Vp, Member Experience

Highmark Health

Base: $185,000.00 - $335,000.00; bonus/equity: not...
10 years management in healthcare or insurance
10 years evaluating technology for implementation
7 years utilizing hipaa and sarbanes oxley compliance
This role is accountable for orchestrating the strategic vision and operational excellence of member experience through effective service delivery and robust appeals management

Job Summary

  • This role is accountable for orchestrating the strategic vision and operational excellence of member experience through effective service delivery and robust appeals management.
  • The position requires leading the strategic development of member-related initiatives while ensuring regulatory compliance across enrollment, billing, and workforce management functions.
  • Candidates must demonstrate the ability to cultivate a high-performing team and drive efficiency using advanced technologies like Artificial Intelligence.

Matching Summary

This role is accountable for orchestrating the strategic vision and operational excellence of member experience through effective service delivery and robust appeals management.

Salary

Base: $185,000.00 - $335,000.00; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Must-have

  • 10 years management in healthcare or insurance
  • 10 years evaluating technology for implementation
  • 7 years utilizing HIPAA and Sarbanes Oxley compliance
  • Experience driving change and process improvements
  • Knowledge of Act 68 and Act 147 regulations

Nice-to-have

  • 7 years in a call center environment
  • Broad knowledge of provider service operations
  • Experience with AI and self-service capabilities
  • Strong negotiation and influencing skills

Key Requirements

  • Bachelor's Degree in Business Administration or Health Care Administration
  • 10 years in a management role in Healthcare, Insurance or Financial services
  • 10 years of evaluating technology for implementation
  • 7 years of utilizing industry laws such as HIPAA and Sarbanes Oxley

Work Rights

Not specified

Tailored Resume

Cover Letter