Wellness Coach

Highmark Health • Carolina, PA

3d • Onsite

About The Position

The Wellness Coach has primary ownership and oversight of an assigned panel of members with varying health statuses, clinical needs, and levels of severity. The coach assesses members’ health management needs and uses data and analytics alongside professional judgment to identify appropriate clinical and lifestyle interventions. Working with a multidisciplinary team, the coach may refer members to other resources for additional support.

The role involves outreach to members enrolled in disease management, including developing personalized care plans, encouraging behavior change, identifying and addressing barriers, coordinating care, and connecting members with resources to support their personal health goals. Engagement occurs by phone, digitally, or virtually. The coach monitors and works to improve clinical, financial, and functional outcomes for the assigned panel.

The position also maintains knowledge of evidence-based lifestyle coaching interventions and industry standards, documents activities in compliance with applicable requirements, and participates in workgroups to improve wellness coaching services and develop or implement programs and pilots. The role is office-based and requires a physical work site. Travel is listed as 0%–25%.

Requirements

• Master’s degree in Nutrition, Health Education, Health Promotion, Exercise Science, Public Health, Social Work/Psychology, or a health- or clinical-related field, or relevant experience and/or education as determined by the company in lieu of a master’s degree.
• Three years of experience as a Registered Dietician, Exercise Physiologist, or Wellness/Lifestyle Coach in a wellness-model or program-delivery environment, such as a health plan or insurance setting, disease or condition management, or inpatient/outpatient acute care.
• Effective presentation skills and strong relationship-building skills.
• Basic computer skills and familiarity with software applications, including Microsoft Teams.
• Comprehensive knowledge and understanding of current health education practices.
• Knowledge of Prochaska’s Transtheoretical Stage of Change model.
• Experience working in a team environment supporting health services management and/or wellness programs.
• Interpersonal and consensus-building skills, including the ability to work with internal and external colleagues at all organizational levels.
• Ability to work flexibly in a high-performing team environment and manage multiple priorities in a fast-paced setting.
• Strong organizational, time-management, and project-management skills.
• Self-directed and able to work successfully with indirect supervision and moderate autonomy.

Nice To Haves

• Certified Tobacco Cessation Specialist.
• Registered Dietician.
• Certified Diabetes Educator (CDE).
• Exercise Physiology certification.
• Certified Lactation Counselor.
• National Diabetes Prevention Program Lifestyle Coach.
• Certified Health and Wellness Coach (CHWC).
• Familiarity with Highmark’s preventive health services, programs, and services.

Responsibilities

• Maintain knowledge of evidence-based interventions and industry standards for lifestyle coaching in tobacco cessation, weight management, sleep hygiene, stress management, nutrition, physical activity, and maternal health.
• Assess the health management needs of an assigned member panel and identify appropriate clinical interventions or refer members to suitable resources.
• Develop care plans with long- and short-term goals, regular follow-up contacts, and actions to address identified needs and barriers to care.
• Identify internal and external resources and help members coordinate care and work toward improved health outcomes.
• Conduct outreach and engage members by phone, digitally, or virtually to encourage behavior change and support personal health goals.
• Demonstrate clinical outcomes and cost savings from wellness interventions and support members across age bands, geographic regions, and products.
• Document activities and ensure they comply with business processes, regulatory requirements, professional scope, and accreditation standards.
• Participate in workgroups to improve the efficiency, effectiveness, and member-centered focus of wellness coaching services, including developing and implementing programs and pilots.
• Perform other duties as assigned or requested.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level