Ancillary Provider Liaison

Highmark Health • Pittsburgh, PA

23d • Onsite

About The Position

This job serves as a liaison between Highmark Health Plan and Highmark Home and Community Services (HCS). Must ensure HCS compliance to contracted Service-Level-Agreements. The incumbent must have an understanding of health plan needs to ensure HCS solutions meet the need of all Highmark service regions. Assesses how Health Plan changes to Product & Benefit Design, Network, Reimbursement, Medical Policy, Utilization Managment and Regulatory Requirements esnure HCS is aware and can help Highmark succeed in light of the changes.

Requirements

• Bachelor's Degree in Business Administration/Management or Health Administration or relevant experience and/or education as determined by the company in lieu of bachelor's degree
• 7 - 10 years of experience working in the Healthcare Industry

Nice To Haves

• Master's Degree in Business Administration/Management or Health Administration
• 3 - 5 years of Leadership experience
• 3 - 5 years of Provider Relations experience
• 3 - 5 years of Vendor Management experience
• Analytical and Logical Reasoning/Thinking
• Problem Solving & Decision Making
• Communication Skills
• Leading Change
• Analysis of business problems/needs
• Strategic Thinking
• Strategic Relationship Building

Responsibilities

• Collaborate with internal health plan and external enterprise owned/aligned stakeholders to develop Ancillary Provider/Post-Acute programs and strategies.
• Serve as the Single-Point-of-Contact between Highmark Health Plan and HCS.
• Successfully complete assigned projects by developing innovative, integrated solutions to resolve highly complex business issues.
• Simultaneously leading multiple, large-scale, highly complex projects.
• Other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees