for developing and ...
  • Business Process Engineer

    Highmark Health - Springfield, Illinois
    ... driving consensus among business units including process ownership and governance. Design activities ... analytic support to business management leveraging LEAN practices, Six Sigma methodologies and tools ...
  • Manager Solution Portfolio

    Highmark Health - Springfield, Illinois
    ... ** Required Bachelor's degree in Business, Design, Healthcare Administration, Economics, Analytics ... -design clinical solutions. Works with clinical, analytic, and business teams to understand the pain ...
  • Strategy Analyst

    Highmark Health - Springfield, Illinois
    ... 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 ...
  • Strategy Analyst

    Highmark Health - Springfield, Illinois
    ... project teams to: 1) isolate business issues; 2) help design and execute analytics for studying business ... RESPONSIBILITIES** Work with business/ market owners to identify key business issues, articulate problem ...
  • Senior Technical Engineer - Mulesoft

    Highmark Health - Springfield, Illinois
    ... . Collaborate with stakeholders across IT, product, analytics, and business teams to gather requirements and ... architects, developers, and business stakeholders to translate requirements into technical specifications and ...
  • Digital Product Manager (Clinical)

    Highmark Health - Springfield, Illinois
    ... products, and own the digital product roadmap. Will bridge technology, business, and customer needs to create remarkable digital experiences that solve customer’s problems, drive business value, and produce ...
  • Complex Case Manager RN - (Remote)

    Highmark Health - Springfield, Illinois
    ... data/analytics in conjunction with professional clinical judgement to identify the right clinical ... compliance with applicable business process requirements, regulatory requirements and accreditation standards ...
  • Complex Case Manager RN (Remote)

    Highmark Health - Springfield, Illinois
    ... assigned member panel and utilizing data/analytics in conjunction with professional clinical judgement to ... . Ensure all activities are documented and conducted in compliance with applicable business process ...
  • Senior Technical Engineer - Senior Cloud Engineer

    Highmark Health - Springfield, Illinois
    ... . Collaborate with stakeholders across IT, product, analytics, and business teams to gather requirements and ... technology platforms, application development tools, business processes, software development life cycle used ...
  • Manager Strategic Risk Adjustment Programs

    Highmark Health - Springfield, Illinois
    ... large and small scale projects that advance business outcomes and achieve strategic objectives relative ... , resources, and outcomes. Develop the engagement business case, scope, staffing and incentive model for ...
  • Senior Software Engineer - ML Engineer – AI Platforms and Services

    Highmark Health - Springfield, Illinois
    ... , and deploying machine learning models as services in software systems to meet business goals and ... application build process from idea generation and business analysis to technical design, software development ...
  • Care Manager RN - (Remote)

    Highmark Health - Springfield, Illinois
    ... manager’s professional discipline. Function in accordance with applicable state, federal laws and ... expectations as set forth in the code of business conduct and company policies._ _As a component of job ...
  • Director Product Management

    Highmark Health - Springfield, Illinois
    ... . This role will be accountable for leveraging a deep understanding of business and customer problems to solve, market trends, and business goals for defining, developing, and launching products & solutions ...
  • Manager Pharmacy Programs

    Highmark Health - Springfield, Illinois
    ... success of the MA business segment. Demonstrated ability to analyze financial data and make informed ... business segments (ACA and Commercial) may occur on a limited, strategic basis. The ideal candidate ...
  • Category Manager

    Highmark Health - Springfield, Illinois
    ... category of spend while building strong client business-oriented relationships by contributing to client strategy and objective setting. The incumbent acts as a strategic business partner, interfacing at the ...
  • Director Provider Reimbursement Development

    Highmark Health - Springfield, Illinois
    ... ** Bachelor's Degree - Business, Finance, Healthcare Administration or other related field ... ** Master's Degree - Business, Finance, Healthcare Administration or other related field ...
  • Account Manager Print Solutions

    Highmark Health - Springfield, Illinois
    ... requirements. Serve as primary point of customer contact .Review research on customers' business, markets ... preparing reports, conducting quarterly business reviews, and monitoring account status. Create and ...
  • Principal Enterprise Cloud Architect

    Highmark Health - Springfield, Illinois
    ... communications skill in driving and influencing business outcomes and consensus driven decisions ... , engineers, developers and business stakeholders. Executive Consultation - Provide input into the ...
  • Care Manager RN (Delaware) Remote

    Highmark Health - Springfield, Illinois
    ... manager’s professional discipline. Function in accordance with applicable state, federal laws and ... ethical and legal standards and behavioral expectations as set forth in the code of business conduct and ...
  • Decision Support Analyst

    Highmark Health - Springfield, Illinois
    ... . Determines how decision support systems will provide information required to make effective business ... internal customer areas and external business partners. Mentor colleagues with less experience on both ...
  • Account Executive Enterprise Sales

    Highmark Health - Springfield, Illinois
    ... assessments to prepare compelling proposals Create and present business cases and justifications ... expectations as set forth in the code of business conduct and company policies._ As a component of job ...
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