Highmark Health

General

• Assess human responses and plan, implement, and evaluate outpatient nursing care for individuals and families
• Assume responsibility and accountability for actions as a licensed nurse and the quality of care delivered
• Provide transformational leadership in a professional practice setting
• Contribute to team success through role modeling and mentoring
• Assign and delegate tasks based on patient needs and staff skill levels
• Assign staff duties and lunches when performing the charge role
• Maintain a safe environment and consider patient condition, intervention complexity, and outcome predictability
• Provide verbal and written feedback regarding clinical practice and role performance
• Collaborate with interdisciplinary teams to evaluate clinical care and health services
• Promote patient safety initiatives and participate in department-specific quality initiatives
• Supervise, delegate, and evaluate assigned LPN scope of practice
• Develop individualized, culturally and age-appropriate patient care plans with patients, families, and healthcare providers
• Assess health status, identify changes in condition, notify physicians or supervisors, intervene, and document appropriately
• Accept assignments outside the primary unit and perform duties within individualized competency
• Participate in peer review, professional development, and evidence-based learning activities
• Evaluate patient and family satisfaction and advocate for patients and customers
• Assess and attempt to resolve patient and family concerns
• Complete assigned duties within the established work shift using effective time management

RN Outpatient – Digestive Health

Physician Assistant

• Provide comprehensive, patient-centered care for neurological and neurosurgical conditions
• Evaluate and manage patients within the APP scope of practice across outpatient, inpatient, and surgical settings
• Collaborate with neurosurgeons, APPs, nurses, and other healthcare professionals
• Share weekday and weekend call responsibilities on a rotating basis
• Facilitate diagnostic and emergency care in outpatient and acute inpatient settings
• Order and interpret laboratory, advanced radiological, and specialized diagnostic studies
• Institute emergency measures and stabilization techniques for acute patient situations
• Communicate significant patient status changes and critical findings to attending physicians or covering providers
• Prepare and electronically prescribe medications; administer medications and injections
• Perform minor bedside surgical procedures and complex specialty-specific procedures
• Coordinate complex care with patients, families, community services, and interdisciplinary teams
• Provide specialized critical care and inpatient services
• Maintain accurate, complete, and timely medical record documentation
• Educate patients and families on prevention, medications, and treatment instructions
• Coordinate continuity of care from outpatient visits through inpatient admissions and post-discharge follow-up
• Conduct daily inpatient rounds and triage clinic calls and inquiries
• Participate in continuing education and quality improvement initiatives
• Assist with surgical, interventional radiology, and fluoroscopic procedures under supervision
• Contribute to education of trainees and professional staff
• Perform other assigned specialty-specific duties

Physician Assistant, Neurosurgery

Consultant

• Act as a core healthcare team member assisting care managers with the overall health of enrolled populations
• Develop clinical pathways and best-practice programs for targeted patient groups
• Participate in staff meetings, trainings, daily huddles, system-wide BHC learning collaboratives, and population health efforts
• Provide behavioral health, substance abuse, and psychosocial education and support to multidisciplinary team members
• Provide population-based care to high-risk/high-need patients and all enrollees
• Promote change efforts around mental health and substance abuse disorders
• Document in the shared medical record
• Engage patients by telephone and in person
• Provide same-day assessment, brief therapeutic counseling, interventions, and referrals to higher levels of care
• Use solution-focused approaches, CBT, motivational interviewing, and other short-term counseling interventions
• Coordinate with families and support systems with patient permission
• Provide follow-up and relapse-prevention education
• Promote skill building and facilitate groups when appropriate
• Address urgent mental health and substance abuse needs, triage, and refer to specialty services
• Advocate for patients, re-engage nonparticipating patients, encourage active care participation, and connect patients with community resources related to social determinants of health

Behavioral Health Consultant

• Facilitate diagnostic and emergency care for patients in outpatient and acute inpatient settings
• Order and interpret laboratory, advanced radiological, and specialized diagnostic studies
• Institute emergency measures and stabilization techniques for acute patient situations
• Prepare and electronically prescribe medications; administer medications and injections
• Perform minor bedside surgical procedures and complex specialty-specific procedures
• Coordinate complex care with patients, families, community services, and interdisciplinary teams
• Consult attending physicians for cases exceeding PA-C scope or requiring higher-level medical decision-making
• Provide specialized critical care and inpatient care with accurate, complete, and timely documentation
• Educate patients and families on prevention, medications, and treatment; recommend community resources
• Maintain continuity of care across outpatient visits, inpatient admissions, and post-discharge follow-up
• Conduct daily inpatient hospital rounds and triage clinic calls and inquiries
• Participate in continuing education and quality improvement initiatives
• Assist with surgical, interventional radiology, and fluoroscopic procedures under supervision
• Contribute to education of trainees and professional staff
• Perform other assigned specialty-specific duties and procedures

Physician Assistant – Orthopedics

• Assist care managers in managing the overall health of enrolled populations
• Improve recognition, treatment, and management of psychosocial, behavioral, and medical conditions
• Provide clinical mental health consultation services within the scope of state professional licensure
• Participate in management of psychosocial aspects of chronic and acute diseases
• Apply behavioral principles to lifestyle and health-risk issues
• Consult and co-manage treatment of mental disorders and psychosocial issues
• Provide mental health and substance abuse assessment, intervention, and connection to higher levels of care
• Develop clinical pathways and best-practice programs for targeted patient groups
• Participate in staff meetings, trainings, daily huddles, and system-wide BHC learning collaboratives
• Educate and support multidisciplinary team members during patient treatment planning
• Provide population-based care to high-risk and high-need patients
• Promote mental health and substance abuse change efforts within the practice and health system
• Document care in the shared medical record
• Engage patients by telephone and in person
• Provide same-day assessment, brief therapeutic counseling, interventions, referrals, and follow-up
• Use solution-focused approaches, CBT, Motivational Interviewing, and other short-term counseling interventions
• Coordinate with families and support systems with patient permission
• Provide crisis support, triage, and referrals to specialty mental health and substance abuse services
• Advocate for patients and re-engage patients who are not participating in care
• Connect patients with community resources related to social determinants of health
• Coach patients to actively participate in their care and treatment

Business Analyst

• Support the application product lifecycle, especially claims processing and related application components
• Collaborate with customers, engineers, architects, capability managers, and team members to capture capability needs and define quality business solutions
• Gather project specifications and translate business requirements into detailed specifications for new capabilities and application enhancements
• Analyze business problems and data to identify trends and process-improvement opportunities in claims operations
• Create and maintain business vision, requirements, client personalization, user stories, and basic user-interface designs
• Participate in the full software development lifecycle on Agile Scrum teams, including roles such as Business Technical Analyst or Tester
• Support requirements testing through test plans, scenarios, documentation, defect management, and analysis of customer impacts
• Ensure required standards and approvals are met throughout the project lifecycle
• Conduct or assist with requirements walkthroughs and sprint reviews
• Report project status, enable vendor solutions, and provide accurate documentation
• Identify and explore AI and automation opportunities in the claims domain and assist with implementation
• Identify, document, and manage project risks, defects, and issues
• Stay informed about claims technology market trends to support business value statements
• Perform other duties as assigned

Business Systems Analyst

Manager

• Manage a caseload of members with moderate complexity health needs
• Assess members’ health status, needs, and available resources
• Develop individualized care plans with members, physicians, and other healthcare providers
• Implement and coordinate care plans and access to appropriate services and resources
• Coordinate referrals to specialists and community resources
• Monitor member progress and adjust care plans as needed
• Evaluate the effectiveness of interventions and services
• Advocate and act as a liaison to meet members’ individual healthcare needs
• Communicate and collaborate with physicians, providers, coworkers, and healthcare team members
• Document activities in compliance with business processes, company policies, regulatory requirements, and accreditation standards
• Identify potential cost savings, quality improvements, and workflow efficiencies
• Detect, resolve, and prevent improper utilization of member benefits
• Perform other duties as assigned or requested

Case Manager, RN

Customer Support

• Resolve standard and occasional non-standard customer inquiries, comments, and concerns
• Perform the full range of assigned customer service duties
• Resolve customer concerns in a single interaction via telephone, written, or face-to-face communication
• Respond confidently to diverse customers regardless of the issue
• Work independently, frequently using the knowledge center to answer inquiries
• Apply product knowledge, listening, analysis, quality focus, problem-solving, and documentation skills
• Meet internal adherence, efficiency, and inquiry timeliness targets
• Resolve standard and frequently non-routine, limited-impact inquiries with minimal escalation
• Perform other duties as assigned

Customer Service Representative

• Facilitate diagnostic and emergency care for patients in outpatient and acute inpatient settings
• Order and interpret laboratory, advanced radiological, and specialized diagnostic studies
• Institute emergency measures and stabilization techniques for acute patient situations
• Prepare and electronically prescribe medications; administer medications and injections
• Perform minor bedside surgical procedures and complex specialty-specific procedures
• Coordinate complex care with patients, families, community services, and interdisciplinary teams
• Provide specialized care in critical care and inpatient settings
• Maintain accurate, complete, and timely medical record documentation
• Educate patients and families on prevention, medications, and treatment instructions
• Ensure continuity of care and communication across outpatient, inpatient, and post-discharge settings
• Conduct daily inpatient hospital rounds and triage clinic calls and inquiries
• Participate in continuing education and quality improvement initiatives
• Assist with surgical, interventional radiology, and fluoroscopic procedures under supervision
• Contribute to education of trainees and professional staff
• Perform other assigned specialty-specific duties

Physician Assistant – Urology

Recruitment

• Execute the enterprise-wide talent acquisition strategy and translate it into actionable plans and goals
• Lead a large operational recruitment team responsible for hiring over 10,000 new hires annually
• Partner with Employer Brand leaders and the VP of Talent Acquisition on recruitment marketing campaigns
• Drive proactive pipelining, slate quality, innovative sourcing, and sustainable diverse talent pipelines
• Manage hiring and termination decisions, coaching and development, rewards and recognition, performance management, and staff productivity
• Plan, organize, staff, and manage day-to-day team operations, policies, programs, and assigned budgets
• Provide senior leadership and oversight for critical, high-volume, and hard-to-fill recruitment needs
• Develop and refine SLAs, quality-of-hire, and time-to-fill metrics
• Drive adoption of AI and innovative recruitment tools to improve candidate experience and operational efficiency
• Lead the recruiting team in advising business leaders on talent acquisition issues, actions, and strategies
• Evaluate labor market data and partner with compensation on competitiveness
• Ensure full-cycle recruitment complies with standardized processes and EEO/AA and OFCCP regulations
• Perform other duties as assigned or requested

Director, Enterprise Talent Acquisition

Business Intelligence Analyst

• Work with Business Intelligence and healthcare professionals to gather, organize, and present data to users
• Present meaningful analytics to the business in non-technical terms and formats
• Create basic and ad hoc reporting for users
• Train users on software and assist users with advanced reporting
• Develop business intelligence solutions based on user needs, appropriate data repositories, BI development best practices, and innovative use of technologies and systems
• Deliver ad hoc data and report requests
• Analyze data needs for users and projects
• Investigate and analyze data discrepancies
• Assist with migration and testing activities
• Administer analytics and reporting systems
• Monitor system performance and coordinate upgrades
• Track licenses and create and maintain user documentation
• Provide user and system support services
• Utilize project management techniques for business intelligence projects and services
• Perform other duties as assigned or required

Affiliate Manager

• Lead or support key strategic initiatives across the Enterprise
• Participate in a portfolio of projects involving team leadership, problem-solving, data analysis, project management, communication, and implementation support
• Participate in developing strategic plans for the Enterprise and key business units
• Identify, clarify, and resolve complex issues critical to initiative success
• Identify initiative impacts with other strategic initiatives to ensure overall strategy alignment
• Develop standard analytics and processes for leading strategic initiatives
• Help shape the organization’s culture and skill set
• Support planning, communicating, and managing enterprise strategy
• Perform other duties as assigned or requested

Strategy Partner

Product Manager

• Own the end-to-end financial front door for members, from understanding cost of care through upfront payment collection or financing options
• Ensure post-encounter Explanations of Benefits are simple and accurately match cost estimates
• Define the product strategy, vision, and value proposition for cost transparency and coverage experiences
• Develop strategic visions and business cases
• Gain alignment and support from strategic partners and stakeholders
• Oversee execution of the product vision
• Understand the company’s strategic roadmap and competitive position
• Anticipate future needs and identify improvement opportunities using metrics and qualitative input
• Represent the product in governance meetings
• Communicate roadmaps, priorities, experiments, and decisions to product teams and executives
• Serve as accountable owner for products and tools within the portfolio
• Drive cross-product and cross-customer value and shared learnings
• Own and continuously reprioritize the product backlog
• Coach and guide junior product team members

Senior Product Manager – Cost and Coverage

• Assist providers and coordinate examination, treatment, and health care planning for patients
• Coordinate patient care under the supervision of the health care provider
• Prepare and room patients in the clinical practice setting
• Obtain and document vital signs, patient information, medical history, tobacco screening, and medication screening
• Complete annual wellness visit screenings and update medication and social history in the EHR
• Pend orders for screenings, prescriptions, refills, and other orders under approved protocols
• Perform back-office testing according to approved protocols and policies
• Assist providers with examinations and procedures
• Provide follow-up with patients and notify them of test results under provider direction
• Prepare exam rooms and maintain medical supply inventory
• Clean and sterilize instruments
• Perform lab controls and equipment checks
• Administer and document medications safely and accurately
• Maintain accurate electronic health records
• Perform clerical office functions and other assigned duties
• May float or travel between physician office locations

Medical Assistant

Analyst

• Design, develop, execute, disseminate, and interpret clinical and population health analyses, metrics, and reports
• Use clinical, member, financial, and administrative data to identify and monitor opportunities to improve health outcomes, clinical quality, and costs of care
• Manage analytics projects efficiently through successful completion
• Build collaborative relationships with internal and external clinical, administrative, operational, financial, and technical stakeholders
• Provide strategic business partnership, thought leadership, and subject matter expertise
• Mentor colleagues across the enterprise with consultative, technical, subject matter, and business expertise
• Communicate analytic findings, business implications, and recommendations

RN Outpatient – Digestive Health

Physician Assistant, Neurosurgery

Behavioral Health Consultant

Physician Assistant – Orthopedics

Behavioral Health Consultant

Business Systems Analyst

Case Manager, RN

Customer Service Representative

Physician Assistant – Urology

Director, Enterprise Talent Acquisition

Business Intelligence Analyst

Strategy Partner

Senior Product Manager – Cost and Coverage

Medical Assistant

Senior Clinical and Population Health Analyst