Full time
Highmark Health
Pittsburgh, PA, USA
Company Highmark Inc. Job Description JOB SUMMARY This position works within a matrixed environment to create the organization’s assigned business network strategy (government, commercial, etc.). Leads all aspects of provider network strategy including, but not limited to discounts analysis, competitive analysis, access analysis, network operations, cost savings initiatives and Pay for Value (P4V) initiatives. Supports executive decision makers with analysis related to reimbursement and unit cost management. Oversees the entire business contracting paradigm, including coordination with various departments as well as leading the negotiation for the contracting team. Establishes a provider recruitment plans for expansion, new product support and overall network re-contracting. Accountable for monitoring recruitment to ensure compliance with program contractual network adequacy standards and coordinates with other departments to ensure the provider network meets the...


