Director Reimbursement Design & Market Evaluation

Highmark Inc.

Multiple Locations, US
Base: $142,000.00 - $236,000.00; bonus/equity: not...
Reimbursement model design
Strategic roadmap development
Financial modeling
Supports the strategic design and analytical approach to reimbursement, working closely with stakeholders to develop and implement an integrated roadmap for new reimbursement models

Job Summary

  • Supports the strategic design and analytical approach to reimbursement, working closely with stakeholders to develop and implement an integrated roadmap for new reimbursement models.
  • Responsible for developing and maintaining models that drive ROI and supporting the development of new operational capabilities to meet strategic objectives.
  • Develops the overall conceptualization, strategy alignment, financial models, and high-level design of new reimbursement models for both government and private payers, aiming to maximize quality while reducing healthcare costs.

Matching Summary

Supports the strategic design and analytical approach to reimbursement, working closely with stakeholders to develop and implement an integrated roadmap for new reimbursement models.

Salary

Base: $142,000.00 - $236,000.00; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Must-have

  • Reimbursement model design
  • Strategic roadmap development
  • Financial modeling
  • Market trend analysis
  • Provider relationship management
  • Cross-functional collaboration

Nice-to-have

  • Health Economist approach
  • Innovation in reimbursement
  • Subject matter expert
  • Data-driven improvements

Key Requirements

  • Bachelor's Degree in Business, Finance, Healthcare Administration, or Related Field
  • Minimum 7 years Healthcare, Healthcare Insurance, Consulting, or related area
  • 3 years Value-based reimbursement experience
  • 4 years Research and strategic planning around emerging trends in reimbursement
  • 1 year Experience working with technology vendors
  • 2 years Proven experience in Health Economist capacity

Work Rights

Not specified

Tailored Resume

Cover Letter