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VP Well in Place

Highmark Inc
  • Pittsburgh, PA
  • Autofill and Review
3 days ago
Highmark Inc

Job Description

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VP Well in Place

120 5th Avenue Place, Pittsburgh PA 15222-3099, United States

Full time

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Job DescriptionWorking with UsBenefits & PerksHear From Our TeamHow We Hire

Job Details

Category Clinical Services

Type Full time

Location(s) 120 5th Avenue Place, Pittsburgh PA 15222-3099, United States

Brand Endorsed

Posted 11/10/2026

Req ID J274985

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Job Description

Company :

Endorsed

Job Description :

JOB SUMMARY

The leader of the Well in Place organization will be accountable to execute on the strategic vision and direction to transition the organization into its next phase of growth with accountability over three new verticals including palliative care, complex care management and a comprehensive risk assessment function. This role will be accountable for the implementation of key initiatives and approaches to enable and accelerate this transition that will drive an improved patient experience, lower cost of care and deliver on C2V targets for the Segment. The role will be responsible for the strategy development and ongoing strategy evolution along with deep operational management and expertise to ensure that the three verticals are functioning effectively and efficiently and that the back-office functions are supporting each of the verticals in the optimum way to drive value. This position would strategically enhance Highmark Health by building out resources and developing the value proposition to differentiate Highmark Health in the marketplace across a variety of content areas including care model redesign, operating model enhancement, care management and navigation, and financial value integration. This position reports to the SVP, Home and Community Care.

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.
  • Use an integrated provider-payor lens to create an operating model and deploy unique approaches to a variety of content areas including care model redesign, value-based payment, care management and navigation, and financial value drivers.
  • Collaborate with physicians and other clinicians to identify areas of opportunity for value improvement.
  • Lead and design deployment of select initiatives that enable the transformation to value-based care. Ensure that all current clinical initiatives are meeting established objectives.
  • Develops and implements policies and programs. Develop relationships that can help others understand and buy into the purpose of our value-based approach with an ability to articulate a compelling vision. Operationalize strategy by managing change to drive success and achievement in a heavily matrixed environment.
  • Other duties as assigned or requested.

EXPERIENCE

Required

  • 10-15 years of experience with Healthcare Industry
  • 10-15 years of experience with Insurance Industry
  • 8-10 years of experience with Leadership
  • 8-10 years of experience with Management
  • 10+ years of experience with Provider Relations
  • 10+ years demonstrated Operational Excellence

Preferred

  • None

SKILLS

  • Business Development
  • Building and Leading Teams
  • Business Strategy
  • Business Transformation
  • Strategic Planning
  • Strategic Relationship Building
  • Provider Relations
  • Organizational Change Management
  • Management

EDUCATION

Required

  • Bachelor"s of Nursing, Business Administration or Health Administration or relevant experience and/or education as determined by the company in lieu of bachelor"s degree.

Preferred

  • Master"s Degree
  • Doctor of Medicine (MD) or Advanced Practice Practitioner (APP) including Nurse Practitioners (NPs), Clinical Nurse Specialists (CNS), and Certified Registered Nurse Anesthetists (CRNAs)

LICENSES or CERTIFICATIONS

Required

  • None

Preferred

  • None

Language (Other than English):

None

Travel Required:

0% to 25%

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.

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.

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Benefits & Perks

Taking Care of You

Your Benefits at a Glance

  • Health: Complete medical, dental, vision, prescription, HSA, and FSA coverage.
  • Time Off: Paid vacation, holidays, and dedicated volunteer time.
  • Finance: Employer-sponsored 401(k), life/disability insurance, and tuition reimbursement.
  • Perks: Exclusive team discounts on shopping, memberships, and events.

Medical Coverage

Medical, prescription drug, dental, and vision coverage

Paid Time Off

Vacation, holidays, volunteering

Retirement Package

Employer-sponsored 401(k) plan

Insurance & Coverage

Life, AD&D and disability insurance

Onsite & Preventative Care

We make staying healthy easy with 100% covered preventative exams (including flu shots) and onsite pharmacy services at major campuses. Plus, stay active with free fitness center access at major Highmark campuses, Allegheny General, and West Penn Hospital.

Make Mindful Changes

Secure bicycle parking at major campuses. Healthy food options at onsite cafeterias. Stress management classes including yoga, mindfulness, and meditation.

Holistic Support, 24/7

Work-life resources including assistance programs and financial counseling services. 24/7 telephone access to health and wellness coaching.

Get Rewarded for Giving Back

Health incentive program that rewards team members. Team member networks to gather in the name of health. Paid volunteer time and incentives for making a difference.

Hear from Our Team

Real people, real stories

"I have met some really great people over the years at Highmark Health and the company has treated me really well. I get really good benefits. I"ve always been rewarded for working hard. That"s what keeps me here."

Victoria T.

Associate Strategy Analyst, enGen

"I love participating with the PRIDE BRG. It"s an engaged, dynamic group of almost 400 people. I also love to turn on the digital hub on my computer and see what"s going on with any of the Business Resource Groups. It"s really neat to be able to support other BRGs and see others support PRIDE. Every time I go to a different BRG event, I always feel welcome, even if I"m not part of that group."

Amanda M.

Director of Social Determinants of Health | Vice Chair of PRIDE

Our Hiring Process: Step-by-Step

  1. Apply

Find a role that sparks your passion and submit your application! We'll send an immediate confirmation email, and our team will review your qualifications over the next 1-2 weeks.

  1. Interview

If your profile is a great match, we'll reach out to schedule your interview-whether by phone, video, or in person. Don"t worry, we'll provide all the prep details in advance so you can shine.

  1. Job Offer

The moment you've been waiting for! If selected, we'll connect to celebrate and walk you through the details: compensation, benefits, paid time off, and all the perks of joining the team.

  1. Pre-Employment

After you accept online, we'll guide you through standard screening (including a background check and drug screen, plus health screenings for certain clinical roles). Once cleared, we"ll officially confirm your start date!

  1. Onboarding

Welcome aboard! Before Day 1, we'll send everything you need to hit the ground running-including your schedule, location, and the required identification documents to bring with you.

Bonus Fast-Track Tip

Applying for EVS, Dietary, or Customer Service roles? You can skip the traditional line and chat with Bridget, our AI recruiting assistant, to find open roles and schedule an eligible interview instantly.

Apply Now

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Highmark Health is an independent licensee of the Blue Cross Blue Shield Association.

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 their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

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

Highmark Health. All Rights Reserved.

Numbers & Facts

LocationPittsburgh, PA
IndustryHealthcare Services
Company Size1,000 to 1,499 employees
Year Founded1996
Websitehttps://www.highmark.com/hmk2/index.shtml

About Company

Highmark provides millions of people with the security of quality health insurance

Our history of helping families and companies with their health insurance needs dates to the 1930s, when our predecessor companies were established to help Pennsylvania's residents pay for health care.

Highmark was created in 1996 by the consolidation of two Pennsylvania licensees of the Blue Cross and Blue Shield Association — Pennsylvania Blue Shield (now Highmark Blue Shield) and Blue Cross of Western Pennsylvania (now Highmark Blue Cross Blue Shield). We are now one of the largest health insurers in the United States.

Highmark's officers and board of directors set the company's strategic direction and corporate policies. They are guided by our mission, vision and values.

Skills

  • Administrative Skillsunmatched
  • Alliance/Partner Managementunmatched
  • Background Investigationunmatched
  • Budgetingunmatched
  • Business Administrationunmatched
  • Business Developmentunmatched
  • Business Strategyunmatched
  • Business Transformationunmatched
  • Certified Registered Nurse Anesthetist (CRNA)unmatched
  • Change Managementunmatched
  • Clinical Medicineunmatched
  • Clinical Nursingunmatched
  • Coachingunmatched
  • Communication Skillsunmatched
  • Computer Securityunmatched
  • Corporate Policiesunmatched
  • Cost Controlunmatched
  • Customer Support/Serviceunmatched
  • English Languageunmatched
  • Federal Laws and Regulationsunmatched
  • Financial Servicesunmatched
  • Fitnessunmatched
  • Flexible Spending Accountsunmatched
  • HIPAA (Health Insurance Portability and Accountability Act)unmatched
  • Health Insuranceunmatched
  • Health Planunmatched
  • Healthcareunmatched
  • Healthcare Administrationunmatched
  • Hospitalunmatched
  • Incentive Programsunmatched
  • Information/Data Security (InfoSec)unmatched
  • Insuranceunmatched
  • Internet Securityunmatched
  • Leadershipunmatched
  • Legal Standardsunmatched
  • LinkedInunmatched
  • Medicineunmatched
  • Nursingunmatched
  • Nursing Administrationunmatched
  • On Site Supportunmatched
  • Operations Managementunmatched
  • Palliative Careunmatched
  • Patient Careunmatched
  • Performance Managementunmatched
  • Pharmacyunmatched
  • Policy Developmentunmatched
  • Policy Implementationunmatched
  • Prescription Drugsunmatched
  • Process Improvementunmatched
  • Productivity Managementunmatched
  • Provider Relationsunmatched
  • Regulatory Complianceunmatched
  • Risk Analysisunmatched
  • Salesunmatched
  • Security Policyunmatched
  • State Laws and Regulationsunmatched
  • Strategic Analysisunmatched
  • Strategic Planningunmatched
  • Team Lead/Managerunmatched
  • Willing to Travelunmatched

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