Waynesboro, Pennsylvania

**Company :**

HM Health Solutions

**Job Description :**

**JOB SUMMARY**

This job is responsible for optimizing use and adoption of the Highmark Health Solutions (HMHS) platform, resulting in an exceptional customer experience and maximizing customer value for a large, multi-year, multi-million dollar platform customer. Incumbent will leverage analytics to baseline key customer health and performance metrics across the platform, identify performance gaps and opportunities, and partner with the customer to develop and execute on remediation plans. Engage with customers throughout their lifecycle processes and touchpoints, including process reviews, executive business reviews, readouts of diagnostics and action plans/roadmaps to drive value against their customers' evolving business objectives. Collaborate cross-functionally with key business partners within HMHS to advocate for the customer and ensure that the Voice of the Customer is ingrained in the HMHS platform and service strategies.

**ESSENTIAL RESPONSIBILITIES**

+ Monitor Customer Health Scorecard metrics across all platform customers and share Best Demonstrated Practices (BDPs) with customer.Identify performance trends and surface opportunities for improved platform outcomes to customer and HMHS leadership.Conduct process reviews to optimize performance in comparison to other plan performance, gain customer alignment on next actions with key customer contacts, oversee implementation of performance improvement initiatives, measure success and ROI and celebrate success with the customer.

+ Prepare for and present in customer and HMHS executive business reviews.Engage in strategy discussions and business reviews to review business health and ensure that customer business needs are supported.

+ Work with cross-functional partners to proactively monitor defects, break fix and routine maintenance and align adherence to SLOs and provide customer updates on service request performance.

+ Serve as escalation point of contact, communicate critical incidents and associated root cause and business impact to the customer.

+ Contribute to library of best demonstrated practices for customer use, assist in development of Customer Success Playbook by developing new standard process reviews and readouts to standardize and hardwire standard operating procedures for Customer Success organization, lead cross-functional and Customer Success team trainings for focus areas, and participate in cross-functional, cross-domain, and/or cross-customer stretch projects.

+ Other duties as assigned or requested.



**EDUCATION**

**Required**

+ Bachelor's Degree in Business Administration/Management, Health Administration, Finance, Information Systems or related field

**Substitutions**

+ 6 years of relevant, progress experience in lieu of degree (Highmark experience preferred)

**Preferred**

+ Master's Degree in Business Administration or Health Administration

**EXPERIENCE**

**Required**

+ 3 years of Information Systems

+ 3 years of IT Consulting

+ 3 years of Consulting

**Preferred**

+ 3 years in the Health Insurance Industry

+ 3 years in the Healthcare Industry

+ 3 years in IS/IT

**LICENSES OR CERTIFICATIONS**

**Required**

+ None

**Preferred**

+ (Lean) Six Sigma Black Belt

+ Human Centered Design

**SKILLS**

+ Analytical Skills

+ Communication Skills

+ Presentation Delivery

+ Business Analysis

+ Business Requirements

+ Data Analysis

+ Microsoft Office



**Language (other than English)**

+ None

**Travel Required**

+ 0% - 25%

**PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS**

**Position Type**

Office-Based

Teaches / trains others regularly

Frequently

Travel regularly from the office to various work sites or from site-to-site

Frequently

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

Rarely

**_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 their race, color, 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 affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

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 affirmative 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.

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity ( _https://www.eeoc.gov/sites/default/files/migrated\_files/employers/poster\_screen\_reader\_optimized.pdf_ )

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 number below.

For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Req ID: J189050

Waynesboro, Pennsylvania

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Whether your focus is nursing, information technology, actuarial, finance, marketing, sales, operations or one of our many other professions, our companies offer opportunities to develop and expand your career while making health care accessible, understandable and affordable for our millions of members, patients and customers.

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