Provider Network Manager

Overview Company : Highmark Inc. Job Description : JOB SUMMARY This job will lead and inspire a team to cultivate strong provider relationships, driving network growth and retention. You'll develop and execute comprehensive communication and education strategies across traditional and digital channels, ensuring alignment with corporate objectives. This leadership role involves strategic planning, process improvement, and collaboration with cross-functional teams, including Legal and Senior Leadership. You will own the provider engagement roadmap and be a key contributor to overall business strategy. This role can be hybrid or remote. If you live within 50 miles of an office you are required to be onsite 3 days a week. T, W, Th. Outside of 50 miles will be remote. Essential Responsibilities Team Leadership & Operations: 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. Provider Engagement & Communication Strategy: Develop and execute the provider communication roadmap, encompassing traditional and digital strategies to increase engagement, adoption, and support of organizational initiatives. Lead provider education initiatives, including outreach to key partners and providers. Evaluate the effectiveness of communication and education strategies and adapt as needed. Strategic Planning & Collaboration: Partner with cross-functional teams (Legal, Regulatory, Senior Leadership) to ensure alignment of strategies and tactics. Monitor regulatory changes and develop mitigation strategies to protect network viability and revenue. Design, develop, and implement value-added service programs to support network growth and retention. Other duties as assigned or requested. Experience Required 5 years of experience in business analysis and provider/marketing communications 3 years with Management or leadership role Preferred 5 years of experience in the dental or health insurance industry or regulatory compliance, as applicable 5 years of experience in project management/process design Skills Leadership & Management: Leading and developing teams, managing performance. Strategic Planning & Execution: Developing and implementing communication strategies with measurable results. Communication & Collaboration: Excellent communication (written & verbal) and cross-functional collaboration skills. Project Management: Managing multiple projects effectively and meeting deadlines. Healthcare Industry Knowledge: Understanding healthcare regulations and provider networks. Education Required Bachelor’s degree in business administration/management, communications, marketing, 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 administration/management, communications, marketing, or related field. Licenses or Certifications Required None Preferred None Language (Other Than English) None Travel Required Less than 25% Physical, Mental Demands and Working Conditions Position Type: Office-Based or Remote Position Physical work site required: Occassionally 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: $94,200.00 Pay Range Maximum: $151,000.00 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 View email address on click.appcast.io California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J279828 #J-18808-Ljbffr