Highmark Health Senior Consultant - Provider in Philadelphia, Pennsylvania



The consulting workforce leverages combined people, process, and technology competencies to support large-scale, complex customer engagements; collaborates with Product, Infrastructure, and Security teams to configure solutions and deliver value to customers; acts as subject matter expert and trusted advisor in both practice and customer spaces; and works closely with engagement and practice leadership team to define strategic and tactical direction.

HMHS is looking for a candidate to fill the position of Provider Office Lead on the Philadelphiaclient account team. The candidate must have exceptional communication, program / project portfolio management, and consulting skills as described in the job description. The role will be accountable for operating performance and client satisfaction within the Provider domain. The candidate also must have background with health care provider activities such as utilization management, credentialing, pricing and reimbursement. The position will be actively engaged in leading IT development projects and steady state support as well as development of solutions in the provider space.

The Senior Consultant delivers value to customers through client-facing advisory and delivery service in support of the HM Health Solutions product offerings. Accountabilities include, but are not limited to, owning deliverable artifacts, leading workstreams, engaging key customer stakeholders, building and sharing institutional knowledge, and developing junior professionals.


  • Contribute to the delivery and execution of complex, large scale, multi-year (high cost, high complexity and/or high risk) client enterprise transformation programs by: gathering required data through direct observation and/or inquiry and synthesizing data into meaningful observation; analyzing, identifying and problem solving from information sets (issues could be business or systems issues) drawing conclusions from information sets based on analysis, creating hypotheses and presenting recommendations to team; developing client specific requirements, standard operating procedures, functional roles & responsibilities, process flow and userguides.

  • Build, share, and maintain expertise in both practice area and client environment, regularly interface with Product, Infrastructure, and Security teams to deliver on customer commitments.

  • Contribute to operational readiness, organizational change management, solution capability, packaging, and estimating, planning and delivery management.

  • Design and own deliverable artifacts to deliver client value and meet contractual obligations.

  • Lead engagement workstreams to meet milestones on time, and to deliver with high quality and within agreed to budgets.

  • Provide coaching, mentorship, and professional development for junior resources.

  • Other duties as assigned or requested.


Bachelor's Degree- Business Administration, Management Information Science, Health Administration, or relevant field


Business Administration, Management Information Science, Health Administration, or relevant field



  • 5+ years' consulting and/or industry experience ‚Äč


  • 3+ years' healthcare/insurance industry experience

  • 3+ years' technology platform delivery experience

  • 3+ years' program / project management experience

  • Experience engaging, influencing, and advising senior executive leaders

  • Experience working in complex matrixed environments


  • Customer focus, results orientation, strategic thinking, change advocate, continuous improvement, talent development

  • Excellent written and spoken communications skills

  • Strong leadership and interpersonal skills

  • Ability to work independently and manage multiple task assignments

  • Proficient in the use of MS Word, Excel, and PowerPoint

  • Proven ability to build and sustain internal and customer relationships


Project Management Professional, Information Technology Infrastructure Library

TRAVEL REQUIREMENT: - Local to Philadelphia Market up to 25% travel

Internal candidates traveling to site up to 80%

Referral Level Payout 4

Note: Job duties and responsibilities support separation of duties across multiple users.


Equal Opportunity Employer Minorities/Women/ProtectedVeterans/Disabled/Sexual Orientation/Gender Identity