{"id":2175141,"url":"https://alion.io/job/highmark-health-supervisor-performance-measurement-reporting","title":"Supervisor Performance Measurement Reporting","company":{"id":20346,"name":"Highmark Health","domain":"highmarkhealth.org","url":"https://alion.io/company/highmark-health","size_band":"1001-5000","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Workday","truth_index":null},"role":"Industrial Engineering","role_family":"Industrial Engineering","seniority":"senior","employment_type":"full_time","work_mode":"remote","remote_scope":"stated_countries","remote_scope_basis":"board_field","remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["United States"],"countries":["US"],"hiring_countries":["US"],"hiring_countries_total":1,"salary":{"min":105900,"max":null,"currency":"USD","period":"year","gross":null,"usd_annual":105900},"salary_estimate":null,"experience_years_min":8,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"HIPAA","optional":false}],"status":"live","first_seen_at":"2026-10-09T13:55:26Z","employer_posted_date":"2026-10-09","last_verified_at":"2026-10-21T05:38:13Z","board_verified":true,"closed_at":null,"days_open":11,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":11},"description":"Company :\nHighmark Inc.Job Description :\nGENERAL OVERVIEW:\nThe Supervisor Performance Measurement Reporting provides day-to-day oversight and supervision of sampling, auditing, and reporting activities within Performance Measurement and Reporting (PMR) operations. The scope of responsibilities is broad based, covering claim, customer service and enrollment transactions. In addition the position is responsible for supervising all facets of the audit function, which includes, but is not limited to: promoting quality within the company; interpreting and applying quality program requirements and mandates and ensuring compliance; publishing performance results (internally and externally); and leading or supporting BlueStar system project activity. This position also ensures an effective Audit-to-Operations feedback loop and is responsible for administrative duties such as recruiting, training and developing of staff, mentoring and coaching, assessing performance and developmental needs, and contributing to the development of effective strategic and succession plans.\nESSENTIAL RESPONSIBILITIES:\nEnsure an effective Audit-to-Operations feedback loop, by providing specific and detailed audit results to management, thereby facilitating action by Operation’s in addressing/resolving any control or workflow weaknesses.\nSupervise PMR operations-oversees all activities related to day-to-day audit operations, which includes designing and maintaining statistical sampling plans, assigning and monitoring staff work, researching and interpreting audit requirements, resolving error disputes, and modifying audit methods, procedures, processes and protocols to accommodate changes in Operations and corporate technologies, etc.\nBlueStar system projects-this is a technical component of the job that involves leading or supporting system projects and activities related to the maintenance or development of Bluestar, relative to primary areas of responsibility. This includes developing project plans, requirements and specifications, designing formats, panels and data views, researching and resolving problems, requesting program or table changes or updates and conducting user testing, etc.\nReporting-includes the compilation, tracking, trending, analysis and reporting of performance results.\nStaff development-this aspect of the job requires training, coaching and mentoring staff and participating in the succession planning process, as well as performing administrative duties such as recruiting, conducting performance reviews, approving and managing time and attendance, holding staff meetings, managing system accesses, etc.\nOther duties as assigned or requested.\nIII. QUALIFICATIONS:\nMinimum\nHigh School Diploma/GED\n8 or more years of experience in auditing, quality function or operations management \nPreferred\nBachelor’s degree in a business related curriculum\n5 or more years of experience in auditing, quality control, or operations management\nKnowledge, Skills and Abilities\nBroad knowledge of company core operations with specific knowledge of claim, customer service and enrollment functions.\nIntermediate-level project management experience.\nSpecific knowledge of claim adjudication, customer service, and enrollment processes and systems, as well as coding and billing protocols (ICD, CPT), reimbursement methodologies (Per Diem, Tier, PMC, DRG, UCR, etc.), medical policies and procedures, and other resource tools used by the company to support core operations.\nAdvanced knowledge of PMR process functionality and relevant operational interrelationships.\nAdvanced-level skills in using standard desktop applications such as Lotus Notes, Excel, Word, etc.\nAdvanced-level knowledge of BlueStar system.\nAdvanced understanding of quality measurement terminology and concepts as applied to PMR operations.\nIntermediate-level technical skills, as defined broadly in terms of abilities to: analyze data; research, interpret and assimilate data and information; identify and understand cause-and-effect relationships; define and frame issues; resolve problems; utilize IS tools; apply statistical sampling concepts and methods, etc.\nExcellent productivity skills, as defined broadly in terms of: abilities to: meet deadlines; make decisions and judgments; utilize resources; produce quality work; manage project activities, etc.\nExcellent management skills, as defined broadly in terms of abilities to: evaluate work of others, provide career and advancement coaching; delegate work assignments, provide leadership, etc.\nSolid communication and interpersonal skills, as defined broadly in terms of abilities to: communicate effectively; manage conflicts; use diplomacy; negotiate resolutions; work in a team environment, etc.\nStrong personal characteristics, as defined broadly in terms of attitude, corporation, creativity, dedication, dependability, ethical behavior, flexibility, initiative, professionalism, etc.\nLanguage (Other than English):\nNone\nTravel Requirement:\n0% - 25%\nPHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS\nPosition Type\nOffice-based\nTeaches / trains others regularly\nOccasionally\nTravel regularly from the office to various work sites or from site-to-site\nRarely\nWorks primarily out-of-the office selling products/services (sales employees)\nNever\nPhysical work site required\nYes\nLifting: up to 10 pounds\nConstantly\nLifting: 10 to 25 pounds\nOccasionally\nLifting: 25 to 50 pounds\nRarely\nDisclaimer: 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.\nCompliance 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.\nAs 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. \nFurthermore, 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.\nPay Range Minimum:\n$68,400.00Pay Range Maximum:\n$105,900.00Base 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.\nHighmark 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.\nCalifornia Consumer Privacy Act Employees, Contractors, and Applicants Notice","description_format":"text","description_chars":7500,"description_truncated":false,"requirements":{"experience_years_min":8,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":{"level":"high_school","optional":false},"security_clearance":false,"languages":[{"language":"English","level":"All levels","optional":true}]},"benefits":["Equity","Health insurance"],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["Hospitals & Health Systems","Health Insurance & Benefits"],"lifecycle":[{"event":"open","at":"2026-10-09T13:55:26Z"}],"visa":[],"liveness":{"score":40,"band":"fade","label":"Fading","p_open":1,"p_active":0.726,"p_room":0.55,"age_days":11,"expected_fill_days":11,"reasons":["conf:0","velocity","win:tail","comp:brand"],"computed_at":"2026-10-21T05:46:15Z"},"pay":{"stated_usd_annual":105900,"is_top_pay":false},"html_url":"https://alion.io/job/highmark-health-supervisor-performance-measurement-reporting","json_url":"https://alion.io/job/highmark-health-supervisor-performance-measurement-reporting.json","meta":{"generated_at":"2026-10-21T07:58:26Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":11361,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-10-22T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":20346},"rest":"https://alion.io/mcp/rest/get_company?id=20346"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fhighmark-health-supervisor-performance-measurement-reporting"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fhighmark-health-supervisor-performance-measurement-reporting"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fhighmark-health-supervisor-performance-measurement-reporting"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/highmark-health-supervisor-performance-measurement-reporting\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fhighmark-health-supervisor-performance-measurement-reporting"}]}