Network Performance Management… at Highmark Health · Pittsburgh

Network Performance Management Consultant Location: PA, Working at Home - Pennsylvania Company : Helion Job Description : JOB SUMMARY This job is part of the Home and Community Services Network Performance and Management division and is designed to accelerate development of highly skilled individuals who have the potential to excel in Home and Community Services organization. The incumbent will rotate into various roles to immerse participants in strategic and operational priorities across the enterprise and possibly into collaborating business units.  This job will facilitate regular meetings with Executives in the Post-Acute Space and with key strategic hospital executives to assess trends, keep abreast of escalating issues and analyze root causes to determine corrective action steps. The incumbent will train customers on core services and expand customer understanding and usage/adoption of key tools.  The incumbent will also maintain and provide customer information on service trends, care initiatives, improvement opportunities, etc. This is a remote based role around the Pittsburgh, PA and surrounding areas with some onsite presence at local hospitals with weekend coverage. These are three brand new roles for the Highmark organization - Monday-Friday, Tuesday-Saturday or Sunday-Thursday. ESSENTIAL RESPONSIBILITIES Build and maintain relationships with individual establishments/customers (i.e., Skilled Nursing Facility, Home Health Companies, LTACH, IPR, and Hospitals). Support the preparation of business plans and maintenance of target lists. Prioritize accounts in accordance with the market growth plan.  Gather and organize account-related information and provide input on key customer opportunities, service line extensions and proposal or contract pricing. Lead in the strategic implementation of key initiatives for Highmark Inc and HCS around vendor engagement and implementation; and lead in the strategic implementation of post-acute clinical transformation through network development and analysis of high performing partners. Develop a robust understanding of the company's products and services, how we achieve our strategic objectives, and how team leadership and influencing skills as a leader are critical to the success of the organization. Provide best-in-class training services, organize training/education opportunities, and promote participation/inclusion with key accounts and partners. Facilitate key meetings with health plan leadership to review results of network, vendors, and other PAC strategies. Perform analysis as an individual contributor and/or team leader, ensuring that work product is timely and accurate, the work is performed in a manner that minimizes manual processes and is delivered with a customer focus. Lead short and medium-term duration projects, building an action oriented skill set that enables successful project delivery and confidence from project team members and matrix partners. Serve as a leader of teams, ensuring that people, processes and technology are aligned towards the achievement of team objectives. As a team leader, understand that success of the team is the result of the entire team’s output and that the program participant is evaluated in the context of individual results along with the sustained results of the team. EDUCATION Required Bachelor's Degree in Business Administration/Management Substitutions 6 years of related and progressive experience in lieu of bachelor degree Preferred Bachelor's Degree in Finance, Accounting, or related field OR Master's Degree in Business Administration/Management EXPERIENCE Required 7+ years of progressive management experience or related industry leadership experience To include: 5 years experience in healthcare And (any of the following): 3 - 5 years Strategic Planning/Corporate Development 3 - 5 years Consulting 3 - 5 years Health Insurance Industry Preferred 5 years managed healthcare experience LICENCES OR CERTIFICATIONS Required None Preferred None SKILLS Oral & Written Communication Skills Relationship-builder with Unsurpassed Interpersonal Skills Business Strategy Self Starter Team Leadership Team Building Strategic Thinking Problem Solving & Decision Making Languages (other that 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. Pay Range Minimum: $86,400.00 Pay Range Maximum: $138,600.00 Base 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 HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice