Sales Strategy Program Manager - Compliance

Highmark; Meadville (Crawford County); On-site; USD 67,500 - 126,000; Full time

Job summary

A leading health insurance company is seeking a professional for a role focused on creating and overseeing the Medicare sales strategy. The candidate must have a Bachelor's Degree and 5-7 years of Health Insurance Industry experience. Key responsibilities include managing policies, monitoring regulatory changes, and driving strategic initiatives. This position requires strong analytical, communication, and project management skills, with a competitive salary range from $67,500 to $126,000.

Qualifications

• 5-7 years of Health Insurance Industry experience.
• 1-3 years of Medicare or Program Management experience preferred.

Responsibilities

• Partner with leadership to set the direction of the strategic business plan.
• Influence stakeholders to support key projects/programs.
• Drive change to improve performance results and systems.
• Accountability for growth initiatives and strategy development.
• Assist in the development of micro-market strategies.

Skills

Analysis of business problems/needs and process improvement

Analytical Skills

Budget Management

Business Development

Collaborative Problem Solving

Communication and Presentation Skills

Organizational Skills

Project/Program Management

Cross-Functional Team Leadership

Influence and Persuasion

Education

Bachelor’s Degree in Business Administration/Management

Job description

Job Summary

This role is responsible for the creation, execution, and oversight of the Medicare sales and distribution strategy through partnering with sales leadership and other matrix partners. It ensures comprehensive compliance and operational excellence across all Lines of Business. Key responsibilities include oversight and management of all Policies and Procedures, proactive monitoring and implementation of regulatory changes, and the development and maintenance of call monitoring programs. The incumbent leads compliance call management, conducts robust complaint tracking and trend analysis, and oversees ongoing audit processes. It also serves as a primary liaison for external complaints, tracks coaching and remediation efforts, and delivers quarterly compliance readouts to Sales Management. The role contributes to agent education initiatives, facilitates audit information gathering, manages agent and agency contracts, and oversees third‑party risk management assessments for agency partners.

Company

Highmark Inc.

Essential Responsibilities

• Partner with leadership to set the direction of the strategic business plan and translate it into a vision for the organization.
• Influence all stakeholders to support key projects/programs, ensuring positive outcomes that deliver results.
• Drive change to improve performance results, organizational effectiveness, and systems/quality/services (e.g., policies, processes, or systems). Identify gaps and challenge self and others to develop and implement solutions.
• Hold direct accountability for impact to growth initiatives and strategy development, ensuring accurate prioritization of key projects/programs.
• Hold ultimate accountability for project management services, including organizational budget and financial implications.
• Assist in the development and execution of micro‑market strategies to meet expected growth and retention targets.
• Other duties as assigned or directed.

Education

Required: Bachelor’s Degree in Business Administration/Management or relevant experience and/or education as determined by the company in lieu of bachelor's degree.

Preferred: None.

Licenses / Certifications

Required: None.

Preferred: None.

Experience

Required: 5‑7 years of Health Insurance Industry experience.

Preferred: 1‑3 years of Medicare or Program Management experience.

Skills

• Analysis of business problems/needs and process improvement
• Analytical Skills
• Budget Management
• Business Development
• Collaborative Problem Solving
• Communication and Presentation Skills
• Organizational Skills
• Project/Program Management
• Cross‑Functional Team Leadership
• Influence and Persuasion

Travel Required

0%–25%.

Physical and Mental Demands

Office‑based with occasional travel. Lifting 10–25 pounds regularly.

Pay Range

Minimum: $67,500.00. Maximum: $126,000.00.

EEO Statement

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.