Manager Strategy & Execution

at Highmark Health in Springfield, Illinois, United States

Job Description

Company :

Highmark Inc.

Job Description :

JOB SUMMARY

This role serves as a strategic leader and “player-coach” of a team focused on payment transformation, inclusive of Value-Based Payment and traditional Fee-For-Service. The incumbent will lead the development and implementation of department strategy, while also managing a team of subject-matter experts. Key responsibilities include providing analytical and strategic leadership to support the organization’s goals, developing and implementing strategies to maximize value-based reimbursement opportunities, supporting the execution and operations of overall payment strategy including Fee-For-Service, supporting the evolution of provider contracting, payment structures, and other advanced reimbursement models. The role also involves managing and mentoring a team of projects resources, providing guidance and support to ensure optimal performance and development. This individual will work collaboratively with teams across actuary, operations, legal, Markets, Segments, and business development to achieve strategic objectives. This role offers a unique opportunity to contribute to the strategic direction of the organization while leading and developing a team of talented professionals.

Ideal Candidate Profile:

+ Deep understanding of value-based care and fee for service reimbursement models

+ Strong analytical and strategic thinking skills

+ Excellent communication and presentation skills

+ Ability to manage multiple work streams and prioritize effectively

+ Collaborative and team-oriented approach

+ Masters Degree

+ Health care experience

ESSENTIAL RESPONSIBILITIES

+ Perform management responsibilities including, but 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.

+ Strategic Planning/Transformation/Consulting – Lead strategy execution and/or transformational initiatives for the department. There is a need for assistance in the strategy and development in team build out, budgeting, forecasting, hiring, interviewing, and training new hires, and implementing projects and initiatives. There is also a need for strategic leadership and guidance for all strategic initiatives.

+ Build relationships with our strategic partners, key stakeholders, and executive leaders to ensure successful engagement in initiatives and programs. There is a need for interaction, communication, and partnership with executive leaderships across the footprint to achieve the objectives and execute the business unit’s strategy. A liaison is needed to bridge gaps, build relationships, escalate issues, develop synergies, etc.

+ Assist and advise Executive Leadership with department budgeting, staff meetings, individual development plans, resource hiring and management, employee engagement, initiative forecasting & portfolio development. This role will also partner with the Chief of Staff on any and all strategic items as assigned.

+ Other duties as assigned or requested.

EDUCATION

Required

+ Bachelor’s Degree or relevant experience and/or education as determined by the company in lieu of bachelor’s degree

Preferred

+ None

EXPERIENCE

Required

+ 3 years of strategic leadership

+ 3 years of program or operational management

+ 3 years in a leadership role

Preferred

+ None

LICENSES OR CERTIFICATIONS

Required

+ None

Preferred

+ None

SKILLS

+ Analytical Skills

+ Analytical and Logical Reasoning/Thinking

+ Analysis of business problems/needs

+ Business Consulting

+ Building and Leading Teams

+ Business Strategy

+ Business Transformation

+ Change Management

+ Strategic Planning

+ Time Management

Languages (other than English)

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

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

Does Not Apply

Lifting: 25 to 50 pounds

Does Not Apply

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.

Pay Range Minimum:

$92,300.00

Pay Range Maximum:

$170,800.00

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 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.

EEO is The Law

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For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

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Req ID: J248343