Jobs at Highmark Health

This senior-level remote role within Highmark Health's HNAS division supports the Account Executive team by managing complex processes and providing guidance to other Account Management Associates. The position focuses on analyzing data to identify risks, leading problem-solving sessions for critical software and operational issues, and mentoring less experienced team members. Key responsibilities include documenting deliverables, facilitating cross-functional collaboration, and driving continuous improvement in business solutions. The role appeals to candidates with experience in TPA and self-funded health insurance clients who value a culture centered on professional growth and organizational impact. It offers a fully remote work arrangement with no travel requirements, allowing for independent contribution within a collaborative, mission-driven environment.

The Care Manager RN role at Highmark Inc. is a remote position focused on implementing effective utilization management strategies to optimize healthcare delivery. The incumbent reviews the appropriateness of medical services, applies established criteria for resource utilization, and identifies opportunities for member referrals to health coaching or case management. Key responsibilities include analyzing qualitative and quantitative data to improve provider performance, educating providers and members on proactive care, and ensuring compliance with federal and state regulations. This position appeals to nurses seeking a flexible work arrangement with minimal travel, offering the chance to enhance member health outcomes through collaborative interventions and data-driven strategies within a supportive, mission-oriented environment.

The Client Service Manager role at Highmark Inc. supports the HNAS division by partnering with Client Managers to maintain and grow existing business relationships within the health insurance sector. Key responsibilities include preparing benefit design proposals, analyzing utilization data and financial reports, and serving as the primary liaison for resolving administrative and operational issues between group administrators and internal departments. The position appeals to professionals seeking a remote-based opportunity with a national blended health organization that prioritizes employee growth, cross-functional collaboration, and a mission to create remarkable health experiences. While the role is primarily remote, occasional travel is required. Success in this position requires experience with TPA and self-funded clients, along with strong problem-solving and communication skills.

The Client Manager - HNAS role serves as a strategic consultant for Highmark Health, managing a book of business within the Health Now Administrative Services division. The position focuses on renewing accounts and selling new products to self-funded and TPA clients to drive retention and profitability. Key responsibilities include developing sales solutions, managing senior-level relationships with brokers and clients, and leading internal partners to execute account strategies. This remote opportunity appeals to professionals seeking a mission-driven environment that prioritizes growth, collaboration, and making a significant impact on health experiences. The role requires occasional travel and offers a flexible work arrangement for those with relevant health insurance experience.

This senior-level remote role within Highmark Health's HNAS division supports the Account Executive team by managing complex processes and providing guidance to other Account Management Associates. The position involves analyzing data to identify risks, leading problem-solving sessions for critical software and operational issues, and mentoring less experienced staff. Key responsibilities include documenting deliverables, facilitating cross-functional collaboration, and driving continuous improvement in enterprise processes. The role appeals to candidates with experience in TPA and self-funded health insurance clients who value a culture focused on professional growth and organizational impact. It offers a fully remote work arrangement with opportunities to make a significant contribution to remarkable health experiences.

This remote Care Manager RN role at Highmark Inc. focuses on implementing utilization management strategies to ensure appropriate healthcare resource use and improve member outcomes. Key responsibilities include reviewing the appropriateness of medical services, analyzing data to develop quality improvement strategies, and collaborating with providers and members to facilitate care interventions. The position requires a licensed Registered Nurse with clinical experience to navigate regulatory compliance and promote efficient care delivery. The role appeals to professionals seeking a flexible work arrangement with minimal travel, offering the opportunity to make a meaningful impact on population health within a supportive, mission-driven organization.

This full-time Executive Protection Agent role at Highmark Health focuses on ensuring the safety and security of senior executives across the enterprise. The position requires 10 years of security experience and involves conducting confidential investigations, managing risk for domestic and international travel, and coordinating with law enforcement partners. Key responsibilities include anticipating threats, making decisive decisions during emergencies, and maintaining strict confidentiality. The role is appealing for professionals seeking a mission-driven environment within a major healthcare organization, offering opportunities to work with high-level leadership and develop strong external relationships. The position is office-based but requires significant travel, estimated between 50% and 75%, to various work sites and locations.

This full-time Senior Application Developer role at Highmark Health focuses on leading complex full-stack development initiatives within the healthcare technology sector. The position requires a candidate with strong expertise in Angular, TypeScript, Java, and Oracle to design, code, and implement sophisticated solutions while adhering to strict industry standards. Key responsibilities include managing the entire software development lifecycle, collaborating with business stakeholders to define requirements, providing production support, and mentoring junior team members. The role offers the appeal of working on innovative projects that directly impact patient care and health insurance operations, with opportunities for professional growth in a collaborative environment. The position is primarily office-based with potential travel requirements up to 25 percent.

The Manager Operational Accounting role at Highmark Inc. leads a team of four to six accountants and analysts within the finance department. Key responsibilities include overseeing monthly journal entries and reconciliations, ensuring GAAP compliance, managing large-scale financial projects such as system migrations, and developing internal controls. The position involves mentoring staff, coordinating with cross-functional departments, and utilizing data modeling to forecast future business activities. This opportunity appeals to professionals seeking to lead in a collaborative environment focused on operational efficiency and strategic financial analysis. The role is primarily office-based with occasional travel requirements up to 25 percent.

This full-time Senior Application Developer role at Highmark Health focuses on leading complex full-stack development initiatives within the healthcare technology sector. The position requires a candidate with strong expertise in Angular, TypeScript, Java, and Oracle to design, code, and implement robust application solutions. Key responsibilities include managing the full system development lifecycle, collaborating with business stakeholders to define requirements, providing technical support, and mentoring junior team members. The role offers the appeal of working on innovative projects that directly impact healthcare services, with opportunities for professional growth in a collaborative environment. While the position is primarily office-based, it includes occasional travel up to 25 percent.

The Manager Operational Accounting role at Highmark Inc. leads a team of four to six accountants and analysts within the finance department. Key responsibilities include overseeing monthly journal entries, reconciliations, and GAAP reporting, while managing large-scale projects such as system migrations and new product integrations. The position also involves developing internal controls, forecasting future activities, and providing technical coaching to staff. This opportunity appeals to professionals seeking to drive process efficiency and lead strategic financial initiatives within a collaborative healthcare environment. The role is primarily office-based with occasional travel up to 25 percent.

The Medical Director, Medical Management role at Highmark Inc. leads a physician team responsible for ensuring utilization management aligns with current clinical standards. Key duties include conducting electronic reviews of escalated cases to determine medical necessity, engaging in peer-to-peer discussions, and advising multidisciplinary teams on complex care scenarios. The position also involves developing clinical protocols and managing special projects to improve member care. This opportunity appeals to physicians seeking to impact population health within a collaborative environment that values critical thinking and professional growth. The role is primarily office-based with occasional travel up to 25 percent.

The Medical Director, Medical Management role at Highmark Inc. leads a physician team responsible for overseeing utilization management and ensuring clinical standards align with current regulations. Key duties include conducting electronic reviews of escalated cases to determine medical necessity, participating in multidisciplinary case management teams, and developing clinical protocols. The position offers the opportunity to influence care quality for members while working within a collaborative environment that values physician expertise. The role is primarily office-based with minimal travel requirements and supports professional growth through involvement in special projects and guideline development.

The Medicaid & ACA Manager role supports the strategic and operational execution of Medicaid and Affordable Care Act programs within a trusted Kansas-based healthcare organization. Key responsibilities include building detailed workplans, monitoring performance indicators like medical loss ratios and enrollment trends, and leading cross-functional coordination to ensure regulatory compliance and financial objectives are met. The position appeals to candidates seeking a dynamic environment with a strong emphasis on family, professional growth through training programs, and a collaborative culture that values inclusivity. This full-time position offers flexible work arrangements, including remote, hybrid, or onsite options, for individuals residing in or willing to relocate to Kansas or Missouri.