Total 35 Manager level Health / Beauty / Fitness job vacancies in Bucks PA - Admin Office

Company :

Job Description : 

GENERAL OVERVIEW:

This job manages the daily operations of a complex large/multiple full time locations/physician practices.

ESSENTIAL RESPONSIBILITIES:

• Manages the day to day operations of the physician practice(s), including front and back office functions. (20%)
• Supervises staff, resolves problems and implements approved disciplinary action. Interviews, hires, trains and conducts performance evaluations. (20%)
• In conjunction with the director, develops the practice budget. Manages and monitors key financial and revenue cycle metrics, including staff hours, resource allocation, expense budget, patient volumes, and the revenue cycle process. Provides primary (or secondary) review of reconciliation of monies being collected and deposited. (20%)
• Responsible for monitoring patient satisfaction reports, identifying variances from standard, addressing and resolving patient complaints. (10%)
• Responsible for quality and performance improvement by monitoring metrics and addressing deficiencies. (10%)
• Works collaboratively with physicians, leadership and health professionals to accomplish organization and practice goals. (10%)
• Ensures compliance with all regulatory requirements. (10%)
• Requires frequent travel to various practice locations.

QUALIFICATIONS:
Minimum

• Bachelor’s degree or relevant experience and/or education as determined by the company in lieu of bachelor's degree
• 3-5 years’ experience in physician practice setting with 2 years’ practice management experience.

Preferred

• Experience managing multiple sites.
• CPPM (Certified Physician Practice Manager) certification.

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.  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. 

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. 

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf)

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.

For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Company :

Job Description : 

JOB SUMMARY

This job provides Epic application software development management for IT projects. Creates plans and manages activities, within an assigned unit/area. Assesses viability of current direction/projects/operations and recommends strategies and tactics to satisfy current and future business needs. Foresees organizational impacts and understands the procedures associated with introducing new technologies.   Leads team in the areas of scheduling, direction, future planning and standard practices. Monitors and controls quality while actively seeking opportunities for improvement. Establishes and meets scheduled milestones for deliverables.

ESSENTIAL RESPONSIBILITIES

1. Communicate effectively with all levels of the organization by:

• Managing customer and expectations; facilitating, planning and meetings; translating customer expectations for staff and peers; representing Highmark with outside entities.
• Preparing written procedures, policies, reports and correspondence; collaborating and negotiating with departments corporate wide.
• Collaborating with company customers, staff, IT colleagues, and other stakeholders in identifying customer requirements, assessing impacts to other areas, considering available options, comparing costs and benefits, and recommending solutions.

2 Management Consulting

• Identify issues and recommend solutions.
• Create presentation and present concept to clients, tailoring presentation to audiences of varies levels, subject knowledge and size.
• Implement recommendations/solutions and ensure client receives the necessary assistance to carry out solutions.
• Liaising with clients to keep them informed of progress and to make relevant decisions.
• Advise clients on options, risks, cost vs benefit, impact on other business processes and system priorities.

3. Ensure continuous improvement of processes and delivery of results within assigned unit/area. 

• Organize, direct and coordinate cross-functional activities including staff not under direct managerial control.
• Encourage innovation and focus resources to ensure successful delivery of desired results.
• Apply quantitative risk assessment to team's assignments to understand potential threats and the probability they will occur.
• Lead team in mitigating risks and applying appropriate contingency plans to ensure minimal impacts to customers.

4. Provide leadership to the organization to respond to business opportunities/challenges, new technologies, legislation and other environmental factors. 

• Oversee analysis of issues or needs and review recommended solutions.
• Assess the impact of strategic business and technical changes on the environment.
• Responsible for managing all activities within an assigned business unit/area.
• Foresee organizational impacts and understand the procedures associated with introducing new technologies, while seeking ways to collaborate with other teams outside area of responsibility to facilitate transitions.

5. Optimize the utilization of resources by applying appropriate concepts, technologies and workflows

• Ability to accept direction and provide leadership to develop/maintain a high-performance work team.
• Respond to feedback and champion process improvement initiatives by empowering their team to deliver quality services/products to internal and external customers. 
• Implement solutions that are consistent with Highmark’s strategic direction.
• Keep abreast of current industry standards and trends.

6. Staff Management accountabilities to include but not limited to:

• Developing and providing input to skills assessment and oversee personal development plans as it relates to career development.
• Coaching, managing and developing employees by establishing clear goals, expectations, and strategies for employee performance.
• Develop and administer performance reviews with measurable goals.
• Provide opportunities for staff to maintain current industry knowledge.
• Provide opportunities for employees to build collaborative relationships with customers.

7. Departmental Management planning and administrative accountabilities to include, but not limited to:

• Departmental budgeting and fiscal responsibilities.
• Manage teams that span geographic areas or functional areas.
• Ensure compliance with corporate standards, policies and regulations (SOX, SSP, DIACAP, PHPLC, etc.).
• Establish and use metrics as a tool to benchmark and improve operational excellence
• Develop and implement short-term and long-term departmental plans.
• Consult and evaluate vendor solutions where appropriate.

8. Other duties as assigned or requested.

EDUCATION

Required

• Bachelor’s Degree in Information Technology, Management Information Systems, Computer Science or closely related discipline

Substitutions

• None

Preferred

• Master’s Degree in Information Technology, Management Information Systems, Computer Science or closely related discipline

EXPERIENCE

Required

• 5 years in a leadership / mentoring role
• 5 years of planning, implementing, maintaining and growing capabilities within relevant discipline
• 3 years of developing, communicating and presenting concepts to varying audience

Preferred

• Experience with Epic Hospital Billing, Epic Professional Billing, and/or Claims systems. 
• Familiarization with Epic processes and integration points with other Epic applications and 3rd party systems.
• Management experience in: employee development plans, performance evaluations, goals development
• Experience in budget administration and process improvement
• Knowledge and experience in developing strategic plans
• Demonstrated competency in the execution of multiple projects, including managing resources across multiple projects to meet goals

SKILLS

• Knowledge of company’s business practices and direction as well as familiarity with the company’s products and resources
• Knowledge of the assigned business unit/area's direction and practices
• This position is required to comply with all Highmark Corporate Policies and IT Procedures, Standards and Strategies

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.  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. 

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range Minimum:

Pay Range Maximum:

Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations.  The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. 

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf)

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.

For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Company :

Job Description : 

JOB SUMMARY

This job provides Information Security and Risk Management services for the Organization. Works with peers within security, HM Health Solutions customers and application teams to ensure alignment with current and future security needs. Manages activities of various Information Security personnel. Makes decisions on personnel actions (promotions, hiring, terminations, etc.). Develops talent, addresses resource management, cultivates capabilities of staff, planning and coordination of work, and managing performance. Conducts the oversight of security technology products for network, systems, and data. Controls expenses within the operating unit and is responsible for meeting budget goals. Actively contributes to the Information Security ans Risk Management (ISRM) strategic planning process by working with the Directors to develop and implement department strategic plans and action steps that support the corporate strategic objectives. Actively involved in the coordination, implementation, problem solving, communication, and training of new technologies and processes, as they are developed and moved into the environment. Develops and presents Information Security awareness and training programs.

ESSENTIAL RESPONSIBILITIES

• Perform management responsibilities including, but not limited to: involved in hiring and termination decisions; coaching and development; rewards and recognition; performance management and staff productivity.
• Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as necessary; may have budgetary responsibility and authority.
• Provide oversight of all aspects of project management to ensure continuous improvement of processes: negotiate and collaborate with leadership and staff to develop security solutions and options; develop and adhere to internal standards and strategies; ensure adherence to approved methodologies; coordinate resources, time, contingency plans and risk management.
• Provide leadership to the department: lead and champion organizational change; encourage participation in activities that support relationship development; champion information security innovation; encourage and enforce proper training in regards to security issues.
• Ensure compliance to Corporate and Information Security policies, standards and  procedures.
• Communicate effectively with all levels of the organization: facilitate meetings; plan, design and provide presentations; represent HM Health Solutions with outside entities; prepare divisional procedures, policies, reports and correspondence;  spread awareness of new and existing security threats; provide oversight regarding metrics, funding, budgets and resources. 
• Other duties as assigned or requested.

EDUCATION

Required

• Bachelor’s Degree in Information Security, Information Systems,  Information Assurance, Computer Science or related field

Substitutions 

• 6 years of relevant experience substitution for a Bachelor's Degree

Preferred

• Master’s Degree in Computer Science, Information Security or related field

EXPERIENCE

Required

• 7 - 10 years in Information Security and/or Information Risk Management and/or Information Technology
• 7 - 10 years in developing, communicating and presenting Information Security and Risk Management concepts to varying audiences                  
• 1 - 3 years in mentoring others in a leadership role                            
• 1 - 3 years in Staff Management  
• 1 - 3 years in developing and executing strategic plans to realize business objectives

Preferred

• 10 - 15 years in Information Security and/or Information Risk Management and/or Information Technology
• Experience managing an information security function using the HITRUST Common Security Framework (HITRUST CSF), or the NIST 800-83 cyber security framework                  
• Experience supporting SSAE 16 or SOC 2 Security Trust Principle audits                           
• Experience establishing budgets and meeting fiduciary goals
• Security industry organization participation/leadership (HITRUST, ISACA, InfraGard, ISC2, ISSA, etc.)

LICENSES AND CERTIFICATIONS

Required

• None

Preferred

• Certified Information Systems Security Professional (CISSP) OR
• Certified Information Security Manager (CISM) OR
• Certified in Risk and Information Systems Controls (CRISC) OR
• Information Technology Infrastructure Library (ITIL)

SKILLS

• Knowledge of regulatory requirements such as Health Insurance Portability and Accountability Act (HIPPA), Payment Card Industry Data Security Standards (PCI DSS), and FIPS-140
• Strong teamwork and interpersonal skills                              
• Experience in leading process improvement initiatives                      
• Ability to motivate high performance, multi-discipline teams                            
• Demonstrated competency in project execution
• Demonstrated abilities in relationship management

Languages (Other than English)

None

Travel Requirement
0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-Based

Teaches/Trains others regularly

Frequently

Travels regularly from the office to various work sites or from site-to-site

Occasionally

Works primarily out-of-the office selling products/services (Sales employees)

Does Not Apply

Physical Work Site Required

Yes

Lifting: up to 10 pounds

Does Not Apply

Lifting: 10 to 25 pounds

Does Not Apply

Lifting: 25 to 50 pounds

Does Not Apply

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.  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. 

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range Minimum:

Pay Range Maximum:

Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations.  The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. 

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf)

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.

For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Company :

Job Description : 

4 South ICU/Stepdown
This unit is a 20-bed variable acuity unit; all staff is trained to the highest level of care (that being ICU), but Stepdown beds are integrated into the unit.

AHN Wexford Hospital

AHN Wexford Hospital in Wexford, PA is the newest full-service, clinician-led hospital in the Allegheny Health Network. The new AHN hospital provides world-class health care closer to home for residents in the North Hills communities of Pittsburgh. The state of the art, all-private 160-bed hospital opened in September 2021 and provides comprehensive care to patients of all ages.

Allegheny Health Network

At AHN, employees trust working together and place patients at the center of all they do. This 9 Hospital system, a part of Highmark Health, is transforming the future of healthcare by providing highly effective services to customers, patients and communities.  AHN has commitment and dedication to being inclusive, valuing fresh perspectives, and offering the best growth and educational opportunities to employees.

GENERAL OVERVIEW:

This job manages, supervises, and coordinates the daily operations of a specific patient care department under the direction of the Nurse Manager, providing clinical and administrative leadership and expertise. Contributes to the strategic planning process and attainment of goals of the department/unit, the organization and network.

ESSENTIAL RESPONSIBILITIES:

LEADERSHIP:

• Role model mission, vision, and values within their defined areas of responsibility.
• Demonstrates and role models professional behavior with all staff interactions.
• Serves as change agent and role model for change to assist staff in accepting and embracing the necessary change.
• Conducts monthly unit conferences with minutes which include discussions of both unit and organizational activities and goals when delegated
• Completes annual performance appraisals on associates which includes peer feedback process, plan for professional development and employee self-appraisal on delegated associates
• Attends meetings at the direction of the nurse manager
• Promotes unit based shared governance to include ongoing support through consultation and assistance in eliminating barriers in partnership with the nurse manager
• Promotes professional development plan and conducts quarterly check-ins with staff
• Promotes and encourages nursing specialty certification in partnership with the nurse manager
• Promotes employee engagement through leadership rounding.

QUALITY AND PATIENT SAFETY:

• Identifies, plans, and implements activities in partnership with the nurse manager in specified clinical departments which ensures patient care is delivered in accordance with professional standards for nursing practice and is evidenced based, meets patient safety goals and standards and regulatory guidelines.
• Monitors departmental performance in appropriate evidence-based practices quality and patient safety goals, meeting assigned goals.
• Develops action plan for any goal not met which includes timeline.
• Participates in regulatory readiness
• Assists nurse manager in developing a yearly unit based quality plan with unit based clinical practice and performance improvement council based on identified unit needs.
• Participates in operational excellence projects using performance improvement methodologies related to through put and other quality improvement initiatives.

CUSTOMER SATISFACTION:

• Works collaboratively with patients, families, peers, and other departments in the organization/network to meet established organizational goals for patient experience..
• Investigates and provides feedback for identified patient or departmental concerns.
• Rounds daily to assess and address patient and family needs.
• Collaborates with nurse manager to Develop departmental plan to address any improvement needs.
• Assists nurse manager in meeting or show consistent progress toward meeting established patient experience goal(s) and metrics.

FINANCE:

• Ensures effective implementation of financial plan in partnership with nurse manager
• Demonstrates fiscal stewardship through effective and efficient use of staff, facilities, equipment, and other resources while maintaining patient care standards.
• Maintains both FTE and Goods/Services within established budget, completes variance reports according to established guidelines.
• Utilizes established tools to monitor monthly budget performance, conducting drill down to explain variances as needed.
• Completes daily productivity tracker
• Collaborates with nurse manager to address overtime use with individuals as needed with documentation of discussion.

PROFESSIONAL GROWTH AND DEVELOPMENT:

• Fosters the development of staff through coaching, mentoring, and creating an environment which encourages learning and use of research.
• Assures appropriate orientation and onboarding, education, credentialing, and professional development for personnel in collaboration with education development specialists
• Encourages and facilitates staff membership on councils and committees
• Encourage and facilitate attendance at nursing grand rounds and other educational programs according to educational needs assessment of unit/department or network.
• Foster peer review participation with staff an d participate in peer review with other assistant nurse managers..
• Conducts quarterly check-ins with assigned staff to review developmental goals
• Identifies one area for self-improvement annually and develops a plan to improve

QUALIFICATIONS:

Minimum

• Bachelor’s Degree in Nursing
• 1 year of demonstrated clinical leadership experience
• RN
• CPR

Preferred

• 3+ Years ICU Experience Highly Preferred
• Master’s Degree in Nursing
• National Certification (CCRN)

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.  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. 

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. 

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf)

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.

For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Company :

Job Description : 

GENERAL OVERVIEW:

This job has responsibility for creating, implementing, and evaluating care plans for patients and their families/caregivers across the health continuum.   Incumbents will utilize nationally recognized standards of practice for case management by collaborating with providers, clinical teams, health plans, and external partners while advocating for patients and caregivers in order to align goals and plans.  Incumbents will serve as professional role models, utilizing their expertise in care management to promote a collaborative professional environment that optimizes outcomes, engages patients/caregivers in their healthcare, and supports effective resource utilization.  Serves as key team members in the management of readmissions, length of stay, ED utilization, and patient/family satisfaction.              

ESSENTIAL RESPONSIBILITIES:

• Contributes to or completes comprehensive assessment of patients and their families/caregivers, inclusive of clinical/physical needs, social determinants of health, and economic barriers impacting their ability to manage their health. (20%)
• Effectively identifies barriers and analyzes situations for assigned patient population, including risk for admission/readmission, external resources, and patient/family capacity in order to determine safe plans for transition and care coordination. (20%)
• Coordinates the clinical care with the patient, family, provider(s), and members of the interdisciplinary team. (25%)
• Advocates for patients and families through effectively communicating with providers, interdisciplinary team members, payers, and post-acute partners to assure effective outcomes and care. (15%)
• Leverage understanding of industry standards to provide applicable education to patients, families, providers, and interdisciplinary team partners including but not limited to: appropriateness of care, documentation requirements, utilization review principles and criteria, insurance benefits and limitations, transition planning requirements, length of stay, and resource utilization. (10%)
• Actively seeks professional development opportunities through professional certification, mentoring/precepting, and/or participation on department/hospital/system committees. (5%)
• Adheres to the policies, procedures, rules, regulations, and requirements of hospitals and other clinical settings. (5%)

QUALIFICATIONS:

​

Minimum

• Bachelor’s Degree in Nursing -OR- Bachelor’s Degree and Nursing Diploma -OR- 6 years of relevant experience in lieu of a degree.
• 3 years in a clinical nursing role
• Current PA RN license
• Nationally recognized Case Management Certification within 5 years of start date. Incumbents in role as of 12/1/2022 have until 12/31/2025 to obtain.
• CPR certification
• Critical thinking and problem solving 
• Flexibility and adaptability to change
• Strong communication and collaboration skills with ability to tailor style according to target audience (providers, peers, clinical team members, patients, families)

Preferred

• Transition planning and understanding of community and facility resources
• Knowledge of motivational interviewing techniques
• BSN

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.  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. 

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. 

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf)

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.

For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Company :

Job Description : 

JOB SUMMARY

*This is a hybrid role to Pittsburgh requiring at lea 3 days a week in office

This job defines, plans, and delivers of complex Human Resources 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. Includes the management of a group of internal exempt and/or matrixed employees and contractors that serve on the program(s) to deliver solutions for HR and the business.

ESSENTIAL RESPONSIBILITIES

• Work with business and technical organizations to drive out program strategy and approach. Organize, plan, and maintain program roadmap consisting of cross-functional activities/projects.
• Work with business and technical organizations to assemble project teams. Lead Project Managers and/or Program team in the development and maintenance of comprehensive plans for a defined program.
• Work with Executive Sponsor and Business Owner of a Program, and other management as required, to achieve the Program objectives.
• Acquire understanding of the business objectives for an assigned area.
• Monitor, evaluate and report on Program status inclusive of scope, schedule, budget and alignment to Program and strategic goals. Direct corrective action, as needed, to maintain the viability of the Program.
• Develop and maintain positive customer relationships. Deliver presentations of project status to effectively communicate throughout the project life-cycle.
• Adhere to the Organization's project management methods, project life-cycle methodologies, and audit requirements. Support and contribute to the improvement of project management methods and practices.
• Other duties as assigned or requested.

EDUCATION

Required

• High School Diploma or equivalent

Substitutions

• None

Preferred

• Bachelor's degree

EXPERIENCE

Required

• 4 years of experience in a project manager role

Preferred

·        PMP certification or equivalent training

·        Healthcare industry business and operational knowledge

·        Human Resources business and operational knowledge and experience

·        Experience managing large, complex projects

·        Very good leadership skills

·        Very good organizational and planning skills

·        Experience with cloud-based project management applications

​

LICENSES AND CERTIFICATIONS

Required

• None

Preferred

• None

SKILLS

• Experience with customer relationship management
• Presentation skills
• Negotiation skills
• Experience with conflict resolution
• Experience with Risk Mitigation Planning

Language (Other than English)

None

Travel Requirement

0% - 25%

Position Type

Office-based

Teaches / trains others regularly

Occasionally

Travel regularly from the office to various work sites or from site-to-site

Occasionally

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required

Yes

Lifting: up to 10 pounds

Constantly

Lifting: 10 to 25 pounds

Occasionally

Lifting: 25 to 50 pounds

Occasionally

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. 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.

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. 

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. 

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf)

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.

For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Company :

Job Description : 

GENERAL OVERVIEW:

Manage all general maintenance activities.  This includes but is not limited to general mechanical equipment/systems, boiler plant facilities, fire alarm systems, grounds keeping, painting, and general laboring.

ESSENTIAL RESPONSIBILITIES:

• Develop, implement and oversee all plant operating, maintenance and repair procedures and policies based on industry standards and code requirements.  Sets priorities in assignments including training. Ensures scheduling of plant operations staff 24 hours per day, 365 days per year to ensure proper operation of the facilities and grounds. (20%)
• Work with the department leadership to prepare, monitor, and control the annual operating budget, and reduce departmental cost. Assists in the development of the departmental capital budget for the fiscal year. (15%)
• Prepares reports on completed tasks, safety committee, and participates in process improvement initiatives. (10%)
• Train and develop personnel in relevant activities and safety practices.  Manages all performance of employees in area of responsibility. Evaluates work, and recommends and implements approved disciplinary action. (10%)
• Oversees preventive maintenance and ensures meeting regulatory compliance for DOH and Joint Commission. (15%)
• Direct, manage and evaluate maintenance personnel. Counsel, discipline, and discharge subordinate personnel when necessary. Interview and hire personnel as required. (20%)
• Manage and/or perform the operations of the maintenance management computer system. This includes system design, upgrading, programming and implementation thereof.  (10%)

QUALIFICATIONS:

Minimum

• Prior job related experience of at least 3- 5 years.
• 3 years in a management role
• License as required for area of expertise.

Preferred

• Bachelor’s Degree
• Registration / certification in a craft
• Previous Healthcare Experience

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.  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. 

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. 

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf)

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.

For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Company :

Job Description : 

GENERAL OVERVIEW:  

*This role is a hybrid role that will sit in out Pittsburgh corporate office 3 days a week. Candidate must be within a 50 mile radius of our Pittsburgh office.

Successful definition, implementation and delivery of complex programs that requires cross-functional collaboration and  interdependencies 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.   Manages a matrix group of employees and contractors who serve on project teams and/or within departmental work groups to achieve a coordinated benefit.

ESSENTIAL RESPONSIBILITIES: 

• Work with management to assemble project teams and work groups to produce deliverables required to achieve the objectives of a defined corporate program.    Lead project managers and work group leaders in the development and maintenance of comprehensive plans for a defined corporate program.
• 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.
• Work with the executive sponsor of a corporate program (VP or higher), and other management as required to achieve the objectives of a defined corporate program.   Acquire detailed understanding of the business objectives for an assigned area.
• Monitor and evaluate the progress, alignment and financial “health” of a cross-functional group of projects and related activities which together, constitutes a defined corporate program.  Direct corrective action as needed to maintain the viability of the program. If required - Report to the executive team/sponsor/steering committee on the progress, business impacts and strategies around the program(s).
• Assess risks that might jeopardize successful achievement of the desired results of a program, develop risk mitigation strategies and tactics, and implement risk mitigation plans.
• As needed - Partners with procurement to develop and execute strategies related to the service/asset contracts.
• As needed - Manages the vendor to the responsibilities outlined in the contract and statement of work.
• Other duties as assigned or requested.

QUALIFICATIONS

Minimum

• Minimum of eight to ten  (8 to 10) years’ work experience in project management
• Minimum of eight (8+) years’ work experience delivering business solutions using information technology
• High School Diploma / GED

Preferred

• Pior Diversity, Equity and Inclusion program experience highly preferred
• Bachelor’s degree in Business Administration or Technology Management-related area of study.
• MBA or Master’s Degree in Technology Management-related area of study.
• PMP or Certification in Project Management

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.  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. 

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. 

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf)

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.

For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Company :

Job Description : 

GENERAL OVERVIEW:

This job participates in the development, planning, implementation, and operation of departmental projects and services; works with pharmacy director to establish short and long range departmental goals and objectives; assumes responsibility for day-to-day operations and assists with systems, regulatory requirements and performance improvement.

ESSENTIAL RESPONSIBILITIES:

• Plans, organizes, implements, and controls the preparation, distribution, and data processing activities and operations in pharmacy. Responsible to ensure that operational processes and hospital's standards and objectives are being met. Recommends, develops and implements short and long-range plans to streamline and maintain operations. (20%)
• Develops operational guidelines and introduction and education of new products and procedures to the staff. (20%)
• Supervises the activities of pharmacy staff in conjunction with Pharmacy Practice Supervisor or Pharmacist. Clarifies work expectations, and promotes staff cooperation. (20%)
• Performs the duties of a Pharmacy Practice Supervisor or Pharmacist as needed. (10%)
• Assists with the development, implementation and administration of hospital and departmental policies and procedures. Assists with personnel activities including interviewing, staffing, corrective action, and performance appraisals. (10%)
• Participates in performance improvement and regulatory compliance efforts and maintains an attitude that promotes and fosters an environment of safety. Assists in the development and implementation of performance improvement initiatives and oversite of regulatory requirements. (10%)
• Assists the Director of Pharmacy with the preparation and monitoring of the annual labor and non-labor budgets. Assists in the development and implementation of plans to control costs, including as necessary assurance that all patient daily billing is completed accurately. Assists with 340B management as applicable. (10%)
• Performs other duties as assigned or required.

QUALIFICATIONS:

Minimum

• Bachelor’s degree in Pharmacy or Doctor of Pharmacy degree (Pharm D) and 5 years experience as a staff pharmacist
• Licensed or eligible for licensure as a Registered Pharmacist in the state of PA at hire or sit for boards and obtain licensure within 120 days.

Preferred

• Master’s degree in Pharmacy, Business or Health Care Management.
• Pharmacy residency program.
• Previous supervisory experience.

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
 

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.  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. 

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. 

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf)

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.

For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Company :

Job Description : 

GENERAL OVERVIEW

Leads, manages, and coordinates Life Safety and Environment of Care as it applies to Facility’s Emergency Preparedness.  Leads the safety and emergency management functions and serves as the officer for these respective areas.                                            

ESSENTIAL RESPONSIBILITIES

• Directs and ensures compliance with all authorities having jurisdiction (Safety, Fire and Life Safety regulations (20%)
• Maintains scheduling of Vendors Performing Life Safety & Environment of Care testing/ Inspection (20%)
• Maintain all Life Safety & Environment of Care Paperwork per Joint Commission Standards (20%)
• Leads the Disaster Committee and serves as the hospital's Emergency Preparedness Coordinator (10%)
• Perform Fire Door Inspections (10%)
• Perform Interim Life Safety Assessments (5%)
• Manage Fire Drills (5%)
• Leads the Safety Committee (5%)
• Leads the Environment of Care Committee (5%)

QUALIFICATIONS

Minimum

• Bachelor’s degree in Safety Science, Healthcare Management, Business, Engineering or similar OR Four years of relevant, progressive experience in lieu of Bachelor’s degree

Preferred

• 2 years of experience with the National Fire Protection Association’s Life Safety Code
• Certified  Life Safety Specialist for Health Care Facility Managers; issued by National Fire Protection Association

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.  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. 

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. 

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf)

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.

For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Company :

Job Description : 

GENERAL OVERVIEW:

Manages the radiation oncology's site daily operations including all clinical and non-clinical activities pertaining to staff and patients. Provides operational and financial oversight to the assigned network radiation oncology site(s) which can include hospital and/or physician practice(s). Is responsible for improving the radiation oncology's site patient satisfaction, operational efficiency, and productivity while providing cost savings and enhancing services.                                     

ESSENTIAL RESPONSIBILITIES:

• Assesses and identify opportunities for improvement in the areas of operational and process improvement, including patient access, care alignment, patient satisfaction, and maximizing revenue. Identifies barriers and implements corrective action measures to ensure positive outcomes for the assigned radiation oncology site(s). (20%)
• Develops, plans, and budgets on a strategic, tactical, and operational level for assigned radiation oncology site(s). (20%)
• Supervises staff, resolves problems, and implements approved disciplinary action. Interviews, hires, trains, and conducts performance evaluations for staff assigned radiation oncology site(s). (20%)
• Manages and monitors key financial and revenue cycle metrics, including staff hours, resource allocation, expense budget, patient volumes, and the revenue cycle process for the assigned radiation oncology site. (15%)
• Manages all phases of onboarding and exit processes for the assigned radiation oncology site including providing support to new employees and physicians, establishing processes, and site preparation. (5%)
• Manages all phases of exit process for the site including medical records processing, site breakdown, and staff assignments. (5%)
• Trains new managers and employees at newly opened sites in policies and procedures. Provides ongoing guidance and support to all employees work at the assigned radiation oncology site. (5%)
• Works constructively with all designated physicians, leadership, and health professionals to accomplish organization goals. (5%)
• Other duties as assigned. (5%)

QUALIFICATIONS:

Minimum

• Bachelor's degree in healthcare administration, business administration, related field or relevant experience and/or education as determined by the company in lieu of bachelor's degree
• 3 - 5 years’ experience as a Registered Technologist in Radiation Therapy with the American Registry of Radiologic Technologists
• Radiation Therapy Certification and Registration - American Registry of Radiologic Technologists (ARRT)

Preferred

• None

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. 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. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. 

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. 

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf)

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.

For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Company :

Job Description : 

JOB SUMMARY

***This is a hybrid position that would require you to be onsite up to 3 days a week at either our Camp Hill, PA or Pittsburgh, PA locations.

This job is responsible for managing the execution of a comprehensive internal audit  program for Highmark Health and its subsidiaries and affiliates.  This includes conducting audits and internal control assessments in a manner in which all relevant risks are assessed in an efficient manner to determine completeness, accuracy, validity, and restricted access and/or effectiveness of the control environment. The Internal Audit department is dedicated to providing objective assurance and consultation designed to add value and improve enterprise-wide operations and support compliance.  Internal Audit helps the organization to accomplish its objectives by bringing a systematic, disciplined approach to evaluating and improving the effectiveness of risk management, control and governance processes by providing insight and recommendations based on analyses and assessments of data and business process.  The scope of audit and advisory engagements is broad, and includes the efficiency of operations, the reliability of financial reporting, deterring and investigating fraud, safeguarding assets, and compliance with laws and regulations, including but not limited to, control design and testing in support of compliance requirements.  Audit and advisory projects often address management requests and consultation to provide comfort over identified risks, new business processes, strategic initiatives and vendor reviews.

ESSENTIAL RESPONSIBILITIES

• Perform management responsibilities to include, but are not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity.  Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as necessary; may have budgetary responsibility and authority.

• Audit & Advisory Engagement & Issue Management - Provide leadership role and collaborates with the Director and other members of the team, including business owners to plan and execute audit and advisory engagements in an efficient and effective manner. Through completion of engagements, demonstrates and applies a thorough understanding of complex financial and operational processes and/or complex information systems at the enterprise. Executes audits in accordance with standards defined by the International Standards for the Professional Practice of Internal Auditing.

• Audit & Advisory Engagement Planning - Interact and maintain productive business relationships with business leaders and individual contributors at all levels.  Collaborates  business partners and staff on solutions to support effective and efficient execution of audit and advisory engagements. Be a valued business partner worthy of providing feedback and consultation related to existing or emerging internal controls, compliance matters, and audit findings. 

• Manages and maintains a risk based Internal Audit & Advisory Services Plan which is  flexible, agile and connected to newly emerging risks changing business needs. This includes developing, deploying and communicating necessary staffing needs.

• Audit & Advisory Reporting and Monitoring - Accountable for managing and monitoring the completion of remediation efforts and manages timely follow-up audits as necessary.

• Partnership & Communication - Interacts and maintains productive business relationships with business leaders and individual contributors at all levels. effective and efficient execution of audit and advisory engagements.  

• Seeks out opportunities to create innovative, efficient and value added audit procedures through the use of tools supporting enhanced data analytics and robotic process automation.

• Ensures synergy with other Enterprise Risk and Governance Department efforts to facilitate appropriate communication, and leverage work performed where practical and possible.  

• Other duties as assigned or requested.

EDUCATION

Required

• Bachelor's Degree in Accounting, Finance or related field 

Substitutions

• 6 years of related and progressive experience in lieu of Bachelor's degree

Preferred

• Master's Degree in Accounting, Finance or related field

EXPERIENCE

Required

• 5 years in Auditing and/or Accounting

To Include:

• 3 years of Project Management 

• 3 years in a management role

Preferred

• 2 years of Audit Leadership with moderate to large sized teams OR

• 2 years with Insurance / Healthcare provider

LICENSES or CERTIFICATIONS

Required

• None

Preferred (any of the following)

• Certified Public Accountant (CPA)

• Certified Internal Auditor (CIA)

• Certified Fraud Examiner (CFE)

• Certified Information Systems Auditor (CISA)

SKILLS

• Excellent written and verbal communication skills. Ability to appropriate package information and tailor message to respective audiences.

• Demonstrates and applies a thorough understanding of complex financial and operational processes and/or complex information systems.

• Proven management and leadership skills with the ability in influence and motivate others while managing strict project and reporting deadlines. 

• Excellent analytical skills with a demonstrated ability to identify unusual trends/circumstances and solve complex problems.

• Stays abreast of changing Institute of Internal Auditor standards and leading audit practices, leading internal audit technologies, as well as relevant business and industry trends.

Language (Other than English):

None

Travel Requirement:

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-based

Teaches / trains others regularly

Occasionally

Travel regularly from the office to various work sites or from site-to-site

Rarely

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required

Yes

Lifting: up to 10 pounds

Constantly

Lifting: 10 to 25 pounds

Occasionally

Lifting: 25 to 50 pounds

Rarely

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.  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. 

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range Minimum:

Pay Range Maximum:

Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations.  The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. 

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf)

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.

For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Company :

Job Description : 

JOB SUMMARY

This job assures that members with complex medical and/or psychosocial needs have access to high quality, cost-effective health care. Assists in the holistic assessment, planning, arranging, coordinating, monitoring, evaluation of outcomes and activities necessary to facilitate member access to healthcare services. Advocates for the most appropriate care plan using sound clinical judgment; accurate planning, and collaboration with internal and/or external customers and contacts. Follows established regulatory guidelines, policies, and procedures in relation to member interventions and documentation of activities related to the member’s care and progress across the continuum of care. Facilitates and/or participates in interdisciplinary and/or interagency meetings, when necessary, to facilitate coordination of services/resources for members.

ESSENTIAL RESPONSIBILITIES

• Communicate effectively while performing customer telephonic interviewing and communication with external contacts.
• Communicate effectively while interacting with Case Management Specialists, Management Team, Physician Advisors and other interdepartmental contacts.
• Maintain knowledge of Medical Terminology and Medical Diagnostic Categories/Disease States
• Educate members in order to enhance member understanding of illness/disease impact and to positively impact member care plan adherence, pharmacy regimen maintenance, and health outcomes.
• Collaborate with Primary Care Physicians, Medical Specialists, Home Health and other ancillary healthcare providers with the goal being to coordinate member care.
• Collect member medical information from a variety of sources including providers and internal records and use appropriate clinical judgment, consultation with internal Physician Advisors and other internal cross-departmental consultation to determine unmet member needs.
• Work primarily independently to identify, define, and resolve a myriad of problem types experienced by the member.
• Develop an individualized plan of care designed to meet the specific needs of each member.
• Anticipate the needs of members by continually assessing and monitoring the member’s progress toward goals, care plan status, and re-adjust goals when indicated.
• Maintain a working knowledge of available resources for addressing identified member needs and to facilitate proactive and efficient provision of services. 
• Be knowledgeable of and consider benefit design and cost benefit analysis when planning a course of intervention in order to develop a realistic plan of care.
• Communicate and collaborate with other payers (when applicable) to create a collaborative approach to care management and benefit coordination.
• Maintain a working knowledge of available community resources available to assist members.
• Coordinate with community organizations/agencies for the purpose of identifying additional resources for which the MCO is not responsible.
• Work within a Team Environment.
• Attend and participate in required meetings, including staff meetings, internal Rounds, and other in-services in order to enhance professional knowledge and competency for overall management of members.
• Participate in departmental and/or organizational work and quality initiative teams.
•  Case collaborate with peers, Case Management Specialists, Management Team, Physician Advisors and other interdepartmental contacts.
• Participate in interagency and/or interdisciplinary team meetings when necessary to facilitate coordination of member care and resources.
• Foster effective work relationships through conflict resolution and constructive feedback skills.
• Attend internal and external continuing education forums annually to enhance overall clinical skills and maintain professional licensure, if applicable.
• Educate health team colleagues of the role and responsibility of Case Management and the unique needs of the populations served in order to foster constructive and collaborative solutions to meet member needs.
• Other duties as assigned or requested.

QUALIFICATIONS

Minimum

• Bachelor’s degree in nursing or RN certification in lieu of bachelor's degree or Master’s degree in Social Work and 3 years experience in Acute or Managed Care/ experience with Medicaid or Medicare populations.  OR
• Bachelor’s degree in Social Work with five years experience in Acute or Managed Care/ experience with Medicaid or Medicare populations

Preferred

• Experience working with high-risk pregnant women OR experience working with chronic condition adult populations OR experience with pediatrics
• 3-5 years of experience in working in Acute Care/Managed Care/Medicaid and Medicare populations.
• Bilingual English/Spanish language skills.
• Case Management Certification

LICENSES AND CERTIFICATIONS

Required

• Registered Nurse OR Social Work Licensure

Preferred

• None

Skills

• None

SCOPE OF RESPONSIBILITY

Does this role supervise/manage other employees?

No    

WORK ENVIRONMENT

Is Travel Required?

No

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.  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. 

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range Minimum:

Pay Range Maximum:

Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations.  The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. 

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf)

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.

For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

It’s inspiring to work with a company where people truly BELIEVE in what they’re doing!

When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!

Qualifications:

• Bachelor’s degree in Nursing required; Master’s preferred
• Current Florida license as RN, current active single-state out-of-state nurse license, or current active multistate/compact nurse license
• Minimum of six (6) years of nursing experience
• Minimum of two (2) years of management/supervisory experience
• Minimum of two (2) years in education related role
• Previous clinical background within healthcare required; hospice setting preferred
• Certification from HPNA obtained within two (2) years of taking the position
• Excellent verbal and written communication skills to multiple levels
• Able to work in a fast paced, team environment utilizing time management skills
• Ability to work with minimal supervision, exercising discretion and independent judgment
• Able to effectively manage multiple tasks and exercise sound judgment in crisis situations
• Intermittent Driver – Valid driver’s license and automobile insurance per Company policy. Ability to travel off-site to meet business needs
• Up to 75% travel/Remote Training/Management

Competencies:

• Satisfactorily complete competency requirements for this position.

Responsibilities of all employees:

• Represent the Company professionally at all times through care delivered and/or services provided to all clients.
• Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse.
• Comply with Company policies, procedures and standard practices.
• Observe the Company's health, safety and security practices.
• Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company.
• Use resources in a fiscally responsible manner.
• Promote the Company through participation in community and professional organizations.
• Participate proactively in improving performance at the organizational, departmental and individual levels.
• Improve own professional knowledge and skill level.
• Advance electronic media skills.
• Support Company research and educational activities.
• Share expertise with co-workers both formally and informally.
• Participate in Quality Assessment Performance Improvement activities as appropriate for the position.

Leadership Success Factors:

• Communication.  Express thoughts and ideas clearly.  Adapt communication style to fit audience.
• Initiative.  Originate action to achieve goals.
• Management Identification.  Identify with and accept the problems and responsibilities of management.
• Judgment.  Make realistic decisions based on logical assumptions, factual information and in consideration of organizational resources.
• Planning, Organizing and Controlling.  Establish course of action for self and/or others to accomplish a specific goal; plan proper assignments of personnel and appropriate allocation of resources.  Monitor results.
• Leadership.  Use appropriate interpersonal styles and methods in guiding others.

• Ethics.  Model highest standards of conduct and ethical behavior, adopting a strong position against fraud and abuse.
• Regulatory Compliance:  Educate and monitor staff regarding their own and the organization's responsibilities for regulatory compliance.

Job Responsibilities:

• Oversees all Preceptors and new hires during the first 8 weeks of the new hire period to ensure pathways are consistently followed.
• Responsible for the hiring, education, onboarding, ongoing evaluation, and termination of Preceptors.
• Creates and updates the content of the preceptor program.
• Oversees the timely feedback of new hires to their managers throughout the first 8 weeks.
• Responsible for developing, organizing, and completing annual skills.
• Meets monthly to obtain feedback on the program from Executive Directors and Administrators.
• Maintains metrics dashboard related to the preceptor program.
• Performs other duties as assigned.

This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.

Company :

Job Description : 

JOB SUMMARY

This job contributes to the project leadership of multiple complex product and technology solutions throughout the Infrastructure & Security group.  The incumbent exhibits and applies the core behaviors which define success for enGen and our customers: Purposeful Execution, Teamwork, Transformational Leadership, and a Customer-First mentality.  This requires a commitment to on-time/on-budget delivery, promoting a culture of collaboration among all project stakeholders, thinking and planning strategically in areas of risk mitigation and overall project direction, and a dedicated focus on bringing value to our customers.

ESSENTIAL RESPONSIBILITIES

• Serve as a project leader with multiple medium sized projects. Contribute to the definition, planning, and delivery of multiple 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. Influence the successful delivery and implementation of cross-functional activities to achieve the desired results for a defined program and/or strategic initiative. 
• Maintain the day-to-day operation of projects (including budgetary oversight and staffing) ensuring that all projects are reliably delivered on time, on budget and with a consistently high standard of quality.
• Collaborate with all project stakeholders to proactively identify and mitigate project risks with frequent reevaluation and reprioritization of the risk register.  Contribute to creation of communication strategies and execute to provide accurate and timely project information.  Efficiently summarize and present complex ideas and/or data into a format that can be understood by all levels of the organization.
• Cultivate a customer-first attitude by forging relationships with stakeholders to better understand their needs and goals, and seek to discern what the customer impact will be for each project decision and/or action taken.
• Other duties as assigned or requested.

EDUCATION

Required

• Bachelor's Degree in Business Administration, Management Information Science (MIS), or closely related field

Substitutions

• None

Preferred

• Master's Degree in Business Administration or Management Information

EXPERIENCE

Required

• 3 - 5 years of work experience in project management
• 3 years of work experience delivering business solutions using information technology

Preferred

• Proven work experience successfully delivering technology solutions in the field of healthcare infrastructure and/or security

LICENSES OR CERTIFICATIONS

Required

• None

Preferred

• Project Management Professional (PMP) or similar

SKILLS

• Customer-first mindset.  Skilled at anticipating customers' needs and the ability to build relationships that enable collaboration among all stakeholders and vendors
• Ability to drive change and thrive in ambiguity
• Can successfully manage scope, people and budgets through strategic planning of one or more projects not only for current phases, but for the future as well
• Excellent written and verbal communication skills; Is articulate and can communicate succinctly to multiple levels within a matrixed organization; Must be comfortable presenting to large and diverse audiences
• Assertive leader who can analyze complex problems and works proactively to overcome obstacles by identifying risk and planning out mitigation and contingency strategies
• Strong leadership and interpersonal skills including experience with conflict resolution.  Ability to pull together a group of people with diverse skills and make a functional team
• Passion for leading projects and interacting with people to drive technical solutions to a successful completion
• Proven ability to influence change and negotiate solutions
• Ability to lead others who will be running smaller sub-projects and provide mentorship/coaching to less experienced staff

Language (Other than English):

None

Travel Requirement:

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-based

Teaches / trains others regularly

Occasionally

Travel regularly from the office to various work sites or from site-to-site

Rarely

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required

Yes

Lifting: up to 10 pounds

Constantly

Lifting: 10 to 25 pounds

Occasionally

Lifting: 25 to 50 pounds

Rarely

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.  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. 

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range Minimum:

Pay Range Maximum:

Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations.  The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. 

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf)

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.

For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

California Consumer Privacy Act Employees, Contractors, and Applicants Notice