Director Business Planning and Operations

This role serves as a key member of the Strategic Management Office within the Enterprise Clinical Organization (ECO) and supports the Chief Medical and Clinical Transformation Officer of Highmark Health and the senior clinical leadership team. Operating in a fast-paced, highly visible environment, the position plays a critical role in translating enterprise clinical strategy into operational execution while partnering closely with executive leaders across Highmark Health and affiliated organizations to drive strategic transformation, organizational effectiveness, and business results.

Responsibilities

• Facilitate the planning and organization of all strategic initiatives.
• Direct and oversee the initiation, progress, resource requirements, financial performance, benefits, value levers, and communications associated with tactical and business-as-usual projects led by the function.
• Identify, develop, and execute key processes that improve overall organizational efficiency and effectiveness, including governance.
• Work with departmental leadership and matrix partners to identify risks and create actionable plans to mitigate those risks to ensure realization of outcomes.
• Direct budgets and related financial oversight in partnership with matrix partners and other corporate departments.
• Direct performance monitoring activities relating to strategic advancement and strategy execution.
• Facilitate the budget and strategic governance process.
• Develop and maintain an executive-level communications dashboard, including ROI metrics, and use data to drive initiatives, evaluate success and failure, and communicate results.
• Develop and implement business strategies in conjunction with senior leadership in accordance with organizational goals.
• Maintain an in-depth knowledge of the changing healthcare environment and evaluate the market need for specific clinical services or programs.
• Identify the need for quality and performance improvement initiatives in accordance with strategic direction.
• Develop and implement plans for clinical, administrative, and safety improvement processes in collaboration with senior leadership, clinical, and physician leadership.
• Establish revenue and expense targets in conjunction with senior leadership; analyze trends impacting revenue and volume.
• Identify opportunities to optimize clinical reimbursement and implement new policies and procedures as necessary.
• Maintain a thorough understanding of clinical reimbursement and managed care issues specific to the specialty line.
• Lead the management of external vendor performance within the business area.
• Organize and lead communications from the division that includes a matrix partnership with other departments across the network.
• Lead quarterly and yearly planning processes to decide on established priorities and communication approach.
• Direct and oversee the change management practice, ensuring all levels of management and employees effectively absorb organizational change while maintaining excellent operational results.

Requirements

• 7 years of experience in strategic planning, corporate development, project management, or management consulting.
• 5 years in a management or leadership role.
• 5 years of experience presenting and communicating with large audiences.
• Bachelor's degree in healthcare administration, business administration, or related field, or relevant experience and/or education as determined by the company in lieu of a bachelor's degree.

Preferred Qualifications

• 5 years of experience in the healthcare industry, strategic vendor, and practice management.
• Master's Degree in healthcare administration, business administration, or related field.

Skills

• Oral and Written Communication Skills
• Creative Problem Solving
• Critical Thinking
• Analytical and Logical Reasoning/Thinking
• Project Planning and Organization
• Leadership
• Business Planning

Schedule

Hybrid based role in Pittsburgh, PA - Onsite 3 days a week (Tuesday, Wednesday, Thursday).

Physical and Mental Demands

• Office-based position.
• Teaches/trains others occasionally.
• Travel from the office to various work sites or from site-to-site rarely.
• Lifting up to 10 pounds constantly.
• Lifting 10 to 25 pounds occasionally.
• Lifting 25 to 50 pounds rarely.