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Strategy Partner - Utilization Management

Remote, USA Full-time Posted 2025-11-24
Company : Highmark Inc.Job Description : JOB SUMMARY This role, situated within the Utilization Management team, is responsible for leading and contributing to key strategic initiatives across the organization. The incumbent will leverage their expertise in project management, consulting, and utilization management to drive successful outcomes. This position requires a professional who can adeptly navigate various project roles, including leadership, problem-solving, data analytics, team development, communication, implementation, and overall project management. A critical aspect of this role involves playing a central part in the development and execution of strategic plans for assigned initiatives. The ideal candidate will have demonstrated experience with clinical platforms and a proven ability to manage multiple projects simultaneously while supporting enterprise strategy planning and communication. This can be a remote based role. 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 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. Pay Range Minimum: $92,300.00 Pay Range Maximum: $172,500.00 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 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. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice Apply tot his job Apply To this Job

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