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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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