Network Performance Management Consultant

About the role

This position is part of the Home and Community Services Network Performance and Management division and is designed to accelerate the development of highly skilled individuals with the potential to excel in the Home and Community Services organization. The incumbent will rotate into various roles to immerse participants in strategic and operational priorities across the enterprise and possibly into collaborating business units.

The role involves facilitating regular meetings with executives in the Post-Acute Space and key strategic hospital executives to assess trends, address escalating issues, and analyze root causes to determine corrective actions. The incumbent will train customers on core services, expand customer understanding and adoption of key tools, and maintain and provide customer information on service trends, care initiatives, and improvement opportunities.

Responsibilities

• Build and maintain relationships with individual establishments/customers (e.g., Skilled Nursing Facilities, Home Health Companies, LTACH, IPR, and Hospitals).
• Support the preparation of business plans and maintenance of target lists.
• Prioritize accounts in accordance with the market growth plan.
• Gather and organize account-related information and provide input on key customer opportunities, service line extensions, and proposal or contract pricing.
• Lead the strategic implementation of key initiatives for Highmark Inc. and HCS around vendor engagement and implementation, as well as post-acute clinical transformation through network development and analysis of high-performing partners.
• Develop a robust understanding of the company’s products and services, strategic objectives, and the importance of team leadership and influencing skills.
• Provide best-in-class training services, organize training/education opportunities, and promote participation/inclusion with key accounts and partners.
• Facilitate key meetings with health plan leadership to review results of network, vendors, and other Post-Acute Care (PAC) strategies.
• Perform analysis as an individual contributor and/or team leader, ensuring timely, accurate, and customer-focused work that minimizes manual processes.
• Lead short and medium-term duration projects, building action-oriented skills for successful project delivery and confidence among team members and matrix partners.
• Serve as a leader of teams, aligning people, processes, and technology toward the achievement of team objectives.

Requirements

• Bachelor’s Degree in Business Administration/Management (or 6 years of related and progressive experience in lieu of a degree).
• 7+ years of progressive management experience or related industry leadership experience, including 5 years in healthcare.
• 3–5 years of experience in any of the following: Strategic Planning/Corporate Development, Consulting, or the Health Insurance Industry.

Preferred Qualifications

• Bachelor’s Degree in Finance, Accounting, or a related field, or a Master’s Degree in Business Administration/Management.
• 5 years of managed healthcare experience.

Skills

• Oral & Written Communication Skills
• Relationship-building with unsurpassed interpersonal skills
• Business Strategy
• Self-starter mentality
• Team Leadership and Team Building
• Strategic Thinking
• Problem Solving & Decision Making

Working Conditions

• Position Type: Office-based
• Teaches/trains others regularly
• Occasional travel (0%–25%) from the office to various work sites or site-to-site
• Physical work site required: Yes
• Lifting up to 10 pounds: Constantly
• Lifting 10 to 25 pounds: Occasionally
• Lifting 25 to 50 pounds: Rarely

Pay

Pay Range Minimum: $86,400.00

Pay Range Maximum: $138,600.00

Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. Geographic differentials may apply for certain locations.