Medical Cost Initiatives Program Manager/Analytical Lead

Job ID: J138043
Company: Highmark Inc
Location: Pittsburgh, PA, United States
Full/Part Time: Full time
Job Type: Regular
Posted at: Jan 4, 2019

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Description

General Overview:


This position will be responsible for managing the monthly reporting process related to our medical cost savings initiatives program. This position serves as the key link between the Finance/Actuarial/Med Econ areas in support of these initiatives and each business segment and functional area partners' work with key focus on the coordination with financial plans/forecasts, emerging results and pricing. Core responsibilities include: managing the day to day accuracy of the financial book of record, partnering with business owners to understand the savings expectations of each program, preparing monthly accurate and timely financial summaries, understanding the connections between the financial values and forecasting and pricing decisions as well as providing ad hoc reporting and analysis as needed. Program Manager will also need to think strategically about tool and reporting enhancements to meet the needs of changing business dynamics. This position interacts with Health Plan Management (SVPs, VPs, Directors, etc.) in formal and informal situations and must demonstrate a high-level analytical, communications and influence skills.

Essential Job Functions:

  • Work with management to assemble project teams and work groups to produce deliverables required to achieve the objectives of a defined corporate program.    Lead project managers and work group leaders in the development and maintenance of comprehensive plans for a defined corporate program.
  • Organize, direct and coordinate cross-functional activities to focus corporate resources on the successful delivery and implementation of the desired results for a defined corporate program and/or strategic initiative.
  • Work with the executive sponsor of a corporate program (VP or higher), and other management as required to achieve the objectives of a defined corporate program.   Acquire detailed understanding of the business objectives for an assigned area.
  • Monitor and evaluate the progress, alignment and financial “health” of a cross-functional group of projects and related activities which together, constitutes a defined corporate program.  Direct corrective action as needed to maintain the viability of the program. If required - Report to the executive team/sponsor/steering committee on the progress, business impacts and strategies around the program(s).
  • Assess risks that might jeopardize successful achievement of the desired results of a program, develop risk mitigation strategies and tactics, and implement risk mitigation plans.
  • As needed - Partners with procurement to develop and execute strategies related to the service/asset contracts.
  • As needed - Manages the vendor to the responsibilities outlined in the contract and statement of work.
  • Other duties as assigned or requested.


Minimum Qualifications:

  • High School Diploma / GED
  • 7 -10 years of work experience in project management or
  • 7-10 years of work experience delivering business solutions using information technology

Preferred Qualifications:

  • Bachelor’s degree in Business Administration or analytical-related  area of study
  • MBA or Master’s Degree in analytical-related area of study

Referral Bonus: Level 1

Summary

This position will be responsible for managing the monthly reporting process related to our medical cost savings initiatives program. This position serves as the key link between the Finance/Actuarial/Med Econ areas in support of these initiatives and each business segment and functional area partners' work with key focus on the coordination with financial plans/forecasts, emerging results and pricing. Core responsibilities include: managing the day to day accuracy of the financial book of record, partnering with business owners to understand the savings expectations of each program, preparing monthly accurate and timely financial summaries, understanding the connections between the financial values and forecasting and pricing decisions as well as providing ad hoc reporting and analysis as needed. Program Manager will also need to think strategically about tool and reporting enhancements to meet the needs of changing business dynamics. This position interacts with Health Plan Management (SVPs, VPs, Directors, etc.) in formal and informal situations and must demonstrate a high-level analytical, communications and influence skills.

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

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