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Director Clinical Programs

Highmark Inc

  • Pittsburgh, PA
  • 3 days ago

    Highlights

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

    Numbers & Facts

    LocationPittsburgh, PA
    IndustryHealthcare Services
    Company Size1,000 to 1,499 employees
    Year Founded1996
    Websitehttps://www.highmark.com/hmk2/index.shtml

    Description

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    Director Clinical Programs

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    Director Clinical Programs

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    Pittsburgh PA, 15222, FAP, 5th Avenue Place

    Company :

    Endorsed

    Job Description :

    JOB SUMMARY

    This position will lead the palliative and supportive care function of Well in Place. This role is responsible for the implementation of the clinical program and staying aligned with Medical Directors to ensure best practice and clinical quality.

    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.

    We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.

    For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

    California Consumer Privacy Act Employees, Contractors, and Applicants Notice

    Recruitment Fraud Alert

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    Job Details

    • Job category Clinical Services
    • Position Type Full Time
    • Posted 09/09/2026
    • Location(s) Pittsburgh PA, 15222, FAP, 5th Avenue Place
    • Line of Business
    • Entity
    • Recruiter
    • Hiring Manager
    • Experience Level
    • Job Family Care/Case Management-HM
    • Req ID J286557

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

    We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.

    We provide reasonable accommodations to applicants with disabilities or who require accommodations for sincerely held religious beliefs or for known limitations related to pregnancy, childbirth, or related medical conditions. If you need an accommodation, please contact HRServices@highmarkhealth.org. This email is exclusively for accommodation requests under applicable laws.

    2026 Highmark Health. All Rights Reserved.

    About Company

    Highmark provides millions of people with the security of quality health insurance

    Our history of helping families and companies with their health insurance needs dates to the 1930s, when our predecessor companies were established to help Pennsylvania's residents pay for health care.

    Highmark was created in 1996 by the consolidation of two Pennsylvania licensees of the Blue Cross and Blue Shield Association — Pennsylvania Blue Shield (now Highmark Blue Shield) and Blue Cross of Western Pennsylvania (now Highmark Blue Cross Blue Shield). We are now one of the largest health insurers in the United States.

    Highmark's officers and board of directors set the company's strategic direction and corporate policies. They are guided by our mission, vision and values.

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