JOB SUMMARY
This role will specifically guide the definition and delivery of capabilities related to the Epic Payer Platform and other EHR vendor interoperability solutions, focusing on enabling efficient payer-provider and payer-payer healthcare data exchange. The role will be part of the enGen data organization.
This job is responsible for the definition, planning, and delivery of complex product/technology capabilities that require cross-functional collaboration and alignment to product/technology roadmaps. Includes management of interdependencies between a group of projects or a single project, and related activities within the constraint of scope, quality, time and budget. Understands the product/technology roadmap, capabilities, and the business value proposition. Develops and communicates a data-driven impact analysis, including risk assessment and mitigation. Assesses, track, and addresses financial and budgetary statuses. Ensures the business value is delivered and realized for the capability and passed on to customers.
ESSENTIAL RESPONSIBILITIES
- Define, plan, and deliver on product/technology capability roadmaps, working with the executive sponsor (Director or higher), and other management as required to ensure achievement of the objectives of defined. Organize, direct, and coordinate cross-functional activities to focus resources on the successful delivery and implementation of the desired results for a defined program and/or strategic initiative.
- Plan, organize and control the day-to-day operations of the project, including budgetary oversight and optimal resource utilization. Direct corrective action as needed to maintain the viability of the program, reports to the executive team/sponsor/steering committee on the progress, business impacts, and strategies around the project(s).
- Work with stakeholders to frame out delivery strategy and approach. Organize, plan, and maintain delivery roadmap consisting of cross-functional activities/projects.
- Work with stakeholders to assemble backlogs. Lead solutions or teams in the development and maintenance of comprehensive plans.
- Work with Executive Sponsor and other management as required to achieve the delivery objectives. Acquire understanding of the value proposition of the capability/technology. Understand customer commitments and regulatory requirements.
- Leverage industry leading Lean and Agile practices and audit requirements. Support and contribute to the improvement of delivery methods, security, and practices.
- Other duties as assigned or requested.
- Drive alignment and integration efforts across various teams and external partners for EHR interoperability initiatives, ensuring seamless data flow and communication.
- Proactively identify and manage risks and dependencies related to complex healthcare data exchange projects, particularly those involving Epic and other major EHR systems.
EDUCATION
Required
- Bachelor's Degree in Business Administration, Management Information Science or related field, or relevant experience and/or education as determined by the company in lieu of bachelor's degree.
Substitutions
- An Associate's Degree with an additional 2-4 years of relevant professional experience, OR
- An additional 4-6 years of relevant professional experience beyond the stated 5 years of required experience, for a total of 9-11 years of relevant experience in Product Ownership, Strategic Consulting, Design Thinking, Product Development & Management, or Project/Program Management
Preferred
- Master's Degree or advanced certification in Business Administration, Management Information Science, Health Informatics, Information Technology, or a related healthcare-specific field.
EXPERIENCE
- 5 to 8 years’ work experience in project management
- 5+ years’ work experience delivering business solutions using information technology
- Proven experience in facilitating healthcare data exchange projects between payers and providers, or between different payers
Preferred
- Demonstrated experience managing complex projects or capabilities within the healthcare IT sector.
- Experience with the Epic Payer Platform or other major Electronic Health Record (EHR) systems in an interoperability context.
LICENSES or CERTIFICATIONS
Required
- None
Preferred
- Project Management Professional or other Certification in Project Management
- Information Technology Infrastructure Library (ITIL)
- (Lean) Six sigma
- American Society for Quality (ASQ) or equivalent
- (Agile) Project Management Institute - Agile Certified Practitioner (PMI-ACP)
- Certified Scrum Professional (CSP)
- Certified Scrum Product Owner (CSPO)
- Certified Scrum Master (CSM) or equivalent
- Certifications related to healthcare interoperability standards (e.g., HL7 FHIR certification)
- Certifications in specific EHR platforms or data integration tools
KNOWLEDGE, SKILLS & ABILITIES
- Outstanding customer focus, results orientation, strategic thinking, change advocate, continuous improvement, talent development
- Excellent written and spoken communications skills
- Strong leadership and interpersonal skills
- Analytical and problem solving skills
- Experience with Risk Mitigation Planning
- Experience with conflict resolution
- In-depth knowledge of healthcare data exchange standards, including HL7 V2, HL7 V3, and HL7 FHIR
- Familiarity with healthcare terminology sets such as LOINC, CPT, SNOMED, RxNorm, ICD, and HCPCS
- Understanding of payer and provider workflows and their intersections in data exchange
- Ability to effectively manage stakeholder expectations and communications across diverse technical and business teams involved in healthcare interoperability
- Proficiency in identifying and leveraging technology solutions to enhance healthcare data exchange and integration
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.
Pay Range Minimum:
$94,200.00Pay Range Maximum:
$151,000.00Base 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.
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
Similar Jobs
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.
