Job ID: J123997
Company: Highmark Inc
Location: Pittsburgh, PA, United States
Full/Part Time: Full time
Job Type: Regular
Posted at: Jun 5, 2018
This job helps to develop and leads the execution of the market network strategy for Senior Markets. Determines the Organization's relative position within markets. Ensures network strategies support market, profitable growth, and retention. Drives execution across the organization. Leverages market intelligence and multi-dimensional profitability data to establish and execute a market network strategy for Senior Markets across all geographies in order to grow Medicare Advantage (MA) membership and meet Health plan contribution margin goals. Collaborates with Senior Markets Product, Provider Network & Reimbursement, Clinical and Analytic functions to set parameters for measuring the success of network strategies and tactics. Leads the development and use of multi-dimensional analytics used to inform the overall market strategy/positioning. Leveraging an analytical base of member, product/network and channel profitability, this job contributes to the overall market approach and positioning. Close collaboration with key functional matrix partners is critical for on-going success, including Enterprise Analytics, Actuarial and Provider Contracting and Value Based Reimbursement teams. This job is external facing with provider partners as the primary stakeholders.
LICENSES AND CERTIFICATIONS
Language (Other than English)
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Teaches / trains others regularly
Travel regularly from the office to various work sites or from site-to-site
Works primarily out-of-the office selling products/services (sales employees)
Physical work site required
Lifting: up to 10 pounds
Lifting: 10 to 25 pounds
Lifting: 25 to 50 pounds
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.
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