Director Capital and Business Development Planning

Highmark Health; Pennsylvania; Hybrid; USD 80,000 - 129,000; Full time

Job summary

Highmark Health in Pennsylvania oversees forecasting capital and business development for the Allegheny Health Network, guiding budgets and strategic financial modeling to support enterprise objectives. This senior management role directs a team, collaborates with executives, and ensures accurate financial analyses, risk assessment and policy implementation across the organization.

Responsibilities include capital budget establishment, model-driven decision support, stakeholder communication,

Qualifications

• Bachelor’s degree (or equivalent) in a related field with relevant experience.
• Strong communication skills and ability to present complex concepts clearly.

Responsibilities

• Oversee capital forecasting process and direct forecasting and planning activities.
• Lead development of annual capital budgets and related policies.
• Provide leadership for business planning and internal project analyses with executives.
• Maintain high-level customer service focus and stakeholder relationships.
• Collaborate with finance, actuarial, IT and other teams on model assumptions and outputs.
• Support strategic planning by modeling financial results and risk-adjusted returns.
• Communicate model results effectively to Senior Leadership.

Skills

Verbal & Written Communication

Data Analysis

Education

Bachelor’s degree in Economics, Business, Health Administration, Finance, Accounting or related field

Master’s degree in Economics, Business, Health Administration, Finance, Accounting or related field

Job description

GENERAL OVERVIEW:

This job provides oversight of Forecasting Capital and Business Development processes for the Allegheny Health Network.

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.

• 20% Oversees the development of the capital forecasting process and directs other forecasting and planning needs as appropriate. Prepares materials and agenda as well as conducts the AHN Capital Committee meetings.
• 10% Oversees the establishment and implementation of processes, policies and procedures necessary to establish the annual capital budgets.
• 10% Oversees the business planning and development function. Provide overall leadership and direction for all business cases including working closely with Highmark Health Strategic Transformation Office and senior executives to establish assumptions for volumes, market dynamics and financial metrics.
• 10% Demonstrates a high-level customer service focus by setting and adhering to high standards for self and others within the department for communication and maintaining positive relationships. Incorporates the needs and concerns of diverse constituencies into departmental decision-making processes.
• 10% Interact with a wide array of internal and external customers at all levels of the business including finance, actuarial, cost and budgeting, membership and information technology departments to discuss model assumptions, model methodology and financial modeling findings.
• 10% Support the Corporation's strategic planning efforts through the modeling of financial results to determine the financial targets by business segment that result in Enterprise's achieving the overall corporate objectives. The result of the modeling will be integrated with capital planning efforts which includes working with internal business units, treasury and others to understand the current risk composition of the of the Enterprise portfolio of companies to calculate risk adjusted financial returns under various scenarios.
• 10% Communicate effective outcomes of model results using appropriate toolkit. Support analyst team on best communication strategies to aid them in articulating model outputs to Senior Leadership.

QUALIFICATIONS:

• Required Bachelor’s degree in Economics, Business, Health Administration, Finance, Accounting or related field or relevant experience and/or education as determined by the company in lieu of bachelor's degree.
• 7 Years experience Management or leadership role
• 5 Years experience High-level Financial Modeling, Scenario Analysis and Strategic Analysis directly with senior executives in health care setting
• An understanding of the proposer construct of financial statements form both a GAAP and statutory perspective and the elements of risk-based capital and underwriting activity. The incumbent must have a strong understand of the factors impacting the development of revenue, claim expense, and operating expenses and their inter-relationship
• Preferred Master’s degree in Economics, Business, Health Administration, Finance, Accounting or related field

SKILLS:

• Excellent verbal and written communications skills required to effectively deliver important economic concepts
• Able to process qualitative and/or quantitative data, draw conclusions from it, and communicate findings effectively

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: $58.12 Pay Range Maximum: $93.91 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.

California Consumer Privacy Act Employees, Contractors, and Applicants Notice Highmark Health is a national, blended health organization that includes one of America’s largest Blue Cross Blue Shield insurers and a growing regional hospital and physician network. Based in Pittsburgh, Pa., Highmark Health’s 35,000 employees serve millions of customers nationwide through the nonprofit organization’s affiliated businesses, which include Highmark Inc., Allegheny Health Network, HM Insurance Group, United Concordia Dental, HM Health Solutions and HM Home & Community Services. Highmark Health’s businesses proudly serve a broad spectrum of health-related needs including health insurance, health care delivery, population health management, dental solutions, reinsurance solutions, and innovative, technology solutions.