Clinical Strategy Lead

Highmark Health Clinical Operations Manager

This job functions as a member of an inter-disciplinary team that supports the Enterprise Clinical Operations with a range of strategic activities essential to realizing the potential of and growing Population Health Solutions. Provides clinical expertise, strategic thinking, and leadership support that enables project teams and partners to personalize, bundle, and deploy solutions for our customers. Leverages a new approach grounded in advanced analytics, human centered design, and a true clinical viewpoint to understand a customer's physical, mental and social health needs, challenges, and preferences. Leads by influence working with clinical, analytic, and business teams to understand the pain points associated with customer journeys and define the correct solutions. Makes formal recommendations regarding best-in-class solutions that should be adopted. In addition to engaging with clinicians across the enterprise ecosystem to adopt and scale these solutions, the incumbent will provide clinical expertise across all other functions of the Enterprise Clinical Operations, including Quality, Safety, Value, Informatics, and Research / Innovation. Leverages ongoing collaboration and coordination of other clinical resources, analytic, technical, strategic, and business teams to create requirements to achieve these solution designs and scaling through Population Health partnerships.

Essential Responsibilities

• Work with business / market owners to identify key business issues, apply the right analytical framework, develop solutions and recommendations, represent findings to stakeholders and own the outcome.
• Leverages clinical knowledge to collaborate with stakeholders to define, plan, and design the appropriate end-to-end cross-channel experiences and solutions from a customer and clinician point of view to achieve customer engagement, clinician engagement, health outcomes, and affordability targets and in support of scaling curated health model solutions.
• Accountable for solution outcomes (ROI, KPIs) and collaborates with other clinical partners and / or vendors for solution prototyping and scaling.
• Evaluates new software or technology capabilities, assesses vendor solutions, creates and supports ongoing partnerships with third parties such as clinical vendors.
• Serve as the clinical liaison between Highmark Health and provider partners related to all clinical transformation efforts.
• Serve as clinical subject matter expert to strategic operations staff and stakeholders on membership, growth and operational strategy issues.
• Actively participate in major strategy projects with the support of internal or external strategy consulting resources.
• Other duties as assigned or requested.

Education

Required

Substitutions

Preferred

Experience

Required

Preferred

Licenses or Certifications

Required

Preferred

Skills

Language (Other than English) : None

Travel Requirement : 0% - 25%

Physical, Mental Demands and Working Conditions

Position Type : Office-based

Teaches / trains others regularly : Occasionally

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

Works primarily out-of-the office selling products / services (sales employees) : Never

Physical work site required : Yes

Lifting : up to 10 pounds : Constantly

Lifting : 10 to 25 pounds : Occasionally

Lifting : 25 to 50 pounds : Never

Pay Range Minimum : $78,900.00

Pay Range Maximum : $147,500.00