Senior Clinical Integration Coordinator

Highmark Health; Pennsylvania; On-site; USD 79,000 - 127,000; Full time

Job summary

Highmark Health in Pennsylvania is seeking a Clinical Integration Coordinator to manage physician preference items within the Allegheny Health Network, developing specialty panels to drive product and process decisions across the network.

The role focuses on contract compliance, clinical contracting to achieve annual savings, and collaboration with physicians and senior leadership to implement plans and train others. Significant travel is required (50-75%).

Qualifications

• Bachelor's Degree in Business Administration/Management.
• Substitutions: Any applicable (Bachelor's or Higher) degree may be substituted for a degree in management.
• Experience requirements include 7-10 years in healthcare, 3-5 years in sales, and 1-3 years in clinical services.

Responsibilities

• Build relationships with physicians and clinical staff to manage a broad group of contract categories.
• Coordinate with vendors to ensure training and support for procedures.
• Drive compliance and standardization across service line contracts.
• Support clinical contracting to reach savings goals and discuss financial and clinical perspectives with senior leadership.
• Train and mentor other Clinical Integration Coordinators on contracting processes and compliance.
• Travel 50%-75% as per job requirements.

Skills

Relationship builder

Team leadership

Communication skills

Cost saving initiatives

Multi-tasking

Leading effective meetings

Creative problem solving

Analytical thinking

Education

Bachelor's Degree in Business Administration/Management

Job description

Company : Allegheny Health Network Job Description :

JOB SUMMARY

This job manages physician preference items (PPI) at Allegheny Health Network in the General Surgery categories. The awarded candidate is responsible for developing specialty specific physician panels to drive product and process decisions throughout the network. Following the contract creation process, the incumbent ensures that compliance levels are maintained for select PPI contracts as well as supports Provider Supply Chain Partner’s business development. Additionally, the incumbent is responsible for generating savings opportunities to contribute to supply chain’s annual savings goal.

ESSENTIAL RESPONSIBILITIES

Build relationships with physicians and clinical staff within the service line to manage a broad based group of contract categories. As the liaison between the vendors and the physicians/staff, work with the vendors to ensure that they are providing the proper training and support for the procedures. Follow regular call pattern with physicians to enhance engagement. Partner with the physician panel members to develop PPI contracts, work through requests for new technologies and support resolution of any product issues across their practice. Drive compliance and standardization across the service line within partner organizations working with physicians to ensure proper usage of on-contract products. Support clinical contracting across a broad based group of contract categories to reach savings goals by facilitating clinician involvement in decision making. Meet with senior leadership throughout partner organizations to discuss conversion and/or implementation plans, financial impact, as well as clinical perspective. Support business development for Provider Supply Chain Partners by serving as the clinical expert to help drive contract penetration at the affiliate hospitals. Train and mentor other Clinical Integration Coordinators on the team to help them work through the contracting process and any compliance concerns. Other duties as assigned.

EDUCATION

• Required Bachelors Degree in Business Administration/Management
• Substitutions Any applicable (Bachelors or Higher) degree may be substituted for a degree in management
• Preferred None

EXPERIENCE

• Required 7 - 10 years in the Healthcare Industry
• 3 - 5 years in Sales
• Preferred 3 - 5 years in Medical Sales
• 1 - 3 years in Clinical Services

LICENSES OR CERTIFICATIONS

• Required None
• Preferred None

SKILLS

• Relationship-builder with Unsurpassed Interpersonal Skills
• Building and Leading Teams
• Communication Skills
• Continuous Improvement Cost Saving Initiatives
• Excellent Multi-Tasker
• Leading Effective Meetings
• Creative Problem Solving
• Analytical and Logical Reasoning/Thinking
• Languages (other than English) None

Travel Requirement 50% - 75%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type Remote Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Frequently Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Does Not Apply Lifting: 10 to 25 pounds Does Not Apply Lifting: 25 to 50 pounds Does Not Apply

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.

Pay Range Minimum: $79,300.00 Pay Range Maximum: $127,100.00 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 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.