Company :

Job Description : 

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.

This is a hybrid based role in Pittsburgh, PA - onsite 3 days a week. T, W, TH.

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

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. 

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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