Enable America Jobs

Company :

Highmark Inc.

Job Description :

JOB SUMMARY

*This is a hybrid role if living within a 50 mile radius of a Highmark office (PA, NY, WV, DE)

This job is responsible for activating solutions and ensuring that the intended value of each solution is achieved through thoughtful planning and execution. The incumbent will lead a cross functional group of matrix partners to develop sound business cases to support the realization of our solutions and must have a comprehensive approach to solution activation. Will be responsible for determining the technical requirements, legal/compliance regulatory considerations, benefit/reimbursement implications, provider partner scaling strategy, as well as a client/membership scaling strategy to paint a holistic picture of how our solutions will succeed. This job will play a critical role in not only securing funding for a specific solution, but ensuring that our sales and provider partners have what they need to be successful. The incumbent will work with leaders from across the organization to build out our go to market commercial strategy and ensure that offerings are sequenced, bundled, and positioned in a way to maximize market uptake.

This role is leading the Readiness & Go-To-Market efforts for the Market Activation Center of Excellence. This team members will partner with market owners and business areas outside of MedTech to ensure operational readiness and facilitate cross-functional Go-to-Market strategy is developed and executed across areas such as Marketing, Enrollment, SDoH, Provider, etc. to ensure enrollment targets are met as part of Market entry

ESSENTIAL RESPONSIBILITIES

• Work with business/ market owners to identify key business issues, apply right analytical framework, develop solution and recommendations, represent findings to stakeholders and own the outcome.

• Manage major strategy projects with the help of internal or external strategy consulting resources.

• Serve as subject matter expert to Strategic Operations staff and stakeholders on membership, growth and operational strategy issues.

• Provide periodic informal work guidance/direction to junior team members; Provide performance input and recommendations to management for development/ training plans. May have supervisory responsibilities on a project basis.

• Develop analytical frameworks, approach and methodology best practices to analyze strategy issues.

• Other duties as assigned or requested.

EDUCATION

Required

• Bachelor’s Degree in Business, Healthcare, Economics or related degree

Substitutions

• None

Preferred

• Master’s Degree in Business, Healthcare, Economics or related degree

EXPERIENCE

Required

• 5 years of related experience in Business, Healthcare, or Research/Analytics

• 2 years of experience leading the development and implementation of go-to-market strategies for products and/or service

Preferred

• Extensive knowledge of Health Insurance and/or Provider operations

• Experience in operational improvement

• Through knowledge of membership, rates, financial, economic and competitive data

LICENSES or CERTIFICATIONS

Required

• None

Preferred

• None

SKILLS

• Broad application of principles, theories, and concepts in strategic thinking, plus working knowledge of other related fields

• Strong PC application Skills (MS Office including PowerPoint and Excel)

• Knowledge of healthcare industry trends and challenges

• Strong critical thinking skills

• Good communication and presentation skills

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

Never

Works primarily out-of-the office selling products/services (sales employees)

Yes

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.

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 their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity ( https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf )

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For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Req ID: J242551