Company :Highmark HealthJob Description : 

JOB SUMMARY

The Manager of Enterprise Reference Data Management will work closely with project and technology teams serving as a subject matter expert and enforcing appropriate controls to the data for both on prem and Cloud uses. This manager and team play a key part in the accuracy of transactions and quality measures. Understanding and control of appropriate code sets is critical. The successful candidate will have a strong understanding of health care code sets and any industry groups working to standardize codes across the healthcare landscape.

This job provides application software development management for IT projects. Creates plans and manages activities, within an assigned unit/area. Assesses viability of current direction/projects/operations and recommends strategies and tactics to satisfy current and future business needs. Foresees organizational impacts and understands the procedures associated with introducing new technologies.   Leads team in the areas of scheduling, direction, future planning and standard practices.    Monitors and controls quality while actively seeking opportunities for improvement. Establishes and meets scheduled milestones for deliverables.

ESSENTIAL RESPONSIBILITIES

1. Communicate effectively with all levels of the organization by:

Managing customer and expectations; facilitating, planning and meetings; translating customer expectations for staff and peers; representing Highmark with outside entities.Preparing written procedures, policies, reports and correspondence; collaborating and negotiating with departments corporate wide.Collaborating with company customers, staff, IT colleagues, and other stakeholders in identifying customer requirements, assessing impacts to other areas, considering available options, comparing costs and benefits, and recommending solutions.

2 Management Consulting

Identify issues and recommend solutions.Create presentation and present concept to clients, tailoring presentation to audiences of varies levels, subject knowledge and size.Implement recommendations/solutions and ensure client receives the necessary assistance to carry out solutions.Liaising with clients to keep them informed of progress and to make relevant decisions.Advise clients on options, risks, cost vs benefit, impact on other business processes and system priorities.

3. Ensure continuous improvement of processes and delivery of results within assigned unit/area. 

Organize, direct and coordinate cross-functional activities including staff not under direct managerial control.Encourage innovation and focus resources to ensure successful delivery of desired results.Apply quantitative risk assessment to team's assignments to understand potential threats and the probability they will occur.Lead team in mitigating risks and applying appropriate contingency plans to ensure minimal impacts to customers.

4. Provide leadership to the organization to respond to business opportunities/challenges, new technologies, legislation and other environmental factors. 

Oversee analysis of issues or needs and review recommended solutions.Assess the impact of strategic business and technical changes on the environment.Responsible for managing all activities within an assigned business unit/area.Foresee organizational impacts and understand the procedures associated with introducing new technologies, while seeking ways to collaborate with other teams outside area of responsibility to facilitate transitions.

5. Optimize the utilization of resources by applying appropriate concepts, technologies and workflows

Ability to accept direction and provide leadership to develop/maintain a high-performance work team.Respond to feedback and champion process improvement initiatives by empowering their team to deliver quality services/products to internal and external customers. Implement solutions that are consistent with Highmark’s strategic direction.Keep abreast of current industry standards and trends.

6. Staff Management accountabilities to include but not limited to:

Developing and providing input to skills assessment and oversee personal development plans as it relates to career development.Coaching, managing and developing employees by establishing clear goals, expectations, and strategies for employee performance.Develop and administer performance reviews with measurable goals.Provide opportunities for staff to maintain current industry knowledge.Provide opportunities for employees to build collaborative relationships with customers.

7. Departmental Management planning and administrative accountabilities to include, but not limited to:

Departmental budgeting and fiscal responsibilities.Manage teams that span geographic areas or functional areas.Ensure compliance with corporate standards, policies and regulations (SOX, SSP, DIACAP, PHPLC, etc.).Establish and use metrics as a tool to benchmark and improve operational excellenceDevelop and implement short-term and long-term departmental plans.Consult and evaluate vendor solutions where appropriate.

8. Other duties as assigned or requested.

EDUCATION

Required

Bachelor’s Degree

Substitutions

6 years of related and progressive experience in lieu of Bachelor's degree

Preferred

Master’s Degree

EXPERIENCE

Required

5 years in a leadership / mentoring role5 years of planning, implementing, maintaining and growing capabilities within relevant discipline3 years of developing, communicating and presenting concepts to varying audience

Preferred

Management experience in: employee development plans, performance evaluations, goals developmentExperience in budget administration and process improvementKnowledge and experience in developing strategic plansDemonstrated competency in the execution of multiple projects, including managing resources across multiple projects to meet goals

LICENSES or CERTIFICATIONS

Required

None

Preferred

None

SKILLS

Knowledge of company’s business practices and direction as well as familiarity with the company’s products and resourcesKnowledge of the assigned business unit/area's direction and practicesThis position is required to comply with all Highmark Corporate Policies and IT Procedures, Standards and Strategies

Referral Bonus: Level 4

Language (Other than English):

None

Travel Requirement:

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-based

Teaches / trains others regularly

Occasionally

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

Occasionally

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

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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