JOB SUMMARY
This job identifies, develops, and directs a portfolio of projects designed to meet/exceed key performance metrics (e.g., admin cost reduction, process improvement, medical cost/value improvement, and enhanced customer/provider experience) for a particular business unit(s) within the organization. The incumbent will drive the overall project execution and is responsible for all deliverables, outputs, and short/long-term results, even during the implementation phase of work. The incumbent demonstrates deep knowledge of consulting principles and the delivery of practical outcomes from prior engagements and industries and is adept at driving clear hypotheses, breakthrough analyses and actionable strategic insights for organizational and operational improvement. In doing so, the incumbent will be skilled at applying a strategic approach to problem-solving through quantitative analysis, financial modeling, hypothesis-based issue analysis and the use of multiple strategic frameworks. The incumbent recognizes the important role technology plays in achieving and sustaining true transformation and brings experience from several tech-enabled programs. The incumbent takes pride in staying on top of industry and technology trends and is constantly assessing their potential impact on the organization and generating project ideas accordingly. The incumbent has a track record as a talent multiplier who is adept at people development for individuals and teams. Finally, the incumbent is a strong change agent, adept at navigating a heavily matrixed organization and influencing leaders at all levels to truly transform their business.
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.
Financial and delivery responsibilities: Drive P&L and strategic value for the enterprise through the division’s portfolio of projects. Work closely with senior/executive leadership to identify, scope, prioritize, and deliver large- and small-scale consulting projects that advance business outcomes and achieve strategic objectives. Ultimate owner of engagement deliverables, resources (internal & external) and outcomes within the portfolio.
Other duties as assigned or requested.
EDUCATION
Required
Bachelor's degree in Business Management, Engineering, Operations, Information Technology, or closely related discipline
Substitutions
None
Preferred
Master's degree
EXPERIENCE
Required
10 years’ experience in the Strategy, Operations, Mergers and Acquisitions, or Human Capital Practice of a consulting firm or similar experience from a consulting-oriented role in a corporate environment or private equity firm
To Include
7 years of management experience and/or experience leading teams and/or projects of varying size and complexity
7 years of working in complex, matrixed environments or across multiple businesses
Preferred
5 years of aggregate project experience from the Healthcare industry (payor and/or provider)
LICENSES or CERTIFICATIONS
Required
None
Preferred (any of the following)
Lean Six Sigma
Human Centered Design (HCD)
SKILLS
Exceptional analytical and quantitative problem-solving skills
Strong business and financial acumen
Ability to apply creative and imaginative thinking to solve problems in innovative and/or unexpected ways. Seen as a thought leader.
Ability to leverage exponential technologies (AI/ML, GenAI, Agentic AI) to transform business processes
Excellent storytelling and communication skills across verbal, written, and PowerPoint mediums; able to simply and concisely communicate complex ideas and concepts
Ability to lead and influence without authority, work effectively with people across all levels of the organization
Ability to work in a collaborative manner and be an active listener; excellent facilitation skills
A flexible working style; comfortable working in team environments or autonomously
Orientation toward execution; ability to consistently make progress regardless of constraints or roadblocks
Managerial courage and ability to have difficult conversations
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.
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Skills Required
- Bachelor’s degree in Business Management, Engineering, Operations, Information Technology, or a closely related discipline
- 10 years of experience in strategy, operations, mergers and acquisitions, human capital consulting, or a similar consulting-oriented corporate or private equity role
- 7 years of management experience and/or experience leading teams or projects of varying size and complexity
- 7 years of experience working in complex, matrixed environments or across multiple businesses
- Master’s degree
- 5 years of aggregate project experience in the healthcare industry, preferably payer or provider
- Lean Six Sigma certification or experience
- Human Centered Design experience or certification
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.
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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.
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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.
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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.
