Director Solution Portfolio-Product Management, Member Onboarding - Highmark Health : Job Details

Director Solution Portfolio-Product Management, Member Onboarding

Highmark Health

Job Location : Charleston,WV, USA

Posted on : 2025-02-01T13:24:54Z

Job Description :
Highmark Health Director Solution Portfolio-Product Management, Member Onboarding Charleston, West Virginia

This job oversees the end-to-end solutioning process from concept through hand-off to activation for solutions and is accountable for the ultimate design, performance, and readiness for scale of the portfolio of solutions to be rationalized, optimized, designed, and ultimately personalized and packaged to reinvent health. Partners across the Living Health organization to engage the comprehensive listening system, market and customer/clinician insights, manage solution development roadmaps, and testing and scaling. Responsible for coordinating teams of project managers, process engineers, designers, partners, and experts to inventory, evaluate, streamline, and design/re-design clinical solutions.

ESSENTIAL RESPONSIBILITIES

  • Perform management responsibilities including 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.
  • Leverage design knowledge to collaborate with stakeholders to define, plan, and design the appropriate end-to-end cross-channel experiences and solutions from a customer and clinician point of view.
  • Develop analytical frameworks, approach and methodology best practices to analyze strategy issues and monitor initiatives.
  • Evaluate new software or technology capabilities, assess vendor solutions, and create/manage ongoing partnerships with third parties.
  • Convey and prioritize needs from the comprehensive listening system to identify client, customer, and clinician needs and expectations.
  • Access market intelligence capabilities to understand market products, innovations, and competitor solutions.
  • Synthesize and interpret large amounts of quantitative data to support curated health model solution design.
  • Lead design sessions with the design team, experts, and other business partners.
  • Monitor progress of Solution efforts and is accountable for Solution outcomes (ROI, KPIs).
  • Manage dependencies across Solutions and escalate decisions as needed.
  • Other duties as assigned or requested.

    • EDUCATION

    Required

    • Bachelor's Degree in Business, Design, Healthcare Administration, Economics, Analytics, or related field or relevant experience as determined by the company in lieu of bachelor's degree.

    Preferred

    • Master's Degree in Business, Design, Healthcare Administration, Economics, Analytics, or related field.

    EXPERIENCE

    Required

    • 7 years post-graduate experience in the area of specialization, including leading large projects.
    • 3 years in Business or Healthcare.

    Preferred

    • 5 years with Health Insurance and/or Provider operations.
    • 3 years with operational improvement.

    SKILLS

    • Through knowledge of membership, rates, financial, economic and competitive data.
    • Excellent written, interpersonal, communication, and presentation skills.
    • Highly motivated with exceptional organizational skills.
    • Knowledge of software development lifecycle, from planning to delivery.
    • Experience developing business cases, and building ROI for programs from planning through execution.
    • Ability to lead within a matrixed organization to partner with clinical experts.
    • Experience using sketches, flow diagrams, wireframes, mockups, prototypes, and visual concepts.

    Language (Other than English): None

    Travel Requirement: 0% - 25%

    PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

    Position Type: Office-based

    Teaches / trains others regularly: Occasionally

    Travel regularly from the office to various work sites: Rarely

    Works primarily out-of-the office selling products/services: Never

    Physical work site required: Yes

    Lifting: up to 10 pounds: Constantly

    Lifting: 10 to 25 pounds: Occasionally

    Lifting: 25 to 50 pounds: Never

    Disclaimer: This job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title.

    Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

    Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities.

    EEO is The Law

    Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity.

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