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The role establishes and maintains the integrated project plan, facilitates productive working and governance forums, manages risks, issues, assumptions, dependencies, decisions, and changes, and provides transparent evidence of delivery health. The Project Manager partners with the project sponsor, business owner, Program Manager, Business Analysts, technology partners, operational leaders, vendors, and subject-matter experts.

Highmark provides millions of people with the security of quality health insurance
Our history of helping families and companies with their health insurance needs dates to the 1930s, when our predecessor companies were established to help Pennsylvania's residents pay for health care.
Highmark was created in 1996 by the consolidation of two Pennsylvania licensees of the Blue Cross and Blue Shield Association — Pennsylvania Blue Shield (now Highmark Blue Shield) and Blue Cross of Western Pennsylvania (now Highmark Blue Cross Blue Shield). We are now one of the largest health insurers in the United States.
Highmark's officers and board of directors set the company's strategic direction and corporate policies. They are guided by our mission, vision and values.

Highmark Inc

Project Manager - United Concordia Dental

This role is responsible for managing multiple highly visible initiatives simultaneously, often involving executive leadership priorities, organizational transformation, HR technology implementations, mergers and acquisitions, process improvements, regulatory requirements, and enterprise-wide change initiatives. Serve as a project leader for the definition, planning, and delivery of multiple large-scale product and technology projects, working with the executive sponsor (Director or higher) and other management as required to ensure achievement of the defined project goals.

Senior IT Project Manager - HR PMO

Envestnet's Open ENV offering extends the availability of Envestnet''s solutions, empowering advisors and firms with new opportunities to leverage the complete platform to meet their unique business needs. Open ENV rapidly accelerates the ability to deliver customized implementations through a library of open architecture application programming interfaces (APIs), Single Sign-On, and bulk data delivery.

YEAR

Envestnet Inc

Product Integrations Manager II

Provide subject-matter direction and guidance to lower-level staff including: train, develop, and mentors staff; assign, monitor, and review progress and accuracy of work; provide technical leadership in first-time resolution of complex problems; provide leadership during periods of transition as the organization changes to respond to business opportunities/challenges, new technologies, legislation, and other environmental factors. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.

Team Manager - Operations

7 years in strategic sourcing, purchasing / contracting field; complete understanding of Group Purchasing Organizations (GPO) contracting methods, experience in leading commodity teams, sourcing, bidding, negotiating, detailed data analysis and awarding of major commodity contracts for a wide array of clinical and non-clinical products and/or services. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.

Category Manager

In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy. Reporting & Documentation: Prepare and deliver comprehensive project status reports, maintaining meticulous documentation, including project plans, meeting minutes, project artifacts, and approvals.

Senior Client Project Manager

In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy. Organize, direct and coordinate cross-functional activities to focus corporate resources on the successful delivery and implementation of the desired results for a defined corporate program and/or strategic initiative.

Senior Program Manager - Medicare Stars

The individual will manage a diverse portfolio of initiatives from ideation through implementation and value realization; maintain accurate projections, actual results, risks, decisions, and pipeline status; and provide leadership with clear, timely, stakeholder-appropriate updates. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.

Project Manager - Medicaid

Candidates should possess strong operational and technology project leadership skills, demonstrated success managing cross-functional teams through complex transformations, and the ability to identify and resolve operational risks impacting billing accuracy, customer experience, and financial performance. Preferred candidates will have experience leading healthcare billing and financial operations initiatives, including premium billing, payment processing, reconciliation, billing remediation, payment integrity and customer financial experience improvements.

Manager Client Project Management

A successful IT Project Manager for clinical initiatives in Pittsburgh will demonstrate deep expertise in both information technology and healthcare environments, seamlessly integrating industry terminology and best practices from both domains. This individual will have a proven track record managing Epic or other EMR projects, potentially working with vendors, ensuring alignment with clinical workflows and regulatory requirements.

Client Project Manager (EPIC or other EMR Experience Required) Pittsburgh or Camp Hill Hybrid

This role involves guiding the team in optimizing system performance, ensuring high system availability, and delivering solutions that streamline clinical workflows and enhance the provider and patient experience. Stakeholder Collaboration: Partner closely with Clinical and Provider leadership, operations, and business stakeholders to ensure work is prioritized appropriately and the team is meeting client expectations.

Manager IT, Platform Production Support, Clinical & Provider

Successful definition, implementation and delivery of complex programs that requires cross-functional collaboration and inter-dependencies between a group of projects and/or related activities within the constraint of scope, quality, time and budget and under circumstances involving multiple moderate-probability, moderate-impact risk factors. Organize, direct and coordinate cross-functional activities to focus corporate resources on the successful delivery and implementation of the desired results for a defined corporate program and/or strategic initiative.

Senior Program Manager

Domain Expertise Integration: Guide teams through complex healthcare-specific data challenges, including Provider directories, provider networks and benefit tiers, Value-based reimbursement (VBR) programs, and Electronic Health Record (EHR) system data exchanges for payer/provider mutual benefit. Team Leadership & Delivery Management: Manage 2-3 Agile Scrum teams (12-18 total onshore and offshore data professionals), fostering a high-performing culture, providing mentorship, and ensuring successful delivery of provider-facing projects, data exchanges, and reporting.

Manager IT, Provider Data Engineering

This job is responsible for definition, planning and delivery of complex programs that require cross-functional collaboration and management of interdependencies between a group of projects and/or related activities within the constraint of scope, quality, time and budget. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.

Project Manager

This job defines, plans, and delivers of complex programs that require cross-functional collaboration and management of inter-dependencies between a group of projects and/or related activities within the constraint of scope, quality, time and budget. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.

Senior Project Manager

Lincoln may decline to extend an offer or terminate employment for this role if it determines political contributions made could have an adverse impact on Lincoln's current or future business interests, misrepresentations were made, or for failure to fully disclose applicable political contributions and or fundraising activities. Working alongside dedicated and talented colleagues, we build fulfilling careers and stronger communities through a company that values our unique perspectives, insights and contributions and invests in programs that empower each of us to take charge of our own future.

Lincoln Financial Group

AI Portfolio Manager

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Madrigal is a biopharmaceutical company focused on delivering novel therapeutics for metabolic dysfunction-associated steatohepatitis (MASH), a serious liver disease that can progress to cirrhosis, liver failure, need for liver transplantation and premature mortality. Please know that Madrigal does not conduct interviews via text or in chat rooms; conduct interviews via Skype, RingCentral or solely via telephone; charge candidates an advance fee of any kind (e.g., fees for purchasing equipment); nor does it offer positions of employment without undergoing a thorough recruiting process.

Madrigal Pharmaceuticals Inc

Manager, Biostatistics

The PM develops and maintains strategic physician and business relationships, partners closely with PD Clinical Specialists to align resources, and ensures deep understanding of all therapies, products, and the full selling process. Leads all strategy across PD therapies, while driving pre-tax associated margin and market share growth through direct provider engagement aligned with organizational strategic initiatives.

Vantive Health LLC

Portfolio Manager - Pittsburgh PA Area

This hybrid role offers an exciting opportunity to work on high-profile assignments across various industries, contributing to litigation damages, business valuations, and insurance claim evaluations. Our client, a global leader in forensic accounting with a presence in over 40 offices across five continents, is seeking a skilled and motivated Tax Manager to join their team.

Cherry Consulting

Tax Manager

Technology & IT Finance: Partner with the CIO and IT leadership on technology spend planning, including software/SaaS licensing, infrastructure, IT services, and vendor contracts, as well as capital versus expense treatment of technology investments. Demonstrated track record serving as a strategic partner to executive-level leaders, with the executive presence to advise ELT members and the ability to manage multiple senior stakeholders and competing priorities.

Fraud Manager Jobs in Pennsylvania

Project Manager - United Concordia Dental Highmark Inc

Senior IT Project Manager - HR PMO Highmark Inc

Product Integrations Manager II Envestnet Inc

Team Manager - Operations Highmark Inc

Category Manager Highmark Inc

Senior Client Project Manager Highmark Inc

Senior Program Manager - Medicare Stars Highmark Inc

Project Manager - Medicaid Highmark Inc

Manager Client Project Management Highmark Inc

Client Project Manager (EPIC or other EMR Experience Required) Pittsburgh or Camp Hill Hybrid Highmark Inc

Manager IT, Platform Production Support, Clinical & Provider Highmark Inc

Senior Program Manager Highmark Inc

Manager IT, Provider Data Engineering Highmark Inc

Project Manager Highmark Inc

Senior Project Manager Highmark Inc

AI Portfolio Manager Lincoln Financial Group

Manager, Biostatistics Madrigal Pharmaceuticals Inc

Portfolio Manager - Pittsburgh PA Area Vantive Health LLC

Tax Manager Cherry Consulting

Senior Manager, FP&A - G&A Business Partner Madrigal Pharmaceuticals Inc

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