Senior Member Engagement Guide

Company :

Highmark Health

Job Description : 

JOB SUMMARY

This job works on transformation initiatives in healthcare for clients and members. Will develop and execute member engagement strategies to drive the transformation of healthcare for clients and members, including executing events and campaigns across the commercial, Medicare and community segments. The incumbent works with highly complex members and with high priority clients and projects to execute transformation initiatives. The incumbent mentors more junior level members. Educates members about how their insurance benefits work, the financial impact of healthcare choices, available provider/service options and the importance of getting the right care at the right time, in the right place. Will play a major role in driving change in member behavior and driving overall business outcomes from a cost of care perspective. responsible for growth centered on transformation and change in healthcare; including the health plan, partner providers, clinical offerings and digital innovation tools. The incumbent is responsible for being the “Face of Highmark” for clients, members and potential members across all segments in a multitude of functions. Capable of delivering results tied to organizational transformation and growth in these and additional areas.

ESSENTIAL RESPONSIBILITIES

• Serve as a Subject Matter Expert and the "Face of Highmark" to our clients and members. Deep understanding of Highmark products and services, provider partners and healthcare trends and the ability to effectively educate, influence and communicate these items to clients and members to drive the transformation of healthcare.
• Provide support for both members and clients with highly complex needs centered around care alignment, clinical programs, digital tools, etc.
• Develop and execute on Highmark's strategic initiatives centered around the transformation of healthcare at high priority and highly complex client and members events and campaigns across all segments of business such as commercial, Medicare and community, independently and/or in partnership with executives across the organization.
• Partner with the broader Product Design and Digital Innovation department to assist with projects centered around the development of transformative healthcare initiatives. 
• Mentor and train junior level team members as needed.
• Other duties as assigned or requested.

EDUCATION

Required

• Bachelor's Degree in Business, Communications, Healthcare or related field 

Substitutions

• 6 years of related and progressive experience in lieu of Bachelor's degree

Preferred

• Master's Degree in Business, Communications, Healthcare or related field 

EXPERIENCE

Required

• 5 years in Client or Member consulting, preferably in the Insurance industry

Preferred

• 2 years as a Member Engagement Guide with the Highmark organization 

LICENSES or CERTIFICATIONS

Required

• None

Preferred

• Producer’s License – Accident & Health

SKILLS

• Experience executing Commercial, Medicare and Community events independently with little or no supervision
• Strong leadership, demonstrating the ability to train and mentor jr. level members
• Experience working with members that have highly complex needs
• Experience working with highly complex and high priority clients and members
•  Project management skills
• Strong sales and influencing skills, proven track record of driving transformation in member behavior and outcomes 
• In-Depth knowledge of Highmark plans, provider partners, clinical programs and digital tools 
• In-Depth knowledge of healthcare trends related to care alignment, cost reduction, digital innovation, etc. 
• Strong analytical skills 
• Strong relationship builder across multiple levels of an organization from employee through senior leader
• Strong communication and influence skills across levels of an organization from employee through senior leaders
• Able to work effectively in a matrix environment
• Able to juggle and manage competing priorities
• Strong presentation and written communication skills
• Strong relationship builder across multiple levels of an organization from employee through senior leader

Language (Other than English):

None

Travel Requirement:

50% - 75%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-based

Teaches / trains others regularly

Frequently

Travel regularly from the office to various work sites or from site-to-site

Constantly

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required 

No

Lifting: up to 10 pounds

Constantly

Lifting: 10 to 25 pounds

Occasionally

Lifting: 25 to 50 pounds

Rarely

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.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.  In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. 

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range Minimum:

$57,700.00

Pay Range Maximum:

$107,800.00

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.  The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

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 any category protected by applicable federal, state, or local law.

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 the email below.

For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

California Consumer Privacy Act Employees, Contractors, and Applicants Notice