GENERAL OVERVIEW
Highmark is looking for a dynamic Program Manager to tackle the complex challenges of optimizing our extensive provider network. This role offers a unique opportunity to shape the future of our network strategy, influence new product development, and directly impact the success of our health plan operations. The role is charged with supporting the planning and deployment of Highmark’s full portfolio of strategic provider network initiatives. This includes, but is not limited to, involvement in the roadmap creation and operationalization of the enterprise’s network optimization strategy, creation of new products, and continuous network monitoring. A successful candidate will have a track record of managing complex projects in large corporations, have a solid working knowledge of Health Plan operations and economics across all line of business, excellent communication skills, and be extremely detailed oriented.
ESSENTIAL RESPONSIBILITIES
EDUCATION
Minimum
Substitutions
Preferred
EXPERIENCE
Minimum
Preferred
LICENSES/CERTIFICATIONS
Required
Preferred
SCOPE OF RESPONSIBILITY
Does this role supervise/manage other employees?
No
WORK ENVIRONMENT
Is Travel Required?
Yes
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
Note: Job duties and responsibilities support separation of duties across multiple users
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:
$78,900.00Pay Range Maximum:
$147,500.00Base 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.
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For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org
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