Company :Highmark HealthJob Description : 

JOB SUMMARY

We are making a seismic shift away from trying to fix health care, to creating a new model of health that is dynamic, perpetual and focused on individuals and their health journey. We call it Living Health. Living Health is built on providers and payers “care and coverage” working together in service of customers and clinicians. The model has two parts: Solutions - Better designed answers for customer and clinician problems that improve customer engagement, clinician engagement, health outcomes, and affordability; and Partnerships – networks of partners organized to reduce cost and deliver solutions. 

The Solution Insights & Validation Studies team is responsible for designing and executing test & learn pilots as well as longer-term measurement and evaluation plans for the Living Health portfolio of customer and clinician solutions. The clinical study manager will lead the testing and validation of specific solutions to produce real world evidence (RWE) with an end goal of measuring solution performance and driving scaling and market adoption of successful solutions.

ESSENTIAL RESPONSIBILITIES

Consult with team members or other enterprise partners in the evaluation of clinically innovative solutions and build buy-in for these solutions with key Enterprise or partner stakeholders.Planning and leading the delivery of clinical validation studies to time, budget, and scientific and governance requirements with matrixed partners and steakholders throughout the Enterprise.Accountable for coordination of study design/protocol, clinical/patient work flow, clinical site training, and patient engagement, enrollment, and recruitment while actively partnering to build relationships with key internal and external stakeholders, including key Enterprise partners to build buy-in for the test and learn program and individual solutions in the portfolio.Drive milestone based outcome reporting through coordination with the matrixed analytic team and lead the creation and finalization of each deliverable while extracting insights from ongoing and completed studies to develop the adoption and engagement strategy for the solution into the health system.Work collaboratively with key physicians to develop project design and analytics and build broad based support for the solution, which may include presentations to clinical leadership or other stakeholders.Actively advance dissemination of study outcomes including preparation and review of manuscripts (co-authorship) for publication, or other internal or external presentations. Actively engage with both internal and external customers to maintain alignment with program goals and objectives and provide customers with clear guidance on study objectives and execution and downstream solution activation within our health system.Other duties as assigned or requested.

EDUCATION

Required

Bachelor's Degree in general science or life/health related science degree or related disciplines

Substitutions

None

Preferred

Master's Degree in general science or life/health related science degree or related disciplines

EXPERIENCE

Required

5 years work experience, with some exposure to innovation or healthcare related fields3 years work experience post graduate degree, with some exposure to innovation or healthcare related fields

Preferred

3 years in payer, hospital system, or care delivery industry3 years of influencing change in complex organizational systems OR3 years around the research setting, preferably clinical research

LICENSES or CERTIFICATIONS

Required

None
 

Preferred

None

SKILLS

Ability to solve complex conceptual and operational problemsStrong quantitative and analytical skills Demonstrated influencing, and teamwork skillsBasic project management skillsStrong emotional intelligence, with servant leadership mind-setCommitment to self-development and the development of others

Language (Other than English):

None

Travel Requirement:

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Remote

Teaches / trains others regularly

Frequently

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

Rarely

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

Rarely

Lifting: 25 to 50 pounds

Never

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. 

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