Director Solution Portfolio (Behavioral Health / Neuro)

Company :

Highmark Health

Job Description : 

JOB SUMMARY

This job oversees the end to end solutioning process from concept through hand off to activation for solutions and is accountable for the ultimate design, performance, and readiness for scale of the portfolio of solutions to be rationalized, optimized, designed, and ultimately personalized and packaged to reinvent health. Partners across the Living Health organization to engage the comprehensive listening system, market and customer/clinician insights, manage solution development roadmaps, and testing and scaling. Partners with a variety of Living Health Clinician dyad partners and the Design Delivery team to ensure expert clinical resources and other enterprise resources needed for an effective design process are deployed consistently in a well-defined matrix reporting structure. Responsible for coordinating teams of project managers, process engineers, designers, partners, and experts to inventory, evaluate, streamline, and design/re-design clinical solutions. Works with clinical, analytic, and business teams to understand the pain points associated with customer journeys and define the correct solutions. Partners with activation teams to craft the project plans to deploy and scale those solutions to customers. Makes formal documentation and recommendations regarding best in class solutions that should be adopted. Once adopted, the role will be accountable for managing vendor relationships and obligations, driving adoption of those solutions, and will be accountable for the performance of the solutions. 

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.
• Leverages design knowledge to collaborate with stakeholders to define, plan, and design the appropriate end-to-end cross-channel experiences and solutions from a customer and clinician point of view to achieve customer engagement, clinician engagement, health outcomes, and affordability targets and in support of scaling curated health model solutions. 
• Develop analytical frameworks, approach and methodology best practices to analyze strategy issues and monitor initiatives. Evaluates new software or technology capabilities, assesses vendor solutions, creates and manages ongoing partnerships with third parties such as digital agencies, software vendors, BCBSA, and other key vendors.
• Conveys and prioritizes needs from comprehensive listening system in collaboration with Portfolio Insights & Acceleration and other Enterprise teams in the matrix to identify client, customer and clinician needs and expectations to support solution design and personalization.
• Accesses market intelligence capabilities to understand the market products, innovations, competitor solutions and any aspect of information needed to support the design process.   
• Synthesizes and interprets large amounts of quantitative data to support curated health model solution design, particularly for those solutions targeted at improving health outcomes and affordability.   
•  Leads in design sessions with design team, experts and other business partners. Applies a variety of methods and approaches to facilitate problem solving; experiments to find the best solutions.
•  Interprets strategies into visual notional representations and explains the assumptions, approaches and key tenets. Applies an expert understanding of needs, goals, and challenges and connects to tell a single story.
• Monitors progress of Solution efforts and is accountable for Solution outcomes (ROI, KPIs) and collaborates with Finance to justify resource allocation for solution prototyping and scaling.     
• On an ongoing basis, manages dependencies across Solutions and escalates decisions as needed.
• Other duties as assigned or requested.

EDUCATION

Required

• Bachelor's Degree in Business, Design, Healthcare Administration, Economics, Analytics, 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, Design, Healthcare Administration, Economics, Analytics, or related field

EXPERIENCE

Required

• 7 years post-graduate experience in the area of specialization, including leading large projects

To Include:

• 3 years in Business or Healthcare

Preferred

• 5 years with Health Insurance and/or Provider operations