Job Description

Company

Highmark Inc.

JOB SUMMARY

This job leverages combined people, process, and technology competencies to support large-scale, complex customer engagements; collaborates with various stakeholders (such as Product, Sales, Clinical, Provider and/or IT teams) and external customers and entities to configure solutions and deliver value to customers; acts as subject matter expert and trusted advisor in solutioning, implementation, and/or executing of various business solutions and strategic capabilities for the supported Health Plans/customers; solutioning practice and customer spaces; and works closely with engagement and leadership team to define strategic and tactical direction. The incumbent delivers value to customers through client-facing advisory and delivery service in support of the HM Health Solutions and Health Plan product offerings and capabilities. Accountabilities include, but are not limited to, owning deliverable artifacts, leading workstreams, engaging key customer stakeholders, building and sharing institutional knowledge, and developing junior professionals.

ESSENTIAL RESPONSIBILITIES

• Contribute to the delivery and execution of complex, large scale, multi-year (high cost, high complexity and/or high risk) client enterprise transformation programs: gather required data through direct observation and/or inquiry and synthesizing data into meaningful observation; analyze, identify and problem solve from information sets (issues could be business or systems issues) draw conclusions from information sets based on analysis, create hypotheses and present recommendations to team; develop client specific requirements, standard operating procedures, functional roles & responsibilities, process flow and user guides.
• Build, share, and maintain expertise in both practice area and client environment, regularly interface with Product, Sales, Clinical, Provider and/or IT Teams to deliver on customer commitments and business objectives.
• Contribute to operational readiness, organizational change management, solution capability, packaging, and estimating, planning and delivery management for customer value and outcomes for new and/or exiting Health Plans / customers.
• Design and own deliverable artifacts to deliver client value and meet contractual obligations.
• Lead engagement workstreams to meet milestones on time, and to deliver with high quality and within agreed to budgets.
• Provide coaching, mentorship, and professional development for junior resources.
• Other duties as assigned or requested.

EDUCATION

Required

• Bachelor's Degree in Information Technology, Management Information Science, Health Administration, or closely related field

Substitutions

• None

Preferred

• Master's Degree Business Administration, Management Information Science, Health Administration, or related field

EXPERIENCE

Required

• 5 years of Consulting and/or Industry experience

Preferred

• 3 years in the Healthcare/Insurance Industry
• 3 years in Technology Platform Delivery
• 3 years in Program/Project Management
• Experience engaging, influencing, and advising senior executive leaders
• Experience working in complex matrixed environments
• 3 years analytic experience with claims data

LICENSES AND CERTIFICATIONS

Required

None

Preferred (any of the following)

• Project Management Professional (PMP)
• Information Technology Infrastructure Library (ITIL)
• Lean Six Sigma Green Belt or Black Belt

SKILLS

• Customer focus, results orientation, strategic thinking, change advocate, continuous improvement, talent development
• Excellent written and spoken communications skills
• Strong leadership and interpersonal skills
• Ability to work independently and manage multiple task assignments
• Proficient in the use of MS Word, Excel, and PowerPoint
• Proven ability to build and sustain internal and customer relationships
• Ability to mentor, consult, and provide guidance to others to fulfill customer obligations and drive results

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.

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

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