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Strategic Operations Manager

2 months ago

Providence, Rhode Island, United States Highmark Health Full time

Location: Please ensure the location field contains 'city, state' or a zip code for radius search (e.g., Denver, CO or City and state must be separated by a comma followed by a space (e.g., Houston, TX)).

Company: Highmark Health

Position Overview:

This position acts as a pivotal leader and "player-coach" within a team dedicated to payment innovation, encompassing both Value-Based Payment and traditional Fee-For-Service models. The selected candidate will spearhead the formulation and execution of departmental strategies while overseeing a group of subject-matter experts.

Key Responsibilities:

  • Provide analytical and strategic guidance to align with the organization's objectives.
  • Develop and implement strategies aimed at optimizing value-based reimbursement opportunities.
  • Support the operational execution of payment strategies, including Fee-For-Service models.
  • Facilitate the advancement of provider contracting, payment frameworks, and other sophisticated reimbursement models.
  • Manage and mentor project resources, offering direction and support to ensure peak performance and professional growth.
  • Collaborate with cross-functional teams including actuary, operations, legal, markets, segments, and business development to fulfill strategic goals.

This role presents a unique opportunity to influence the strategic trajectory of the organization while nurturing and leading a team of skilled professionals.

Ideal Candidate Profile:

  • Comprehensive knowledge of value-based care and Fee-For-Service reimbursement frameworks.
  • Exceptional analytical and strategic reasoning capabilities.
  • Outstanding communication and presentation skills.
  • Proficient in managing multiple projects and prioritizing effectively.
  • Team-oriented with a collaborative mindset.
  • Possesses a Master’s Degree.

Essential Duties:

  • Oversee management responsibilities including hiring, coaching, performance management, and staff productivity.
  • Plan, organize, staff, direct, and manage daily departmental operations; develop and implement necessary policies and programs.
  • Lead strategic execution and transformational initiatives for the department, including team development, budgeting, forecasting, and training.
  • Establish relationships with strategic partners, key stakeholders, and executive leaders to ensure successful engagement in initiatives.
  • Assist executive leadership with budgeting, staff meetings, individual development plans, and resource management.

Education Requirements:

  • Required: Bachelor’s Degree or equivalent experience as determined by the company.
  • Preferred: None.

Experience Requirements:

  • Required: Minimum of 3 years in strategic leadership, program, or operational management.
  • Preferred: None.

Skills:

  • Analytical Skills
  • Logical Reasoning
  • Business Consulting
  • Team Leadership
  • Strategic Planning
  • Change Management

Travel Requirements: 0% - 25%

Work Environment: Office-Based

This job description is intended to outline the general nature and essential duties of the position. It may not encompass all responsibilities and qualifications required for the role.

Equal Opportunity Employer: Highmark Health is committed to equal employment opportunities for all individuals, prohibiting discrimination based on race, color, age, religion, sex, national origin, sexual orientation, gender identity, protected veteran status, or disability.