Company :

Job Description :

JOB SUMMARY

This job is responsible for providers’ experience and approach to transformation as it relates to strategies for engagement, solution deployment, change management, and communication. This includes creation, oversight and leading the execution of a provider playbook, experience roadmaps, and engagement strategies. The incumbent is responsible for gaining provider partner buy-in into the transformation strategy, and will work with the markets, provider transformation leaders, and ECO functions to deploy the strategies related to provider transformation and engagement. This job will also lead the team that develops and executes on a cohesive provider education and communication plan for all providers, including new provider orientation and ongoing education plans, manuals, and online tools.

ESSENTIAL RESPONSIBILITIES

• Responsible for designing strategies that tailor all potential transformation levers (solutions, tools, products, etc.) and the associated resource model to a given provider and/or the provider network. Responsible for gaining provider support and increasing engagement and adoption of these levers.
• Design programs to support large-scale transformation initiatives within the largest and most strategic ~45 provider organizations. This includes, but isn’t limited to, creating change management strategies, incentives, recognition, and rewards that reinforce desired outcomes.
• Lead the team who develops and executes on an internal and external provider engagement and communication approach that that impacts the provider network. Implement communication plan and tactics associated with provider initiatives, including conducting outreach, facilitating provider education, and providing manuals and online tools.
• Responsible for developing and designing certain strategies for the most strategic providers, such as Rural Health Strategy, based on overarching guiding principles developed by senior leadership, and Customer Relationship Management (CRM) Strategy.
• Ensure development of operational activities essential to deploying levers to Providers, which includes deployment and implementation strategies, cross-functional collaboration and management of interdependencies, and ensuring measurable KPI reporting.
• Strengthen change capabilities in provider organizations and support the most complex changes impacting outcomes that support the Quadruple Aim. This role partners with others in the markets, provider transformation, and ECO organizations to identify barriers and provide a recommended path for changing provider behavior.
• Identify measures that support intended outcomes. Partner with external provider and internal partners to capture the metrics. Implements meaningful ways to use the data to monitor and share progress.
• Perform management responsibilities to include, but are not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity. Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as necessary; may have budgetary responsibility and authority.
• Other duties as assigned or requested.

EXPERIENCE

Required

• 7 years in consulting or relationship management role
• 7 years in the Healthcare Industry OR Health Insurance Industry
• 5 years in Leadership
• 3 years in Change Management

Preferred

• 10 years in consulting or relationship management role
• 10 years in the Healthcare Industry OR Health Insurance Industry
• 7 years in Leadership
• 5 years in Change Management

SKILLS

• Excellent oral and written communication skills, with the ability to influence and sell roadmap/improvement ideas to a multiplicity of stakeholders across all lines of business.
• Proactive in driving change and continuous improvement.
• Demonstrated influencing, and teamwork skills.
• Industry knowledge of Rural Health and / or CRM strategy in a provider setting.
• Ability to solve complex conceptual and operational problems; potential ability to lead teams in problem-solving exercises.

EDUCATION

Required

• Bachelor's degree in business or health administration or relevant experience and/or education in lieu of bachelor's degree

Preferred

• Master's degree in in Business or Health Administration

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LICENSES or CERTIFICATIONS

Required

• None

Preferred

• None

Language (Other than English):

None

Travel Requirement:

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office- or Remote-based

Teaches / trains others

Occasionally

Travel 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

No

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 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.

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