JOB SUMMARY
The Manager, Clinical Solutions Experience is responsible for the oversight of the Clinical Solutions Experience team and the development and execution of qualitative studies and the packaging of insights for leadership, sales and partners related to the activation and adoption of Living Health, VITAL, and current Highmark Health in-market solutions. This individual is required to work in close collaboration with team members, leadership, and other matrixed partners to ensure a high standard of custom qualitative research, using human-centered design methodologies to deliver timely and accurate studies and their related insights and reports while adhering to all regulatory, compliance, and legal standards.
ESSENTIAL RESPONSIBILITIES
- Perform management responsibilities including, but 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.
- Lead the development of a clinical solutions experience process which includes study design, implementation, enrollment, data analysis, and report deliverable components with the goal of generating high-value strategic insights for the Living Health and VITAL solutions teams and their related stakeholder groups.
- Monitoring and continuously adjusting the clinical solutions experience process to ensure that the program remains current with emerging industry best practices and techniques with respect to qualitative research using Human Centered Design (HCD) methodologies and techniques and that it is reaching our qualitative research goals and capturing adoption trends in solutions performance relative to the defined strategy, identifying key opportunities for improvement, and providing feedback to other Living Health solution strategy, design, development, and partnership teams.
- Developing and successfully executing individual qualitative research studies leveraging a wide variety of methods while also overseeing the clinical study managers and their individual body of work to ensure that all projects or initiatives are delivered on time and in accordance with the agreed upon scope and work in support of strategic and tactical initiatives.
- Developing and leveraging relationships across the organization as well as externally including but not limited to strategic provider and clinical partners, hospital and clinical operations staff, key payer administration, back office and business personnel to ensure a deep understanding of solution activation and adoption trends and problem areas and to identify key adoption issues, apply the right analytical framework, develop solution and recommendations, represent findings to stakeholders and deliver insights findings to inform future solution refinement and development.
- Develop a documentation system and future product roadmap which produces high-quality Solutions Experience Insights deliverables for use by internal stakeholders to measure solution performance, enable solution refinement, and produce future solution optimization as well for use in future solution commercialization and scaling efforts.
- Other duties as assigned or requested.
EDUCATION
Required
- Bachelor's Degree or relevant experience and/or education as determined by the company in lieu of bachelor's degree
Preferred
- Master's Degree in Science, Public Health, Business Administration
EXPERIENCE
Required
- 5 years in healthcare, payer and/or clinical or hospital operations, or healthcare consulting
- 3 years in management experience or similar experience in a supervisory capacity or role
Preferred
- 5 years in customer research with a background in the development of customer research utilizing human center design (HCD) methodologies and techniques
LICENSES or CERTIFICATIONS
Required
- None
Preferred
- Six Sigma, Agile, Lean
- Human-centered Design
SKILLS
- Qualitative research experience and demonstrated business experience in applying qualitative research techniques
- Demonstrated success in many of the central aspects of the project process, including study development, screener/discussion guide design, study execution, data collection, and analysis/report writing
- Excellent interpersonal skills with the ability to develop effective working relationships with both internal and external stakeholders as well as research participants. Outgoing, friendly personality
- Strong analytical skills and ability to interpret data, identify trends and provide relevant and actionable recommendations and insights
- Highly proficient with Microsoft Office; Word, Excel and especially PowerPoint
- Capacity to handle a high degree of multitasking on a daily basis
- Has a strong commitment to quality
- Demonstrated influencing, and teamwork skills
- Strong emotional intelligence, with servant leadership mind-set
- Commitment to self-development and the development of others
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
Rarely
Lifting: 25 to 50 pounds
Never
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:
$102,700.00Pay Range Maximum:
$164,600.00Base 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.
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For accommodation requests, please contact HR Services Online at [email protected]
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Skills Required
- Bachelor's degree or equivalent experience
- 5 years in healthcare, payer, clinical or hospital operations, or healthcare consulting
- 3 years management or supervisory experience
- Qualitative research experience applying qualitative research techniques
- Experience across study development, screener/discussion guide design, study execution, data collection, and analysis/report writing
- Strong interpersonal and stakeholder relationship skills
- Strong analytical skills to interpret data, identify trends and provide actionable recommendations
- Highly proficient with Microsoft Office, especially Word, Excel and PowerPoint
- Capacity to multitask and commitment to quality
- Master's Degree in Science, Public Health, or Business Administration
- 5 years in customer research with background in human-centered design (HCD) methodologies
- Certifications such as Six Sigma, Agile, Lean, or Human-Centered Design
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.








