VP, Enterprise Utilization Management Strategy & Excellence
Highmark Health(29 days ago)
About this role
Executive leader accountable for defining and multi-year strategic vision for Highmark’s Enterprise Utilization Management across Medicare, Medicaid, commercial and ACA lines of business. The role focuses on transforming UM operations into an industry-leading, scalable service offering for both Highmark members and external clients. It entails oversight of a large operational organization, ensuring regulatory compliance, quality outcomes, and alignment with enterprise strategy.
Required Skills
- Strategic Planning
- Operational Transformation
- Utilization Management
- Regulatory Compliance
- Quality Improvement
- Technology Leadership
- Workforce Optimization
- P&L Management
- Change Management
- Automation
+1 more
Qualifications
- Bachelor's Degree in Nursing, Health Plan Administration or Business Administration/Management
- PMP
- Lean Six Sigma Master Black Belt
About Highmark Health
highmarkhealth.orgA national health and wellness organization as well as the second largest integrated delivery and financing system in America.
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