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Practice Transformation Specialist - Hybrid position - Pittsburgh - FT

Highmark Inc

  • Pittsburgh, PA
  • 3 days ago

    Highlights

    Identifies opportunities and supports replicable best practices, by systematically examining better health data to identify practice trends in improvement, achievement, and interviewing practice leaders to isolate potentially replicable processes for dissemination. 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.
    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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    Practice Transformation Specialist - Hybrid position - Pittsburgh - FT

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    Practice Transformation Specialist - Hybrid position - Pittsburgh - FT

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

    Company :

    Allegheny Health Network

    Job Description :

    GENERAL OVERVIEW:

    Works collaboratively with participating practices to facilitate the implementation of the Patient Centered Medical Home (PCMH) model of care. Develops and implements strategies to promote the principles of value based care delivery and goals of the Highmark Health enterprise.

    ESSENTIAL RESPONSIBILITIES:

    • Trains and promotes an on-site quality improvement approach with the Health Coach and practice team. Continually assesses workflow and workflow redesign. (30%)
    • Supports practice sites in identifying and setting meaningful, realistic and relevant data-driven quality improvement goals and improvement measures. (15%)
    • Facilitates and/or recommends workflow redesign to optimize electronic medical record tools and PCMH related patient service. (15%)
    • Identifies opportunities and supports replicable best practices, by systematically examining better health data to identify practice trends in improvement, achievement, and interviewing practice leaders to isolate potentially replicable processes for dissemination. (10%)
    • Collaborates with Allegheny Clinic education team to assess educational needs of the practice Health Coach, including curriculum collaboration. (10%)
    • Coordinates progress of all projects. Maintains records of webinars, learning collaboratives and activities with and across practice sites. (10%)
    • Directs all key personnel in achieving the goals of practice transformation. (10%)
    • Performs other duties as assigned or required.

    QUALIFICATIONS:

    Minimum

    • Associate"s degree or equivalent from a two year college or technical school; or six months to one year related experience and/or training; or equivalent combination of education and experience
    • 2 years in a primary care setting
    • Previous experience in a medical practice setting including in-depth understanding of clinical process/workflows in a medical office

    Preferred

    • Medical Assistant Certification

    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

    Recruitment Fraud Alert

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    Job Details

    • Job category Provider Services
    • Position Type Full Time
    • Posted 11/05/2026
    • Location(s) 120 5th Avenue Place, Pittsburgh PA 15222-3099, United States
    • Line of Business
    • Entity
    • Recruiter
    • Hiring Manager
    • Experience Level
    • Job Family Provider Gen-AHN
    • Req ID J291293

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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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