Senior Member Engagement Guide

Company :

Highmark Health

Job Description : 

JOB SUMMARY

This job works on transformation initiatives in healthcare for clients and members. Will develop and execute member engagement strategies to drive the transformation of healthcare for clients and members, including executing events and campaigns across the commercial, Medicare and community segments. The incumbent works with highly complex members and with high priority clients and projects to execute transformation initiatives. The incumbent mentors more junior level members. Educates members about how their insurance benefits work, the financial impact of healthcare choices, available provider/service options and the importance of getting the right care at the right time, in the right place. Will play a major role in driving change in member behavior and driving overall business outcomes from a cost of care perspective. responsible for growth centered on transformation and change in healthcare; including the health plan, partner providers, clinical offerings and digital innovation tools. The incumbent is responsible for being the “Face of Highmark” for clients, members and potential members across all segments in a multitude of functions. Capable of delivering results tied to organizational transformation and growth in these and additional areas.

ESSENTIAL RESPONSIBILITIES

• Serve as a Subject Matter Expert and the "Face of Highmark" to our clients and members. Deep understanding of Highmark products and services, provider partners and healthcare trends and the ability to effectively educate, influence and communicate these items to clients and members to drive the transformation of healthcare.
• Provide support for both members and clients with highly complex needs centered around care alignment, clinical programs, digital tools, etc.
• Develop and execute on Highmark's strategic initiatives centered around the transformation of healthcare at high priority and highly complex client and members events and campaigns across all segments of business such as commercial, Medicare and community, independently and/or in partnership with executives across the organization.
• Partner with the broader Product Design and Digital Innovation department to assist with projects centered around the development of transformative healthcare initiatives. 
• Mentor and train junior level team members as needed.
• Other duties as assigned or requested.

EDUCATION

Required

• Bachelor's Degree in Business, Communications, Healthcare or related field 

Substitutions

• 6 years of related and progressive experience in lieu of Bachelor's degree

Preferred

• Master's Degree in Business, Communications, Healthcare or related field 

EXPERIENCE

Required

• 5 years in Client or Member consulting, preferably in the Insurance industry

Preferred

• 2 years as a Member Engagement Guide with the Highmark organization 

LICENSES or CERTIFICATIONS

Required

• None

Preferred

• Producer’s License – Accident & Health

SKILLS

• Experience executing Commercial, Medicare and Community events independently with little or no supervision
• Strong leadership, demonstrating the ability to train and mentor jr. level members
• Experience working with members that have highly complex needs
• Experience working with highly complex and high priority clients and members
•  Project management skills
• Strong sales and influencing skills, proven track record of driving transformation in member behavior and outcomes 
• In-Depth knowledge of Highmark plans, provider partners, clinical programs and digital tools 
• In-Depth knowledge of healthcare trends related to care alignment, cost reduction, digital innovation, etc. 
• Strong analytical skills 
• Strong relationship builder across multiple levels of an organization from employee through senior leader
• Strong communication and influence skills across levels of an organization from employee through senior leaders
• Able to work effectively in a matrix environment
• Able to juggle and manage competing priorities
• Strong presentation and written communication skills
• Strong relationship builder across multiple levels of an organization from