Highmark Health

Director

• Lead the development and execution of the health plan’s product performance framework across all product portfolios and lines of business
• Provide critical measurement plan design and development, insights, measurement reporting and data oversight on clinical, operational, and member experience outcomes
• Lead end-to-end product performance measurement process
• Collaborate with product managers, owners, business stakeholders, and analytics teams to identify data requirements
• Lead performance deep dives and business reviews to support strategic planning and product refresh cycles

Director, Product Performance Measurement

Backend Engineer

• Lead the development and articulation of complex architecture vision and strategy, ensuring alignment with business goals and strategic initiatives.
• Champion the adoption of best practices and emerging technologies, driving innovation and continuous improvement across the organization.
• Collaborate with senior stakeholders across the organization, influencing decision-making and ensuring alignment on complex architectural solutions.
• Lead the evaluation and selection of new technologies and solutions, ensuring they meet the organization's evolving needs and strategic direction.
• Develop and maintain comprehensive architectural documentation, ensuring clarity and consistency across all stakeholders.
• Proactively identify and mitigate potential risks and challenges, ensuring the successful implementation and ongoing operation of complex architectures.
• Serve as a subject matter expert and advocate for architectural best practices, contributing to the development of organizational standards and policies.
• Provide expert guidance and mentorship, fostering a culture of collaboration and knowledge sharing.

Principal Technical Architect

Support Engineer

• Ensure the optimal performance, integrity, and regulatory compliance of all medical imaging systems
• Responsible for image management, system optimization, and participation in project management initiatives
• Collaborate with vendors and stakeholders to improve imaging workflows and integrate technological advancements

Associate Technical Analyst

Underwriter

• SVP, Underwriting position is responsible for profitability and revenues of the billion dollars of stop loss business underwritten by or on behalf of HM Insurance Group.
• Development and execution of the stop loss product line, pricing and underwriting strategies to achieve revenue and profitability target objectives.
• Management of the multi-disciplined Underwriting department.
• Management of external partners performing underwriting functions on behalf of HM Insurance Group.
• Participating in development and execution of corporate strategic initiatives.

SVP Underwriting

Operations

• Oversee and execute projects and programs for efficient delivery of solutions
• Maintain and improve the Standard Operating Model (SOM)
• Define and achieve Key Performance Indicators (KPIs)
• Manage a team providing administrative services support
• Design and implement strategies using Six Sigma and Agile methodologies
• Lead monthly and quarterly operating reviews with key stakeholders
• Partner with management to assemble project teams and workgroups
• Drive operational efficiencies in collaboration with various departments
• Implement performance improvement programs and resolve project issues

Director Operational Excellence

Analyst

• Leads the design, development, execution, dissemination and interpretation of clinical and population health analyses, metrics and reports using clinical, member, financial and administrative data to identify, develop and/or monitor actionable opportunities for improving health and healthcare outcomes and clinical quality and costs of care
• Establishes strong, collaborative and effective relationships and communication with internal and external stakeholders
• Serves as a strategic business partner to internal and external stakeholders
• Provides consultative, technical, subject matter and business expertise mentorship to colleagues across the enterprise

Lead Clinical and Population Health Analyst

Business Operations

• Plan, manage and oversee the implementation of the strategic business and functional infrastructure
• Perform management responsibilities including hiring and termination decisions, coaching and development, performance management
• Plan, organize, staff, direct and control the day-to-day operations of the department
• Oversee the definition, scoping, chartering efforts for business process analysis/design projects
• Manage business consultation services, including research, analysis facilitation, process modeling
• Establish and maintain strong working relationships across business unit/area level of management
• Oversee planning sessions with business owners to improve business processes
• Oversee vendor management relationships with applicable business unit subcontractors

Manager, Business Operations

• Inform and drive execution of Highmark Health's SDoH strategy
• Lead a team in developing and implementing innovative programs
• Collaborate with key stakeholders to improve health outcomes
• Establish performance metrics and evaluation frameworks for SDoH programs
• Analyze data to inform strategic decision-making

Director, Social Determinants of Health – Strategy and Program Development

Full-stack Engineer

• Responsible for designing and creating engineering specifications for software applications and programs
• Responsible for designing & writing code that adheres to coding standards
• Performs code reviews
• Responsible for idea generation, exploring and implementing appropriate technical solutions
• Monitor technical process against project plan while safeguarding functionality, scalability and performance
• Part of an agile work team and participates in all scrum ceremonies
• Drive story creation including DoD, Acceptance Criteria, estimation
• Create Tasks for their stories in applicable software and updates status accordingly
• Mentor other associate and intermediate software engineers as needed

Senior Software Engineer

Marketing

• Develop and champion a comprehensive, multi-year CRM strategy and roadmap aligned with Highmark Health's strategic objectives.
• Drive organizational alignment and establish clear KPIs for activation and engagement rates.
• Direct the strategy and execution of CRM operations, overseeing the entire campaign lifecycle.
• Lead the integration of campaign performance data with enterprise analytics.
• Mentor and inspire a high-performing team of CRM strategists and campaign operators.
• Direct the development of deep customer insight-based campaign journeys across numerous channels.
• Partner closely with MarTech, in-house agency, Product, and Health Experience teams for seamless execution.

VP, Customer Relationship Marketing

Manager

• Provides operational and financial oversight to a network of physician practices.
• Is responsible for improving office operational efficiency and productivity while providing cost savings and revenue enhancing services.
• Conducts on-site assessment of practice operations to identify opportunities for improvement in the areas of operational and process improvement, including patient access, care alignment, patient satisfaction, and maximizing revenue.
• Identifies barriers and implements corrective action measures to ensure positive outcomes.
• Develops, plans, and budgets on a strategic, tactical, and operational level for and with each practice.
• Manages and monitors key financial and revenue cycle metrics, including staff hours, resource allocation, expense budget, patient volumes, and the revenue cycle process.
• Supervises staff, resolves problems, and implements approved disciplinary action.
• Interviews, hires, trains, and conducts performance evaluations.
• Assumes day-to-day operations and oversight of employees of practice in the absence of the manager (i.e. leave of absence, resignation, etc.)
• Proactively manages physician contractual obligations by ensuring appropriate level of productivity (wRVUs), standardization of physician schedules and appointment times, and compliance with the 72-hour rule and same day availability for urgent patients.
• Manages all phases of onboarding in the practice acquisition process, including providing support to new managers and physicians, establishing processes, and site preparation.
• Manages all phases of exit process for departing practices, including medical records processing, site breakdown, and staff assignments.
• Trains new managers in policies and procedures.
• Provides ongoing guidance and support to established managers.
• Works constructively with all designated physicians, leadership, and health professionals to accomplish organization and practice goals.

Practice Manager, Regional – PCI

Systems Engineer

• Understand capability needs; Gather project specifications; Create business cases
• Translate high-level business needs into detailed requirements for new capabilities
• Analyze data to determine business problems, trends, or opportunities for process improvements
• Create/execute test cases; Provide root cause analysis and corrective action plans
• Ensure quality delivery
• Identify, document, and resolve risks, defects and issues
• Analyze market trends for competitive insight

Clinical Business Systems Analyst

Financial Planning and Analysis

• Responsible for the financial performance and operational forecasting and analysis at enGen
• Monthly financial reporting, strategic planning
• Direct oversight of Thryve subsidiary financial results, workforce analytics and spend forecasting
• Support to the CEO, CFO, CIO and leaders within the organization
• Support the Client Executive team in their oversight of external client relationships
• Key contributor to BOD and Rating Agency content
• Focus on business performance improvement and strategic priorities
• Systems administration for applications in managing key Finance functions
• Vendor management for all applicable vendors and communication
• Cloud Financial Operations oversight

Director, Finance

• Overall administration and oversight of sales support activities for the sales office
• New and renewal processing, product implementation, vendor interaction, running reports
• Attend meetings with sales personnel
• Investigate and resolve complex issues
• Process and set-up new or updated clients in the appropriate system(s)

Sales Support Analyst

• Deliver high-impact analytics and insights focused on Social Determinants of Health (SDOH)
• Support the development and evolution of enterprise SDOH dashboards and self-service analytic tools
• Serve as a consultative analytic partner to the Enterprise SDOH team
• Support advanced analysis of varied and multilevel data
• Develop insights that inform program design and strategic decision-making