GENERAL OVERVIEW:
This job provides oversight of Forecasting Capital and Business Development processes for the Allegheny Health Network.
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. 20%
- Oversees the development of the capital forecasting process and directs other forecasting and planning needs as appropriate. Prepares materials and agenda as well as conducts the AHN Capital Committee meetings. 10%
- Oversees the establishment and implementation of processes, policies and procedures necessary to establish the annual capital budgets. 10%
- Oversees the business planning and development function. Provide overall leadership and direction for all business cases including working closely with Highmark Health Strategic Transformation Office and senior executives to establish assumptions for volumes, market dynamics and financial metrics.
- Adhere to look-back analysis on all major capital spend items to test quality of assumptions and operating results according to approved capital plans. 10%
- Demonstrates a high-level customer service focus by setting and adhering to high standards for self and others within the department for communication and maintaining positive relationships. Incorporates the needs and concerns of diverse constituencies into departmental decision-making processes. 10%
- Interact with a wide array of internal and external customers at all levels of the business including finance, actuarial, cost and budgeting, membership and information technology departments to discuss model assumptions, model methodology and financial modeling findings. 10%
- Support the Corporation's strategic planning efforts through the modeling of financial results to determine the financial targets by business segment that result in Enterprise's achieving the overall corporate objectives. The result of the modeling will be integrated with capital planning efforts which includes working with internal business units, treasury and others to understand the current risk composition of the of the Enterprise portfolio of companies to calculate risk adjusted financial returns under various scenarios. 10%
- Communicate effective outcomes of model results using appropriate toolkit. Support analyst team on best communication strategies to aid them in articulating model outputs to Senior Leadership. 10%
QUALIFICATIONS:
Required
- Bachelor’s degree in Economics, Business, Health Administration, Finance, Accounting or related field or relevant experience and/or education as determined by the company in lieu of bachelor's degree.
- 7 Years experience Management or leadership role
- 5 Years experience High-level Financial Modeling, Scenario Analysis and Strategic Analysis directly with senior executives in health care setting
- An understanding of the proposer construct of financial statements form both a GAAP and statutory perspective and the elements of risk-based capital and underwriting activity. The incumbent must have a strong understand of the factors impacting the development of revenue, claim expense, and operating expenses and their inter-relationship
Preferred
- Master’s degree in Economics, Business, Health Administration, Finance, Accounting or related field
SKILLS:
- Excellent verbal and written communications skills required to effectively deliver important economic concepts
- Able to process qualitative and/or quantitative data, draw conclusions from it, and communicate findings effectively
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:
$58.12Pay Range Maximum:
$93.91Base 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 [email protected]
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Skills Required
- Bachelor's degree in Economics, Business, Health Administration, Finance, Accounting or related field (or equivalent experience)
- 7 years experience in a management or leadership role
- 5 years experience in high-level financial modeling, scenario analysis, and strategic analysis in a healthcare setting
- Understanding of GAAP and statutory financial statement constructs, risk-based capital, and underwriting activity
- Strong understanding of factors impacting revenue, claim expense, and operating expenses and their inter-relationship
- Excellent verbal and written communication skills to explain economic concepts and model outputs
- Ability to process qualitative and quantitative data, draw conclusions, and communicate findings effectively
- Master's degree in Economics, Business, Health Administration, Finance, Accounting or related field
Highmark Health Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Highmark Health and has not been reviewed or approved by Highmark Health.
-
Healthcare Strength — Medical, prescription, dental, and vision coverage are emphasized alongside 100% coverage for preventive exams, with onsite pharmacy access and fitness center availability at major campuses.
-
Retirement Support — An employer‑sponsored 401(k) with a company match is highlighted, with AHN materials illustrating a 100% match on the first 4% plus an additional 1% employer contribution as an example within the enterprise.
-
Wellbeing & Lifestyle Benefits — Wellness programs include stress‑management classes, health coaching, incentives for healthy activities, team‑member discounts, and volunteer incentives, with paid volunteer time also noted in the overall package.
Highmark Health Insights
What We Do
Highmark Health, a Pittsburgh, PA based enterprise that employs more than 40,000 people who serve millions of Americans across the country, is the second largest integrated health care delivery and financing network in the nation based on revenue. Highmark Health is the parent company of Highmark Inc., Allegheny Health Network, and HM Health Solutions. Highmark Inc. and its subsidiaries and affiliates provide health insurance to nearly 5 million members in Pennsylvania, West Virginia and Delaware as well as dental insurance, vision care and related health products through a national network of diversified businesses that include United Concordia Companies, HM Insurance Group, and Visionworks. Allegheny Health Network is the parent company of an integrated delivery network that includes eight hospitals, more than 2,800 affiliated physicians, ambulatory surgery centers, an employed physician organization, home and community-based health services, a research institute, a group purchasing organization, and health and wellness pavilions in western Pennsylvania. HM Health Solutions focuses on meeting the information technology platform and other business needs of the Highmark Health enterprise as well as unaffiliated health insurance plans by providing proven business processes, expert knowledge and integrated cloud-based platforms. A national blended health organization, Highmark Health and our leading businesses support millions of customers with products, services and solutions closely aligned to our mission of creating remarkable health experiences, freeing people to be their best. Headquartered in Pittsburgh, we're regionally focused in Pennsylvania, Delaware, West Virginia and New York, with customers in all 50 states and the District of Columbia. We passionately serve individual consumers and fellow businesses alike. Our companies cover a diversified spectrum of essential health-related needs, including health insurance, health care delivery, population health management, dental solutions, reinsurance solutions, and innovative technology solutions. We’re also proud to carry forth an important legacy of compassionate care and philanthropy that began more than 170 years ago. This tradition of giving back, reinvesting and ensuring that our communities remain strong and healthy is deeply embedded in our culture, informing our decisions every day.







