What are the responsibilities and job description for the Provider Integration Consultant position at Highmark?
Company
Highmark Inc.
Job Description
JOB SUMMARY
This job leads execution of the department's strategies, goals and objectives to continually lead, monitor, and manage large scale projects and initiatives with a focus on supporting provider integration. The incumbent will also be charged with the development, coordination and management of matrixed projects to improve the health of our members. Accountable for assuring the analysis and outcomes reporting for all assigned programs. The role will collaborate with matrixed partners across the enterprise to develop short and long-range business plans to support the achievement of objectives of all assigned projects.
If you are within 50 miles of an office this is a hybrid based role in Pittsburgh, PA. 3 days a week onsite. T, W, Th. If outside of the 50 miles this role will be remote.
ESSENTIAL RESPONSIBILITIES
Required
Required
Required
None
Travel Required
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-Based
Teaches / trains others regularly
Frequently
Travel regularly from the office to various work sites or from site-to-site
Occasionally
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting up to 10 pounds
Frequently
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 position 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.
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
Highmark Inc.
Job Description
JOB SUMMARY
This job leads execution of the department's strategies, goals and objectives to continually lead, monitor, and manage large scale projects and initiatives with a focus on supporting provider integration. The incumbent will also be charged with the development, coordination and management of matrixed projects to improve the health of our members. Accountable for assuring the analysis and outcomes reporting for all assigned programs. The role will collaborate with matrixed partners across the enterprise to develop short and long-range business plans to support the achievement of objectives of all assigned projects.
If you are within 50 miles of an office this is a hybrid based role in Pittsburgh, PA. 3 days a week onsite. T, W, Th. If outside of the 50 miles this role will be remote.
ESSENTIAL RESPONSIBILITIES
- Serve as a Subject Matter Expert to market executives, senior leadership, and matrixed partners to provide project management consultation for provider initiatives, strategy development, and product solutions.
- Manage the relationship with internal and external stakeholders with a provider and market focus.
- Work independently to coordinate, align, and implement provider integration strategies to improve member outcomes and reduce medical costs for all lines of business in collaboration with market and physician executives.
- Develop and implement tactical plans to achieve Highmark strategic objectives.
- Responsible for reporting out on activities to implement Living Health Partnership strategies.
- Coordinate internal and external resources for execution of program, product and/or solution implementation.
- Develop scope and objectives, involve all relevant stakeholders and drive initiatives to completion.
- Ensure all work is delivered on-time and within scope inclusive of risk management using mitigation strategies and escalation as appropriate.
- Other duties as assigned or requested.
Required
- Bachelor's Degree in Business Administration/Management, Finance, Health Administration, Industrial Engineering, or a Health Care Related field
- 6 years of related and progressive experience in lieu of Bachelor's degree
- Master's Degree in Business Administration/Management
Required
- 7 years in Project Management in the healthcare industry OR 3 years in Program Management in the healthcare industry
- None
Required
- None
- Project Management Professional (PMP)
- Budget Management
- Building and Leading Teams
- Leading Change
- Program Evaluation
- Program Management
- Written & Oral Presentation Skills
- Innovation
- Research
- Highly Organized
None
Travel Required
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-Based
Teaches / trains others regularly
Frequently
Travel regularly from the office to various work sites or from site-to-site
Occasionally
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting up to 10 pounds
Frequently
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 position 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.
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