Highmark Health

Consultant

• Provides patient care, documents and charges for care per department policy
• Independently supervises Behavioral Health Consultants and operations of the BHC services in ambulatory areas
• Implements BHC programs, policies, and procedures of the department and conforms to budgetary guidelines
• Develops and monitors a clinical plan and helps manager oversee all activities of program implementation
• Provides support to practices who are integrating Behavioral Health Consultants into their workflow

Supervisor, Behavioral Health Consultants

Project Manager

• This role is responsible for the successful planning, execution, and delivery of projects.
• Lead all aspects of the project lifecycle, from initial concept to final delivery.
• Develop comprehensive project plans, including detailed schedules, resource allocation, budget management, and risk assessments.
• Proactively identify and mitigate potential project roadblocks.
• Define and manage project scope, ensuring all deliverables align with business objectives.
• Build and maintain strong relationships with key stakeholders across the organization.
• Prepare and deliver comprehensive project status reports.

Senior Client Project Manager

Sales

• Assist in setting and executing the strategic vision for Salesforce capabilities
• Collaborate with business partners across the Highmark Health Plan, Sales Leadership, IT, and other Blue Plans
• Manage projects/enhancements of business processes and drive operational efficiencies
• Serve as the subject matter expert (SME) for the administration of the Salesforce platform
• Assist in managing a team of certified Salesforce business admins
• Ensure ongoing strategic planning for user adoption, best practices, and training

Manager, Salesforce Strategy and Consulting – Federal Markets

Business Operations

• Perform business analysis tasks by supporting stakeholders
• Handle user inquiries/issues and enhancements to the system
• Work with stakeholders to identify solutions including training and process changes
• Provide required business expertise for project and production activities
• Ensure compliance for required standards
• Conduct complex analysis on reports to ensure system performance
• Communicate effectively with team members and management

Internal Business Systems Consultant

Manager

• Serve as a project leader with multiple medium sized projects.
• Contribute to the definition, planning, and delivery of multiple product and technology projects.
• Influence the successful delivery and implementation of cross-functional activities.
• Lead and coordinate multiple medium sized integration projects.
• Cultivate a customer-first attitude by forging relationships with stakeholders.
• Develop detailed project plans, define scope, set milestones, and allocate resources.
• Identify, assess, and mitigate project risks and issues.
• Collaborate with all project stakeholders to proactively identify and mitigate project risks.
• Contribute to creation of communication strategies and execute.
• Monitor and report on project progress, deliverables, and key performance indicators to stakeholders.

Client Solution Delivery Manager

• Serve as a project leader for multiple large-scale product and technology projects
• Lead and coordinate multiple large-scale integration projects
• Develop detailed project plans, define scope, set milestones
• Identify, assess, and mitigate project risks and issues
• Monitor and report on project progress and deliverables
• Document lessons learned and best practices

Senior Client Solution Delivery Manager

Recruitment

• Collaborating with clinical leadership to create, coordinate and maintain provider schedules, primarily utilizing the QGenda software platform.
• Coordinates staffing for the department and performs other duties and responsibilities for the department as required.
• Assists in providing adequate, competent staff for each of the locations, by working closely with the Managers to identify their staffing needs.
• Coordinates and adjusts schedules on a daily basis; also reviews schedules for monthly projections.
• Maintains statistical information.
• Maintains workflow in accordance to staffing pattern and/or per request of nurse directors.
• May handle appropriate orientation of agency/external staff, ensuring their orientation/training meets DOH and JCAHO guidelines; maintains appropriate files for agency/external staff.
• Demonstrates effective communication skills with patients, families, physicians and other healthcare team members as they enter or contact the nursing office.
• Under the direction of the Director or Manager, may act as the liaison with external staffing agencies.
• Performs other duties as assigned or required.

Coordinator, Staffing – Anesthesia Institute

• Responsible for definition, planning and delivery of complex programs that require cross-functional collaboration and management of interdependencies between a group of projects and/or related activities
• Organizes, plans, and maintains Program roadmap consisting of cross-functional activities/projects
• Work with business and technical organizations to assemble project teams
• Lead Project Managers and Program team in the development and maintenance of comprehensive plans for a defined program
• Work with Executive Sponsor and Business Owner of a Program, and other management as required, to achieve the Program objectives
• Monitor, evaluate and report on Program status inclusive of scope, schedule, budget and alignment to Program and strategic goals
• Direct corrective action as needed to maintain the viability of the Program
• Develop and maintain positive customer relationships
• Deliver presentations of project status to effectively communicate throughout the project lifecycle
• Adhere to Highmark project management methods, project lifecycle methodologies, and audit requirements

• Works with business and technical organizations to drive out program strategy and approach.
• Organizes, plans, and maintains Program roadmap consisting of cross-functional activities/projects.
• Work with business and technical organizations to assemble project teams.
• Lead Project Managers and Program team in the development and maintenance of comprehensive plans for a defined program.
• Monitor, evaluate and report on Program status inclusive of scope, schedule, budget and alignment to Program and strategic goals.

Billing Specialist

• Communicate effectively with internal and external contacts to resolve discrepancies
• Process and maintain membership data
• Manage multiple production oriented tasks
• Perform billing, accounts receivable, and reconciliation activities
• Create and distribute membership/billing materials to clients/members

Enrollment and Billing Representative

Systems Engineer

• Plans, designs/builds, tests, implements, and supports the needs of Beaker Epic software
• Analyzes and determines system requirements and specifications
• Supports and maintains environments or applications using domain knowledge
• Configures changes within the Epic environments to provide standardized, comprehensive workflows
• Conducts problem-solving and root cause analysis to resolve routine to moderately complex problems
• Consistently contributes to and manages portions of projects within the assigned area
• Independently initiates process improvement
• Works with clinical, business, and technical resources in a positive, supportive, and collaborative manner
• Creates and maintains documentation and training materials regarding the implementation of applications

Epic Systems Analyst – Beaker

Payroll

• Lead multiple geographically dispersed HR Shared Services teams
• Oversee key aspects of the HR operational infrastructure
• Manage planning, resourcing, execution, and communication of HR teams
• Ensure processes are documented, controlled, and continuously improved
• Collaborate with Centers of Expertise (COE) partners for efficiency improvements

Director, HR Shared Services – Payroll and Tax Operations

Director

• Directs operational activities for all assigned specialty areas.
• Serves as the coordinator of all needs/services of the specialty line and addresses concerns/problems through resolution.
• Provides operational leadership and direction to the service line focusing on positively influencing successful operations.
• Identifies, plans, organizes, communicates, implements and measures activities and strategies that promote growth, clinical excellence, patient satisfaction, fiscal prudence, enhanced communication, optimal clinical productivity and system success.
• Develops and implements business strategies in conjunction with the Vice President of the respective Service Line in accordance with organizational goals.
• Maintains an in-depth knowledge of the changing healthcare environment and evaluates the market need for specific clinical services or programs.
• Identifies the need for quality and performance improvement initiatives in accordance with strategic direction.
• Develops and implements plans for clinical, administrative and safety improvement processes in collaboration with Service Line Vice President, clinical and physician leadership.
• Establishes revenue and expense targets in conjunction with Service Line Vice President; analyzes trends impacting revenue and volume; identifies opportunities to optimize clinical reimbursement and implements new policies and procedures as necessary.
• Maintains a thorough understanding of clinical reimbursement and managed care issues, specific to the specialty line.
• Provides leadership, management and supervision to directors, managers and supervisors within scope of responsibility, ensuring hiring, development and retention of key personnel.
• Works closely with the VP Service Line and the Department Chiefs and Chairs in the recruitment and establishment of new physicians in accordance with strategic plans, as needed.
• Ensures compliance with all government and corporate policies, procedures and regulations.
• Supervises and provides administrative and operational guidance to directors, managers and supervisors who are responsible for daily operations and management of the specialty line.
• Employs analytical judgment, manages projects, organizes resources, consults and solves problems.
• Maintains open communications with physicians, staff and management.

Director, Medicine Institute

Customer Support

• Resolve customer inquiries and complaints via communication in a timely manner.
• Prepare adjustments for services not properly processed.
• Meet all production, quality, and adherence standards.
• Maintain accurate records, including timekeeping records.

Lead Customer Service Representative

• Handle customer inquiries by telephone and/or email and/or in person
• Troubleshoot and resolve customer complaints
• Prepare adjustments for services not properly processed
• Maintain accurate records, including timekeeping records

Supervisor, Behavioral Health Consultants

Senior Client Project Manager

Manager, Salesforce Strategy and Consulting – Federal Markets

Internal Business Systems Consultant

Client Solution Delivery Manager

Senior Client Solution Delivery Manager

Coordinator, Staffing – Anesthesia Institute

Project Manager

Project Manager

Enrollment and Billing Representative

Epic Systems Analyst – Beaker

Director, HR Shared Services – Payroll and Tax Operations

Director, Medicine Institute

Lead Customer Service Representative

Associate Customer Service Representative