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How much do highmark health solutions jobs pay per hour?

As of Jul 8, 2026, the average hourly pay for highmark health solutions in the United States is $26.86, according to ZipRecruiter salary data. Most workers in this role earn between $23.80 and $30.05 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Health Solutions Specialist at Highmark Health, and why are they important?

To thrive as a Health Solutions Specialist at Highmark Health, you need a solid background in healthcare administration, insurance policies, and customer service, often supported by a bachelor’s degree in a related field. Familiarity with claims processing systems, CRM platforms, and healthcare compliance tools is typically required. Strong problem-solving skills, attention to detail, and effective communication set top performers apart in this role. These skills are vital for ensuring accurate service delivery, regulatory compliance, and a positive experience for clients and members.

What are Highmark Health Solutions?

Highmark Health Solutions is a subsidiary of Highmark Health that provides a wide range of healthcare technology and administrative services, including health plan operations, customer service, claims processing, and IT solutions. They work with health insurers, employers, and government programs to streamline healthcare management and improve operational efficiency. By leveraging advanced analytics and digital platforms, Highmark Health Solutions aims to enhance the quality and affordability of healthcare services for its clients.

What are some common challenges faced by professionals working at Highmark Health Solutions, and how can new hires best prepare for them?

Professionals at Highmark Health Solutions often work in a fast-paced, highly regulated environment where adapting to frequent changes in healthcare policies and technology is crucial. New hires may encounter challenges such as managing complex projects across cross-functional teams and staying updated on compliance requirements. To prepare, candidates should focus on developing strong communication skills, being proactive about learning new systems, and staying current with industry trends. Building relationships with colleagues across departments and seeking mentorship can also help ease the transition and promote career growth.

What is the difference between Highmark Health Solutions vs Highmark Health?

AspectHighmark Health SolutionsHighmark Health
Primary FocusProviding healthcare technology, data analytics, and administrative solutionsOffering health insurance plans and healthcare services
Work EnvironmentTechnology and administrative settings within healthcare organizationsInsurance offices, healthcare provider networks
CredentialsTypically requires healthcare administration, IT, or data analytics certificationsRequires insurance licensing, healthcare administration credentials

Highmark Health Solutions focuses on delivering healthcare technology and data services, while Highmark Health primarily provides health insurance and related healthcare services. Both operate within the healthcare industry but serve different functions—one in technology and administration, the other in insurance and direct healthcare provision.

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Highmark Health Solutions jobs near you
Infographic showing various Highmark Health Solutions job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 76% Full Time, 18% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $55,870 per year, or $26.9 per hour.
Clinical Transformation Physician Executive

Clinical Transformation Physician Executive

Highmark Health

Pittsburgh, PA • On-site

Full-time

Re-posted 22 days ago

Highmark Health rating

7.8

Company rating: 7.8 out of 10

Based on 28 frontline employees who took The Breakroom Quiz

Job description

Company :
Highmark HealthJob Description :
JOB SUMMARY
This job will serve as the clinical dyad to the provider partnerships market leader. This incumbent is accountable for the clinical aspect of opportunity identification, design, readiness, and adoption of the living health solutions and programs to reinvent health. The Incumbent will manage clinical capability assessments and interaction with provider systems to determine feasibility and consistency of adopting best practice approaches to achieve the best health outcomes. Will identify new opportunities based on clinical insights, define meaningful interventions and lead communication and change management support. The incumbent will partner with the provider leaders to ensure expert clinical resources and other provider partner resources needed for an effective implementation and transformation process are deployed.
ESSENTIAL RESPONSIBILITIES
  • Serve as the clinical dyad to the living health partnership market leader and co-lead the coordination of solution opportunity, design, readiness, and adoption at provider partners.
  • Represent the clinical point of view on
    • All decisions related to the identification, build-out and management of solutions at provider partners.
    • Opportunities to incorporate solutions from provider partners into Living Health.
  • Serve as an ambassador for Highmark Health and its strategy to provider partners in the context of this role.
  • Assist in the development of the implementation framework, playbook, and approach for bringing innovative clinical solutions to provider partners.
  • Work with clinicians and administrators to identify key variability challenges and engage appropriate clinical expertise across multiple provider systems for validation and involvement in the process of solution design.
  • Partner with the living health partnership market leader on program and clinical process adoption, activation of onsite work streams, and engagement of administration across provider partners.
  • Develop and enhance clinical leadership relationships with community hospitals, independent physicians and clinically integrated networks (CINs) in the region, to expand and solidify the presence of Highmark Health.
  • Provide other clinical duties as assigned within the enterprise.

EDUCATION
Required
  • Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO)

Substitutions
  • None

Preferred
  • None

EXPERIENCE
Required
  • Practicing physician with at least 10+ years clinical practice
  • Board Certified physician with a current, unrestricted medical license in any US State
  • Demonstrated record of clinical leadership, including experience leading multi-disciplinary clinical teams and multi-specialty physician groups
  • Experience working in a highly matrixed clinical structure

Preferred
  • None

LICENSES or CERTIFICATIONS
Required
  • Current MD or DO; Must hold a current board certification in field of study

Preferred
  • None

SKILLS
  • Successfully partners through collaboration and sense of urgency regarding process implementation and improvement/optimization.
  • Experience in matrix management, including own function and providing matrix oversight to others
  • Ability to critically appraise and apply the latest medical evidence to inform clinical pathways and care models
  • Strong analytical skills to identify complex clinical and operational challenges and develop innovative solutions
  • Experience with Value Based Care programs and the needed population health infrastructure, quality processes and care management support to be sucessful
  • Ability to understand and interpret complex healthcare data (e.g., claims data, EHR data, quality metrics) to identify trends, opportunities, and areas for improvement. Utilization of data to inform clinical strategy, measure outcomes, and demonstrate value.
  • Understanding the financial drivers of healthcare, including reimbursement models, cost-effectiveness, and resource allocation. Capacity to evaluate the financial impact of clinical transformation initiatives to inform financial modeling
  • Highly motivated with exceptional organizational skills, including the ability to effectively and competently handle multiple responsibilities simultaneously and the flexibility and ability to quickly adapt to changes in work objectives, promotions, and available technology
  • Demonstrated success in building organizational consensus and leading by influence
  • Strong oral and written communication skills, can visually convey concepts
  • Ability to present complex concepts clearly and concisely to a wide range of audiences
  • Exhibits problem solving skills and productively manages conflict

Language (Other than English):
None
Travel Requirement:
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Most On-the-Road
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Frequently
Frequently
Physical work site required
Yes
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occastionally
Lifting: 25 to 50 pounds
Never
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

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About Highmark Health

Sourced by ZipRecruiter

A national blended health organization, Highmark Health and our leading businesses support millions of customers with products, services and solutions closely aligned to our mission of creating remarkable health experiences, freeing people to be their best. Headquartered in Pittsburgh, we're regionally focused in Pennsylvania, Delaware, West Virginia, and eastern and northwestern New York with customers in 50 states and the District of Columbia. We passionately serve individual consumers and fellow businesses alike. And our companies cover a diversified spectrum of essential health-related needs including health insurance, health care delivery, population health management, dental solutions, reinsurance solutions, and innovative, technology solutions. Our financial position reflects strength and stability, with our year-end 2022 consolidated revenues totaling $26 billion. And we're proud to carry forth an important legacy of compassionate care and philanthropy that began more than 170 years ago. This tradition of giving back, reinvesting and ensuring that our communities remain strong and healthy is deeply embedded in our culture, informing our decisions every day.

Industry

Health care and social assistance and insurance services

Company size

10,000+ Employees

Headquarters location

Pittsburgh, PA, US

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