Jobs at Highmark Health

Lead as a Principal Data Architect in a complex hybrid ecosystem, focusing on data movement, enrichment, and orchestration while promoting best practices and innovation across the organization.

The Senior Accountant manages financial transactions, prepares financial statements and reports, provides analysis, and mentors junior staff while undertaking various accounting tasks.

Manage the reliability and performance of healthcare IT systems, ensuring efficient operations through collaboration with cross-functional teams, monitoring metrics, and mitigating potential disruptions.

The Business Systems Analyst supports application product lifecycle focusing on claims processing, collaborating with teams to gather requirements, enhance applications, and improve business processes using Agile methodology.

Lead formulary and utilization management strategy by monitoring approvals and pipelines, writing drug monographs, and implementing prior authorization and utilization policies. Ensure regulatory compliance, partner with analytics and vendors for real-world evidence, develop education initiatives, manage projects and process improvements, and mentor junior staff.

Manage post-award financial activities for grants, contracts, and clinical trials including award setup, invoicing, cash management, month-end close, financial reporting, compliance, project closeout, audit support, and analysis to ensure GAAP and sponsor regulation adherence.

Lead end-to-end strategic projects to optimize health plan programs, perform data-driven analyses, build impact models, present executive recommendations, advise cross-functional stakeholders, mentor junior analysts, and monitor initiative outcomes to improve efficiency and care quality.

The role involves leading the data governance team, managing IT projects, collaborating with stakeholders, and ensuring continuous improvement of processes. Responsibilities include strategic planning, client management, and optimizing resource utilization, while overseeing governance activities and departmental management.

Lead and manage a Clinical Solutions Experience team to design and execute qualitative, human-centered research studies. Oversee study design, enrollment, analysis, and insight reporting to drive adoption of Living Health and VITAL solutions. Build cross-functional relationships, ensure regulatory compliance, develop documentation and roadmap, and deliver actionable recommendations to stakeholders. Manage staff performance, hiring, and program operations.

Provide front-line guidance for pharmacy call center operations: review prior authorizations and non-formulary requests, communicate with physicians and pharmacies, document decisions in OnBase and Argus IPNS, ensure regulatory turnaround times, and support staff workflow and appeals.

Lead enterprise talent acquisition operations, executing strategy to hire 10,000+ annually. Manage large recruiting team, drive metrics (quality of hire, time-to-fill, SLAs), build diverse pipelines, adopt AI and recruitment technologies, ensure OFCCP/EEO compliance, partner with business and compensation, and continuously improve processes and candidate experience.

Support Pharmacy Services by assisting in negotiation, development, execution, and management of pharmacy and vendor contracts. Collaborate with internal stakeholders and external vendors, oversee vendor performance, manage contract lifecycle (renewals, amendments, terminations), support RFPs, document compliance, and assist with contract storage and audit responses.

Manage end-to-end pharmacy and vendor contracts including negotiation, renewal, termination, execution, and storage. Collaborate with internal and external legal counsel and stakeholders, support RFPs and audits, resolve post-execution contract issues, and advise Pharmacy Services leadership and analysts on contracting initiatives to maximize value and mitigate risk.

Lead design, implementation, maintenance, and troubleshooting of enterprise mainframe systems. Ensure high availability, performance, and disaster recovery; mentor junior engineers; collaborate with stakeholders; drive platform improvements, automation, and best practices across a distributed data center environment.

Provide account support for quoting, setup, implementation, and administration of group benefits. Resolve benefit inquiries, handle error management and rating issues, coordinate implementations and mass updates, interact with account managers, producers and clients, and assist with training. Contribute to process and system improvements.

The Director of Product Management will lead efforts in government-focused product development, driving growth, enhancing retention, and optimizing onboarding through strategic vision and cross-functional collaboration.

Support Product & Health Experience strategy execution by tracking goals, maintaining operating cadence, creating communication materials, conducting planning and resourcing analysis, and providing analytics to inform leadership and cross-team coordination.

Manage a panel of members by assessing health needs, creating care plans, coordinating resources, and monitoring outcomes to achieve health goals.

The Complex Case Manager RN oversees a panel of members, assessing health management needs, creating care plans, and coordinating interventions to improve health outcomes.

The Senior Sales Executive is responsible for prospecting new clients, closing sales of health products, and maintaining relationships with brokers. Requires in-depth market knowledge and strategic planning for account acquisition.