Director Clinical Programs

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Director Clinical Programs

120 5th Avenue Place, Pittsburgh PA 15222-3099, United States

Full time

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Job DescriptionWorking with UsBenefits & PerksHear From Our TeamHow We Hire

Job Details

Category Clinical Services

Type Full time

Location(s) 120 5th Avenue Place, Pittsburgh PA 15222-3099, United States

Brand Endorsed

Posted 11/10/2026

Req ID J286557

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Job Description

Company :

Endorsed

Job Description :

JOB SUMMARY

Highmark Health is seeking an experienced and strategic healthcare leader to serve as the Director of Clinical Programs. In this role, you will lead the strategy, design, and optimization of innovative, technology-enabled care models for high-need chronic populations across our integrated delivery system. You will direct multidisciplinary teams to deliver coordinated, patient-centered care that improves health outcomes, closes care gaps, enhances member experience, and reduces the total cost of care. As a key leader in care transformation, you will drive scalable solutions that advance quality performance, operational excellence, and sustainable value.

ESSENTIAL RESPONSIBILITIES

• 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.
• Develop and monitor clinical quality programs in partnership with Medical Directors and direct reports.
• Act as Executive Sponsor for continuous improvement initiatives. Lead a team to develop new processes and workflows to enhance program efficiency, staff satisfaction and patient clinical outcomes.
• Collaborate with Management and Risk Assessment leader to work toward shared outcomes.
• Collaborate with Workforce Operations team. Ensure decisions are driven by data and follow an agreed upon problem solving methodology.
• Partner with departments in the enterprise on projects related to care delivery, shared savings, and organizational goals.
• Assess readiness for strategic growth including but not limited to increased caseload geography, and care delivery model.
• Provide vision for incorporating population health strategies into workflow.
• Other duties as assigned or requested.

EXPERIENCE

Required

• 5 years in a PA-C or CRNP role
• 5 years in a management or leadership role
• 5 years of Project/workgroup Leadership

Preferred

• 1 year in Palliative Care/Hospice
• 1 year in Community Based Healthcare

SKILLS

• People Leadership
• Continuous Improvement or Project Work
• Quality Assurance
• Interdisciplinary Team Work
• Oral and Written Communication
• Leading different disciplines to achieve shared goals
• Delivery of Virtual Healthcare Visits
• Customer service skills
• Ability to establish and maintain effective relationships
• Ability to work in collaboration with Medical Director(s)

EDUCATION

Required

• Physician Assistant or Master"s Degree in Nursing

Preferred

• None

LICENSES or CERTIFICATIONS

Required

• Current Physician Assistant License or Current State RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC) and CRNP license.

Preferred:

• None

Language (Other than English):

None

Travel Requirement:

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Non-office based

Teaches / trains others

Frequently

Travel 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

Rarely

Additional Employment Requirements:

• Basic Life Support (BLS)

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 any category protected by applicable federal, state, or local law.

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Benefits & Perks

Taking Care of You

Your Benefits at a Glance

• Health: Complete medical, dental, vision, prescription, HSA, and FSA coverage.
• Time Off: Paid vacation, holidays, and dedicated volunteer time.
• Finance: Employer-sponsored 401(k), life/disability insurance, and tuition reimbursement.
• Perks: Exclusive team discounts on shopping, memberships, and events.

Medical Coverage

Medical, prescription drug, dental, and vision coverage

Paid Time Off

Vacation, holidays, volunteering

Retirement Package

Employer-sponsored 401(k) plan

Insurance & Coverage

Life, AD&D and disability insurance

Onsite & Preventative Care

We make staying healthy easy with 100% covered preventative exams (including flu shots) and onsite pharmacy services at major campuses. Plus, stay active with free fitness center access at major Highmark campuses, Allegheny General, and West Penn Hospital.

Make Mindful Changes

Secure bicycle parking at major campuses. Healthy food options at onsite cafeterias. Stress management classes including yoga, mindfulness, and meditation.

Holistic Support, 24/7

Work-life resources including assistance programs and financial counseling services. 24/7 telephone access to health and wellness coaching.

Get Rewarded for Giving Back

Health incentive program that rewards team members. Team member networks to gather in the name of health. Paid volunteer time and incentives for making a difference.

Hear from Our Team

Real people, real stories

"I have met some really great people over the years at Highmark Health and the company has treated me really well. I get really good benefits. I"ve always been rewarded for working hard. That"s what keeps me here."

Victoria T.

Associate Strategy Analyst, enGen

"I love participating with the PRIDE BRG. It"s an engaged, dynamic group of almost 400 people. I also love to turn on the digital hub on my computer and see what"s going on with any of the Business Resource Groups. It"s really neat to be able to support other BRGs and see others support PRIDE. Every time I go to a different BRG event, I always feel welcome, even if I"m not part of that group."

Amanda M.

Director of Social Determinants of Health | Vice Chair of PRIDE

Our Hiring Process: Step-by-Step

1. Apply

Find a role that sparks your passion and submit your application! We'll send an immediate confirmation email, and our team will review your qualifications over the next 1-2 weeks.

2. Interview

If your profile is a great match, we'll reach out to schedule your interview-whether by phone, video, or in person. Don"t worry, we'll provide all the prep details in advance so you can shine.

3. Job Offer

The moment you've been waiting for! If selected, we'll connect to celebrate and walk you through the details: compensation, benefits, paid time off, and all the perks of joining the team.

4. Pre-Employment

After you accept online, we'll guide you through standard screening (including a background check and drug screen, plus health screenings for certain clinical roles). Once cleared, we"ll officially confirm your start date!

5. Onboarding

Welcome aboard! Before Day 1, we'll send everything you need to hit the ground running-including your schedule, location, and the required identification documents to bring with you.

Bonus Fast-Track Tip

Applying for EVS, Dietary, or Customer Service roles? You can skip the traditional line and chat with Bridget, our AI recruiting assistant, to find open roles and schedule an eligible interview instantly.

Apply Now

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Highmark Health is an independent licensee of the Blue Cross Blue Shield Association.

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 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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