Strategy Partner - Medicaid Growth and Policy Strategy

Highmark Health; Pittsburgh (Allegheny County); Hybrid; USD 110,000 - 150,000; Full time

Job summary

Highmark Health is seeking an experienced Medicaid strategy professional to join as a strategic partner embedded within the Medicaid segment. The role focuses on growth initiatives, product development, and policy analysis at state and federal levels, with hybrid onsite presence in Pittsburgh, PA.

The candidate will analyze legislation, support market and competitive analysis, and translate policy landscapes into actionable plans.

Qualifications

• Bachelor's degree required in business or related field.
• Minimum five years of experience in strategic planning or related work in business or healthcare.
• Two years of consulting experience (external or internal).
• Six years of experience in payer, hospital system, or care delivery industry preferred.

Responsibilities

• Lead or support key strategic initiatives across Enterprise, including team leadership, problem-solving, data analysis, and project management.
• Participate on a portfolio of projects across the organization.
• Develop strategic plans for the Enterprise and its key business units.
• Identify, clarify, and resolve complex issues critical to initiative success.
• Assess initiative impacts and ensure alignment with overall strategy.
• Help develop standard analytics and processes for leading strategic initiatives.
• Contribute to shaping the culture and skill set of the organization.
• Undertake additional duties as assigned.

Skills

Strategic Planning

Medicaid Healthcare

Data Analysis

Policy Analysis

Stakeholder Engagement

Project Management

Leadership

Communication

Education

Bachelor's Degree in Business or related field

Master's Degree preferred

Job description

JOB SUMMARY

Company : Highmark Inc. Job Description :

We are seeking an experienced Medicaid managed care professional to join our team as a strategic partner, deeply embedded within the Medicaid segment. This individual will play a pivotal role in shaping and advancing Highmark's Medicaid strategy, with a particular focus on growth initiatives, product development, and both state and federal policy. The incumbent will support market and competitive analysis to support growth and product development. The incumbent will also be instrumental in analyzing legislation and regulatory policy, developing advocacy strategies, and translating complex policy landscapes into actionable plans. This role is preferable to be based in Pittsburgh, PA. Hybrid 3 days a week onsite (T, W, Th). If outside of Pittsburgh can be remote.

ESSENTIAL RESPONSIBILITIES

• Lead or support key strategic initiatives across Enterprise. Role will vary depending on initiative, but will include elements of team leadership, problem-solving, data analysis, project management, communication, and implementation support.
• Will participate on a portfolio of projects.
• Participate in the development of strategic plans for the Enterprise and the key business units of the Enterprise.
• Support the team in identifying, clarifying, and resolving complex issues critical to the success of the initiative.
• Support the identification of initiative impacts with other strategic initiatives to ensure alignment of the overall strategy.
• Help develop standard analytics and processes to use in leading various strategic initiatives.
• Play a role in shaping the culture and skill set of the organization.
• Other duties as assigned or requested.

EDUCATION

• Required Bachelor's Degree in Business, or related field, or relevant experience and/or education as determined by the company in lieu of bachelor's degree.
• Preferred Master's Degree in Business, or related field.

EXPERIENCE

• Required 5 years of experience in Strategic Planning or related work experience in Business or Healthcare or equivalent combination of experience and education 2 years of consulting experience (external or internal) or equivalent combination of experience and education.
• Preferred 6 years of experience in payer, hospital system, or care delivery industry Experience influencing change in complex organizational systems Medicaid Managed Care Experience.

SKILLS

• Ability to solve complex conceptual and operational problems; potential ability to lead teams in problem-solving exercises
• Strong quantitative and analytical skills
• Demonstrated influencing, and teamwork skills
• Basic project management skills
• Focus on impacts to the customer of decisions rendered
• Proactive in driving change and continuous improvement
• Strong emotional intelligence, with servant leadership mindset
• Commitment to development of others and self 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 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. 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.