Highmark Health
Hospitals & Health Care
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JOB SUMMARY
This job is responsible for leading the enterprise technology transformation of the underwriting technology operating model, decisioning systems, and technology products that enable a unified, scalable, and data-driven ecosystem.
The role shapes and delivers innovative product technology delivering enterprise-level value, integrating workflow orchestration, advanced analytics, and automation to improve underwriting productivity, pricing accuracy, and margin performance. It directly incorporates analytic insights, tools, and decisioning capabilities into day-to-day underwriting workflows, enabling realization of measurable financial outcomes at scale.
This position operates across a highly matrixed environment, partnering with product management, underwriting, actuarial, finance, sales, and technology leadership, and influencing senior leaders across the enterprise on the technological innovation needed to achieve desired business outcomes.
The role demands a high degree of strategic leadership, independent decision-making, and accountability for innovation and sustained business results, serving as the primary point of contact across technology teams to ensure successful execution of technology product development and deployment . Working with the health plan segments, it establishes enterprise standards for tools, data integration, and decisioning capabilities. The role will work directly with Executive Leadership, Senior Vice Presidents and other senior leaders to develop and influence cross-functional strategy.
ESSENTIAL RESPONSIBILITIES
Lead and provide expertise to technological innovation as part of the underwriting transformation, co-led in partnership with Underwriting, Actuarial, Technology and Product Management.
Leads the continuous innovation of the product technology, ensuring we are addressing aging technology and embracing new, cutting-edge technology.
Sets the technical direction across technology teams to determine what needs to be built and how it will integrate into the broader ecosystem, in alignment with the product roadmap.
Perform management responsibilities to include, but not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity. Plan, organize, staff, and manage the day-to-day operations of the team; develop and implement policies and programs as necessary; manage to assigned budgets.
Partner with senior stakeholders across UW, Actuarial, Finance, IT, Sales, Product Management, Architecture, Analytics, Infrastructure, Platform Operations
Drive implementation of analytics, tools, and workflow-integrated decisioning. Oversee development and deployment of tools, applications, and decision support capabilities that translate insight into action and measurable outcomes. Ensure underwriting insights are directly embedded into day-to-day workflows to enable consistent decision-making and performance improvement
Collaborate with Product Management, Underwriting, Segment, and other stakeholders in the creation, maintenance and communication of the underwriting technology portfolio, roadmap, and investment governance.
Collaborate with Product Management, Underwriting, Segment, and other stakeholders on build/buy decisions, vendor strategy, and platform selection, leading the technical evaluating in each. Provide critical input into the business case, supporting alignment to ROI expectations.
Establish enterprise standards for underwriting tools, data integration, and analytics capabilities. Drive implementation of analytics, tools, and workflow-integrated decisioning
Provides deep understanding of underwriting, actuarial, and/or technology/analytics functions and uses that expertise to provide critical input into and shape the product technology strategy and roadmap.
Other duties as assigned or requested.
EXPERIENCE
Required
10 years with Leadership role multi-layer teams
7 years of experience with Technology transformation leadership
5 years of Underwriting and/or revenue generation experience
Preferred
5 years of Actuarial pricing experience
SKILLS
Enterprise transformation leadership (technology and operating model)
Underwriting/pricing/risk management domain expertise
Deep technology product lifecycle knowledge
Actuarial and/or advanced analytics experience
Executive communication and stakeholder alignment
Vendor and partner management
Data, analytics and AI enabled decisioning
EDUCATION
Required
Bachelor’s degree or relevant experience and/or education as determined by the company in lieu of bachelor's degree.
Preferred
Master Degree in MBA, Actuarial Science, Math, Statistics, Analytics, Technology
LICENSES or CERTIFICATIONS
Required
None
Preferred
None
Language (Other than English):
None
Travel Required:
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-Based or Remote Position
Physical work site required
Occasionally
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.
Pay Range Minimum:
$169,500.00Pay Range Maximum:
$286,700.00Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.
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.
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For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org
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