Bachelor's Degree in Healthcare, Business, Information Technology or relevant experience and/or education as determined by the company in lieu of bachelor’s degree.
7 years of Project Delivery Experience
7 years of Client Relationship Management
None
Nice to have
None
3 years of Team Leadership and Management
Demonstrated experience managing large-scale operational transformation, remediation, or system implementation projects impacting billing, customer service, finance, and health plan operations.
Experience partnering with business operations, IT, vendor organizations, and production support teams to resolve billing defects, payment issues, reconciliation gaps, and process breakdowns.
Experience managing operational readiness activities, implementation planning, training, communications, and post-production stabilization efforts for billing-related initiatives.
Proven ability to lead projects involving regulatory, compliance, audit, or customer-impacting financial processes.
PMP - Project Management Professional
Agile experience
Full description
Company :
Highmark Health
Job Description : JOB SUMMARY
This job will be expected to provide leadership oversight to a group of project managers within a value stream. The incumbent's focus will be to support the individual project managers in the delivery of the projects within their domain. The incumbent will be expected to have a clear understanding of the projects being managed by their team and ensure that all delivery management processes are being followed correctly. Will provide training and mentoring to the development of the project managers to improve their skills. In the event where a project would require additional leadership support the manager is expected to step in and remove obstacles and support stakeholder management.
Preferred candidates will have experience leading healthcare billing and financial operations initiatives, including premium billing, payment processing, reconciliation, billing remediation, payment integrity and customer financial experience improvements. Candidates should possess strong operational and technology project leadership skills, demonstrated success managing cross-functional teams through complex transformations, and the ability to identify and resolve operational risks impacting billing accuracy, customer experience, and financial performance. Experience within a health plan, payer, healthcare operations, or regulated financial environment is strongly preferred.
ESSENTIAL RESPONSIBILITIES
Perform management responsibilities to include, but are not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity. Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as necessary; may have budgetary responsibility and authority.
Manages the assignment of project managers to specific requests for work. Ensures that the project manager has proper information about impacted domains and reviews outputs to ensure that they are completed successfully.
Supports delivery owner in allocation of resources from across the matrixed organization. Resolves conflicts in scheduling that may require cross domain coordination or excitations. Reviewing work plans and breakdowns to ensure that all required activities are being addressed. Review project budget and allocations to ensure correct delivery of the project. Reviews risk identification to ensure that all appropriate risks are identified for the project. Review communication plans and stakeholder identification to ensure completeness.
Reviews communication and status and engages in go to green plans for all yellow or red projects. Support issue resolution through engagement of their experience and involvement of other teams.
Manager Client Project Management at Highmark Health (Pittsburgh PA, 15222, FAP, 5th Avenue Place) — aijobsearch
Validate that all project budget and time tracking progress has been completed correctly and timely. Engage and help to address any project with budget variances. Review and approve all change controls before presentation to stakeholders.
Facilitate lessons learned activities for projects that are closing out. Ensure that all project artifacts are documented and archived.
Actively engage in all Yellow / Red projects to resolve open issues. Be prepared to accept and manage escalations for projects in their domains. Have regular meetings with the stakeholders for critical projects. Ensure that any issues for project are properly escalated to senior leadership.
Other duties as assigned or requested.
EDUCATIONRequired
Bachelor's Degree in Healthcare, Business, Information Technology or relevant experience and/or education as determined by the company in lieu of bachelor’s degree.
Substitutions
None
Preferred
None
EXPERIENCERequired
7 years of Project Delivery Experience
7 years of Client Relationship Management
Preferred
3 years of Team Leadership and Management
-
Demonstrated experience managing large-scale operational transformation, remediation, or system implementation projects impacting billing, customer service, finance, and health plan operations.
-
Experience partnering with business operations, IT, vendor organizations, and production support teams to resolve billing defects, payment issues, reconciliation gaps, and process breakdowns.
-
Experience managing operational readiness activities, implementation planning, training, communications, and post-production stabilization efforts for billing-related initiatives.
-
Proven ability to lead projects involving regulatory, compliance, audit, or customer-impacting financial processes.
LICENSES OR CERTIFICATIONSRequired
None
Preferred
PMP - Project Management Professional
Agile experience
SKILLS
Project Management
Financial Planning and Management
Strong Communication Skills
Problem Management and Resolution
Working in a Matrixed Organization
Client Expectations Management
Language (Other than English)
None
Travel Required
25% - 50%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-Based
Teaches / trains others regularly
Rarely
Travel regularly from the office to various work sites or from site-to-site
Occasionally
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
Rarely
Lifting: 25 to 50 pounds
Never
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 position 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.
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.
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For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org
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