JOB SUMMARY
This job is part of the Home and Community Services Network Performance and Management division and is designed to accelerate development of highly skilled individuals who have the potential to excel in Home and Community Services organization. The incumbent will rotate into various roles to immerse participants in strategic and operational priorities across the enterprise and possibly into collaborating business units. This job will facilitate regular meetings with Executives in the Post-Acute Space and with key strategic hospital executives to assess trends, keep abreast of escalating issues and analyze root causes to determine corrective action steps. The incumbent will train customers on core services and expand customer understanding and usage/adoption of key tools. The incumbent will also maintain and provide customer information on service trends, care initiatives, improvement opportunities, etc.
ESSENTIAL RESPONSIBILITIES
- Build and maintain relationships with individual establishments/customers (i.e., Skilled Nursing Facility, Home Health Companies, LTACH, IPR, and Hospitals). Support the preparation of business plans and maintenance of target lists. Prioritize accounts in accordance with the market growth plan. Gather and organize account-related information and provide input on key customer opportunities, service line extensions and proposal or contract pricing.
- Lead in the strategic implementation of key initiatives for Highmark Inc and HCS around vendor engagement and implementation; and lead in the strategic implementation of post-acute clinical transformation through network development and analysis of high performing partners.
- Develop a robust understanding of the company's products and services, how we achieve our strategic objectives, and how team leadership and influencing skills as a leader are critical to the success of the organization.
- Provide best-in-class training services, organize training/education opportunities, and promote participation/inclusion with key accounts and partners.
- Facilitate key meetings with health plan leadership to review results of network, vendors, and other PAC strategies.
- Perform analysis as an individual contributor and/or team leader, ensuring that work product is timely and accurate, the work is performed in a manner that minimizes manual processes and is delivered with a customer focus.
- Lead short and medium-term duration projects, building an action oriented skill set that enables successful project delivery and confidence from project team members and matrix partners.
- Serve as a leader of teams, ensuring that people, processes and technology are aligned towards the achievement of team objectives. As a team leader, understand that success of the team is the result of the entire team’s output and that the program participant is evaluated in the context of individual results along with the sustained results of the team.
EDUCATION
Required
- Bachelor's Degree in Business Administration/Management
Substitutions
- 6 years of related and progressive experience in lieu of bachelor degree
Preferred
- Bachelor's Degree in Finance, Accounting, or related field OR
- Master's Degree in Business Administration/Management
EXPERIENCE
Required
- 7+ years of progressive management experience or related industry leadership experience
To include:
- 5 years experience in healthcare
And (any of the following):
- 3 - 5 years Strategic Planning/Corporate Development
- 3 - 5 years Consulting
- 3 - 5 years Health Insurance Industry
Preferred
- 5 years managed healthcare experience
- 5 years post-acute care healthcare experience
LICENCES OR CERTIFICATIONS
Required
- None
Preferred
- None
SKILLS
- Oral & Written Communication Skills
- Relationship-builder with Unsurpassed Interpersonal Skills
- Business Strategy
- Self Starter
- Team Leadership
- Team Building
- Strategic Thinking
- Problem Solving & Decision Making
Languages (other that English)
None
Travel Required
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.
Pay Range Minimum:
$78,900.00Pay Range Maximum:
$147,500.00Base 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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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.
