DirectorTraining Development & Quality

Job ID: J135408
Company: Highmark Inc
Location: Pittsburgh, PA, United States
Full/Part Time: Full time
Job Type: Regular
Posted at: Nov 5, 2018

Share:

Description

JOB SUMMARY

This job leads all aspects of Health Plan Operations training, development and quality processes.  This includes analyzing training needs, designing learning solutions that meet strategic business and performance objectives, and implementing appropriate learning-related strategies, tools, and processes. Additionally this position will have direct oversight for ensuring the appropriate controls are in place for quality control measures within the HPO production functions. The incumbent will lead the internal quality team to support Customer Service, Claims, High Dollar, Benefit Coding, Billing and Enrollment.  These duties support the quality direction within HPO service provider partners to comply with all requirements; ensures appropriate controls are in place throughout the division; oversees ongoing analysis and implementation of performance management procedures and systems related to the successful accurate completion of claims aid inquiries; and researches/resolves all identified procedural discrepancies.

ESSENTIAL RESPONSIBILITIES

  • Perform management responsibilities to include, but are not limited to: involved in 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.
  • Direct cross functional training and development strategies and initiatives across the entire Health Plan Operations function.  Ensure learning meets both the current and future needs of the organization which are aligned with the strategic strategy. 
  • Define training and development Key Performance Indicators in alignment with Health Plan Operations goals and strategic initiatives.  Responsible to ensure training deliverables meet the business performance needs of the organization and make an impact to overall success.  
  • Develop strategic plans that position the learning function to improve the performance of the business and enable execution of the organization’s strategy.
  • Responsible for oversight of the quality function to drive consistent improvement and high quality standards throughout the Health Plan Operations function.  Oversight for appropriate tracking, trends and analytics for errors and performance with in the HPO production units.  
  • Oversight for expanded strategic partners/vendor initiatives to support key business initiatives of on and off shore activities
  • Other duties as assigned. 

EDUCATION

 

Required

  • Bachelor's Degree in Business, Learning, or related field

Substitutions

  • 6 years of relevant work experience

Preferred

  • Master's Degree in Business, Learning, or related field

EXPERIENCE

 

Minimum

  • 7 years experience analyzing customer needs, designing and implementing learning, quality and related solutions and processes years

To include

  • 5 years management experience   

Preferred

  • 7 years experience in a service industry, consumer industry or Fortune 200 company
  • 5 years additional experience in training or adult education or organizational development

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

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, and prohibit discrimination against all individuals based on their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
EEO is The Law
Equal Opportunity Employer Minorities/Women/ProtectedVeterans/Disabled/Sexual Orientation/Gender Identity (http://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf)
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.
For accommodation requests, please call HR Services at 844-242-HR4U or visit HR Services Online at HRServices@highmarkhealth.org

Share:

Interested in working at the Highmark Health enterprise?
Take the first step by joining our Talent Network today!

Join Our Talent Network

Similar Jobs

Director Change and Program Management

Pittsburgh, PA, United States
Other

Consumer Analytics Graduate Intern - Summer 2019

Pittsburgh, PA, United States
Other

Data Science Graduate Intern - Summer 2019

Pittsburgh, PA, United States
Other

Data Analytics Graduate Intern - Summer 2019

Camp Hill, PA, United States
Other

Predictive Analytics Graduate Intern - Summer 2019

Pittsburgh, PA, United States
Other

Data Analytics Graduate Intern - Summer 2019

Pittsburgh, PA, United States
Other

Capability Manager

Pittsburgh, PA, United States
Other

Business Analyst Summer Intern 2019

Harrisburg, PA, United States
Other

Senior Project Manager - Department of Medicine - AGH

Pittsburgh, PA, United States
Other

Program Manager - Patient Experience

Pittsburgh, PA, United States
Other

Innovation Intern -Summer 2019

Pittsburgh, PA, United States
Other

VBR Strategy & Innovation Graduate Intern - Summer 2019

Pittsburgh, PA, United States
Other

Senior Project Manager - Orthopedics - Federal North

Pittsburgh, PA, United States
Other

Strategic Sourcing Intern – Summer 2019

Pittsburgh, PA, United States
Other

Senior Business Information Security Analyst

Pittsburgh, PA, United States
Other

Senior Business Information Security Analyst

Camp Hill, PA, United States
Other

Event Planning Intern - Summer 2019

Pittsburgh, PA, United States
Other

Portfolio Consultant

Pittsburgh, PA, United States
Other

VITAL Business Operations Graduate Intern - Summer 2019

Pittsburgh, PA, United States
Other

Marketing Graduate Intern - Summer 2019

Pittsburgh, PA, United States
Other

Senior Decision Support Analyst, Producer Strategy

Pittsburgh, PA, United States
Other

Partnership Performance Manager

Pittsburgh, PA, United States
Other

Salesforce Intern - Summer 2019

Pittsburgh, PA, United States
Other