Company :

Job Description : 

JOB SUMMARY

We are seeking an experienced Medicaid managed care professional to join our team as a strategic partner, deeply embedded within the Medicaid segment. This individual will play a pivotal role in shaping and advancing Highmark's Medicaid strategy, with a particular focus on growth initiatives, product development, and both state and federal policy. The incumbent will support market and competitive analysis to support growth and product development.  The incumbent will also be instrumental in analyzing legislation and regulatory policy, developing advocacy strategies, and translating complex policy landscapes into actionable plans.

This role is preferable to be based in Pittsburgh, PA. Hybrid 3 days a week onsite (T, W, Th). If outside of Pittsburgh can be remote.

ESSENTIAL RESPONSIBILITIES

• Lead or support key strategic initiatives across Enterprise.  Role will vary depending on initiative, but will include elements of team leadership, problem-solving, data analysis, project management, communication, and implementation support.  Will participate on a portfolio of projects.

• Participate in the development of strategic plans for the Enterprise and the key business units of the Enterprise.

• Support the team in identifying, clarifying, and resolving complex issues critical to the success of the initiative.

• Support the identification of initiative impacts with other strategic initiatives to ensure alignment of the overall strategy.

• Help develop standard analytics and processes to use in leading various strategic initiatives.

• Play a role in shaping the culture and skill set of the organization.

• Other duties as assigned or requested.

EDUCATION

Required

• Bachelor's Degree in Business, or related field, or relevant experience and/or education as determined by the company in lieu of bachelor's degree.  

Preferred

• Master’s Degree in Business, or related field.

EXPERIENCE

Required

• 5 years of experience in Strategic Planning or related work experience in Business or Healthcare or equivalent combination of experience and education

• 2 years of consulting experience (external or internal) or equivalent combination of experience and education

Preferred

• 6 years of experience in payer, hospital system, or care delivery industry

• Experience influencing change in complex organizational systems

• Medicaid Managed Care Experience

SKILLS

• Ability to solve complex conceptual and operational problems; potential ability to lead teams in problem-solving exercises

• Strong quantitative and analytical skills 

• Demonstrated influencing, and teamwork skills

• Basic project management skills

• Focus on impacts to the customer of decisions rendered

• Proactive in driving change and continuous improvement

• Strong emotional intelligence, with servant leadership mindset

• Commitment to development of others and self

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

• 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 any category protected by applicable federal, state, or local law.

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