JOB SUMMARY
This job assists in the creation, execution, and oversight of the Medicare sales and distribution strategy through partnering with sales leadership and other matrix partners. The incumbent focuses on assessing opportunities within each respective region and on building the necessary capabilities to ensure strategic matrix partners' alignment and execution of strategies to grow membership. Works collaboratively across multiple functional areas to align resources and effort around achievement of the plan.
Preferred Skills
- Data Analysis & Synthesis: Demonstrated ability to work with, analyze, and synthesize multiple complex data sets to drive business strategy.
- Forecasting & Modeling: Experience developing forecasting models, particularly within a call center or sales operational environment.
- Data Visualization: Proficiency in data visualization and developing interactive dashboards to track KPIs and provide actionable insights.
- AI Acumen: Strong understanding of Artificial Intelligence (AI) trends and the future of AI. Ability to identify and leverage AI capabilities to optimize processes and improve the organization's strategic position for long-term success.
If you live within 50 miles of an office you are required to be onsite 3 days a week. T, W, TH. Outside of that will be remote.
ESSENTIAL RESPONSIBILITIES
- Partner with leadership to set the direction of the strategic business plan and translate it into a vison for the organization.
- Influence all stakeholders to support key projects/programs in order to ensure positive outcomes that deliver results.
- Drive change in order to improve performance results, organizational effectiveness and/or systems/quality/services (e.g. policies, processes, or systems). Identify gaps in processes or organization. Challenge self and others to develop and implement solutions.
- Hold direct accountability for impact to growth initiatives and strategy development. Ensure accurate prioritization of key projects/programs within purview.
- Hold ultimate accountability for project management services being delivered including organizational budget and/or financial implications.
- Assist in the development and execution of micro market strategies to meet expected growth and retention targets.
- Other duties as assigned or directed.
EDUCATION
Required
- Bachelor's Degree in Business Administration/Management or relevant experience and/or education as determined by the company in lieu of bachelor's degree
Preferred
- None
LICENSES/CERTIFICATIONS
Required
- None
Preferred
- None
EXPERIENCE
Required
- 5 - 7 years of Health Insurance Industry experience
Preferred
- 1 - 3 years of Medicare or Program Management experience
SKILLS
- Analysis of business problems/needs and process improvement
- Analytical Skills
- Budget Management
- Business Development
- Collaborative Problem Solving
- Communication and Presentation Skills
- Organizational Skills
- Project/Program Management
- Cross-Functional Team Leadership
- Influence and Persuasion
Language (other than English)
None
Travel Required
0% - 25%
PHYSICAL, MENTAL DEMANDS, AND WORKING CONDITIONS
Position Type
Office-Based or Remote - If you live within 50 miles of an office you are required to be onsite 3 days a week. T, W, TH. Outside of that will be remote.
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:
$86,400.00Pay Range Maximum:
$138,600.00Base 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.
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Skills Required
- Bachelor's degree in Business Administration, Management, or equivalent relevant education and experience
- 5-7 years of experience in the health insurance industry
- 1-3 years of Medicare or program management experience
- Business problem analysis and process improvement skills
- Analytical, communication, presentation, organizational, and collaborative problem-solving skills
- Budget management, business development, project/program management, cross-functional team leadership, influence, and persuasion
- Experience analyzing and synthesizing complex data sets
- Experience developing forecasting models in a call center or sales operations environment
- Proficiency in data visualization and interactive dashboard development
- Understanding of artificial intelligence trends and applications
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.
