Our mission is to create a remarkable health experience, freeing people to be their best.
Pittsburgh, Pennsylvania
Allegheny Health Network is an integrated health care delivery system serving the greater Western Pennsylvania region. More than 2,600 physicians and 21,000 employees serve the system's 16 hospitals as well as its ambulatory medical and surgery centers, Health + Wellness Pavilions, and hundreds of physician practice locations. AHN is a proud part of Highmark Health.
Remote · Pennsylvania, United States
The Associate Actuary will lead the development of actuarial studies, analyses, and presentation materials to inform management decision-making. They are also responsible for mentoring less experienced staff and applying statistical techniques to functions like premium development, claim trend analysis, and predictive modeling.
Remote · Pennsylvania, United States
The Project Manager leads complex initiatives from definition through transition by coordinating cross-functional teams and ensuring disciplined execution. They are responsible for maintaining project plans, managing risks and dependencies, and providing transparent reporting to stakeholders.
Remote · Pennsylvania, United States
The incumbent will support enterprise business areas by configuring, testing, and deploying HR and payroll system solutions. They are responsible for gathering business requirements, managing system upgrades, and ensuring process improvements through stakeholder collaboration.
Hybrid
The Product Manager defines the product vision, strategy, and execution plan while facilitating cross-functional collaboration. They are responsible for managing the product backlog and identifying clinical data assets that provide significant business value.
Hybrid
This role directs insurance product-related projects, providing subject matter expertise and ensuring regulatory compliance across all product management phases. It supports product managers by leading strategic analysis, defining product vision, and overseeing the execution of product initiatives.
Hybrid
The Business Requirement Lead manages and translates business needs into actionable technical solutions while acting as a liaison between stakeholders and technical teams. They are responsible for defining business processes, designing complex systems, and ensuring functional specifications align with enterprise strategies.
Hybrid
The incumbent will develop and execute drug formulary strategies, manage utilization management programs, and ensure compliance with regulatory mandates. They will also collaborate with cross-functional teams and stakeholders to implement clinical initiatives and provide guidance to junior staff.
Remote · Pennsylvania, United States
The Senior Case Manager provides comprehensive case management services to members by assessing needs, developing individualized care plans, and coordinating services to ensure quality and cost-effective outcomes. They also act as an advocate and liaison for members while providing mentorship and clinical expertise to lower-level staff.
Hybrid
The incumbent leads and executes strategic initiatives for Pharmacy Services, including opportunity analysis and outcomes reporting. They also collaborate across business units, provide project updates to leadership, and mentor less experienced team members.
Remote · Pittsburgh, Pennsylvania, United States
Lead the full project lifecycle from concept to delivery for mid-to-large initiatives, ensuring they are completed on time and within budget. Manage resources, mitigate risks, and maintain strong communication with stakeholders through detailed reporting and documentation.
Hybrid
This role is responsible for ensuring the quality, accuracy, and compliance of tax assignments, including tax accounting, research, and planning for Highmark Health. The consultant will lead quality assurance reviews for significant transactions and provide guidance to junior staff while maintaining internal tax controls.
Hybrid
The consultant is responsible for the financial reporting and analysis of strategic cost of care savings programs. They will develop dashboards, track program outcomes, and provide strategic insights to executive leadership.
Remote · California, United States
The Senior Sales Executive is responsible for prospecting and securing new group business for core and supplemental health products within an assigned territory. They will manage the entire sales cycle, including high-stakes meetings, pipeline management, and maintaining relationships with brokers and consultants.
Remote · Pennsylvania, United States
Design and architect secure data solutions across cloud and on-premises environments while ensuring compliance with regulatory standards. Partner with cross-functional teams to develop scalable data platforms and provide technical leadership and mentoring to staff.
Hybrid
The Manager IT Audit directs and implements the technology component of the enterprise-wide risk-based audit and compliance plan. They are responsible for managing staff, coordinating audit processes with organizational leaders, and providing governance counsel to business leadership.
Remote · Pennsylvania, United States
The Coding Coordinator assists management in overseeing coding and charging activities, including managing Epic work queues and communicating with vendors. They also serve as an Epic super-user, coordinating appeals and denials while ensuring timely billing through cross-departmental collaboration.
Remote · Texas, United States
This role involves instructing, directing, and checking the work of other analysts and programmers while formulating complex system scope and objectives for assigned projects. Responsibilities include providing complex architecture and technical designs, managing the entire application life cycle, and ensuring adherence to project schedules.
Hybrid
The role leads enterprise-wide response activities for large-scale incidents and conducts internal investigations into employee misconduct, fraud, and policy breaches. It also involves performing fraud-related audits, risk assessments, and collaborating with internal teams to ensure organizational standards are met.
Remote · Pennsylvania, United States
The Lead Enterprise Architect will drive technology strategy and innovation by designing comprehensive architecture roadmaps and leading AI solution strategies. This role involves providing strategic consultation to business customers and mentoring team members to ensure cohesive, scalable, and cost-effective enterprise solutions.
