JOB SUMMARY
The Senior Project Manager will be responsible for leading key projects directly engaging with our provider network around risk adjustment activities. This role demands a professional with excellent communication and interpersonal skills, capable of fostering strong relationships and leading productive discussions with provider groups and clinicians. A crucial aspect of this role involves the ability to identify when and how to effectively engage Highmark clinical teams to support and drive provider education initiatives. A critical eye for detail, superior organizational abilities, and advanced proficiency in Microsoft Excel and PowerPoint are essential for success. The ideal candidate thrives in a fast-paced environment, demonstrating strong decision-making skills, and brings a track record of successful project delivery. While not required, experience in risk adjustment programs (MA, ACA, and/or Medicaid) will be highly valued.
ESSENTIAL RESPONSIBILITIES
- Project Leadership & Management:
- Lead the planning, execution, and successful completion of key projects, particularly those involving direct engagement with provider networks.
- Manage project scope, timelines, and resources to ensure projects are delivered on time and within scope.
- Identify and proactively mitigate project risks, developing contingency plans as necessary.
- Develop and maintain comprehensive project documentation, including project plans, status reports, and stakeholder communications.
- Provider Engagement & Communication:
- Serve as the primary point of contact for provider groups, including clinicians.
- Facilitate and lead productive meetings and discussions with diverse provider stakeholders.
- Build and maintain strong, collaborative relationships with provider partners.
- Translate complex project information into clear and actionable communications for various audiences.
- Clinical Team Collaboration & Provider Education:
- Proactively collaborate with Highmark clinical teams to develop and deliver targeted provider education initiatives.
- Act as a liaison between project teams, providers, and Highmark clinical resources to ensure aligned efforts in education and support.
- Data Analysis & Reporting:
- Utilize advanced proficiency in Microsoft Excel to analyze project-related data, track performance, and identify trends.
- Prepare clear and compelling presentations using Microsoft PowerPoint to report project status, outcomes, and recommendations to stakeholders.
- Decision Making & Problem Solving:
- Demonstrate critical decision-making skills, especially in a fast-paced and dynamic project environment.
- Address project challenges and unforeseen issues effectively and efficiently, seeking optimal solutions.
EDUCATION
Required
- High School Diploma or equivalent
Substitutions
- None
Preferred
- Bachelor's degree
EXPERIENCE
Required
- 4 years of experience in a project manager role
Preferred
- PMP certification or equivalent training
- Healthcare Insurance industry business and operational knowledge
- Experience managing large, complex projects
- Very good leadership skills
- Very good organizational and planning skills
- Experience with an industry standard software development life-cycle
LICENSES AND CERTIFICATIONS
Required
- None
Preferred
- None
SKILLS
- Experience with customer relationship management
- Presentation skills
- Negotiation skills
- Experience with conflict resolution
- Experience with Risk Mitigation Planning
Language (Other than English)
None
Travel Requirement
0% - 25%
Position Type
Office-based or Remote
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Occasionally
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
Occasionally
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 position 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.
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For accommodation requests, please contact HR Services Online at [email protected]
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Skills Required
- High School Diploma or equivalent
- 4 years of experience in a project manager role
- Advanced proficiency in Microsoft Excel
- Advanced proficiency in Microsoft PowerPoint
- Excellent communication and interpersonal skills
- Strong decision-making and organizational skills
- Experience with customer relationship management (CRM)
- Presentation skills
- Negotiation skills
- Experience with conflict resolution
- Experience with Risk Mitigation Planning
- Bachelor's degree
- PMP certification or equivalent training
- Healthcare insurance industry business and operational knowledge
- Experience managing large, complex projects
- Experience with an industry standard software development life-cycle (SDLC)
- Experience with risk adjustment programs (MA, ACA, and/or Medicaid)
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.
