Company : Highmark Inc.Job Description : JOB SUMMARY This job reviews inquiries to determine if they meet the definition of a grievance/appeal; documents, investigates, refers and coordinates grievances and appeals; initiates a case file for each grievance and appeal; ensures compliance with organizational and regulatory requirements for member or provider issues; independently coordinates the resolution with internal/external parties as required; and documents and summarizes to all parties involved in the case the investigation results. ESSENTIAL RESPONSIBILITIES - Review inquiries to determine if they meet definition of appeal/grievance. - Request and review all related relevant documentation and assemble case file. - Coordinate resolution results and relay investigative results with all involved parties. - Participate in workgroup meetings to address trends in appeals and grievances and to work on process improvement initiatives with cross functional teams to reduce trends. - May support the Quality Assurance, Appeal and other quality committees. - Other duties as assigned or requested. EDUCATION Required - High School Diploma or GED Substitutions - None Preferred - None EXPERIENCE Required - 3-5 years of relevant, progressive experience in the area of specialization. Exempted experience requirements effective August 2016. Preferred - Experience in Customer Service or a related field LICENSES or CERTIFICATIONS Required - None Preferred - None SKILLS - Knowledge of multiple processing systems and workflows - Knowledge of claims processing methodologies - Ability to interpret all government regulations - Knowledge of company products - Excellent organizational skills - Strong verbal and written communication skills Languages (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 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 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: $21.96 Pay Range Maximum: $32.95 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 any category protected by applicable federal, state, or local law. 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 the email below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Company : Highmark Inc.Job Description : GENERAL OVERVIEW: The Appeals Analyst reviews inquiries to determine if they meet the definition of a grievance/appeal; documents, investigates, refers and coordinates grievances and appeals; initiates a case file for each grievance and appeal; ensures compliance with organizational and regulatory requirements for member or provider issues; independently coordinates the resolution with internal/external parties as required; and documents and summarizes to all parties involved in the case the investigation results. ESSENTIAL RESPONSIBILITIES: 1. Review inquiries to determine if they meet definition of appeal/grievance. 2. Request and review all related relevant documentation and assemble case file. 3. Coordinate resolution results and relay investigative results with all involved parties. 4. Participate in workgroup meetings to address trends in appeals and grievances and to work on process improvement initiatives with cross functional teams to reduce trends. 5. May support the Quality Assurance, Appeal and other quality committees. 6. Other duties as assigned or requested. QUALIFICATIONS: Minimum - A High School Diploma or GED is required for all levels - 5-10 years of relevant, progressive experience in the area of specialization. Preferred - Experience in Customer Service or a related field Knowledge, Skills and Abilities - Knowledge of multiple processing systems and workflows - Knowledge of claims processing methodologies - Ability to interpret all government regulations - Knowledge of company products - Excellent organizational skills - Strong verbal and written communication skills 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 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: $23.16 Pay Range Maximum: $35.88 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 any category protected by applicable federal, state, or local law. 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 the email below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice

• Manage all cost management activities of one or multiple complex projects. • Work with senior project managers, clients, and key stakeholders to support high-level strategic cost plans. • Develop a plan for the long-term support of the project including managing and reporting cost reports and analysis. • Establish the cost management program and deliverables to be used on large scale capital programs. • Integrate all third plans and cost components into integrated cost plan. • Lead effort to provide detailed analysis on cost risk, issues, and mitigations. • Drive the accruals and forecast process for the projects including detailed monthly, biweekly, and weekly reports as required. • Support the risk management process and plan. • Develop and lead the earned value component of complex manufacturing programs. • Review/approve invoices from subcontractors and third parties. • Assist with the development of RFPs, RFQs and other project-related contract negotiations.

• Monitor and manage daily cash balances across all bank accounts and highlight actions needed to ensure liquidity for all our entities • Execute daily fund transfers and payments • Process and track spot foreign exchange transactions to minimize cost of handling multiple currencies • Become a subject matter expert in the area of payments and assist other finance teams with day-to-day banking queries • Execute opening and closing bank accounts • Ensuring the timely and efficient update of bank mandates and ongoing KYC/AML compliance • Analyse and report on recommendations to reduce bank fees and increase interest income • Prepare daily, weekly, and monthly treasury reports • Analyze financial data to identify trends and risks • Support the preparation of cash flow budgets and forecasts • Process all debt related payments • Assist in managing foreign exchange (FX) and interest rate risk • Ensure compliance with internal controls and treasury policies • Maintain accurate records of treasury transactions • Assist in various ad-hoc treasury projects and initiatives led by the Treasurer and other Finance leaders