“A NATIONAL, BLENDED HEALTH ORGANIZATION”

Dr. Stella Onuoha-Obilor is Highmark Health's Vice President of Clinical Quality and Medical Policy. She is responsible for the Health Plan's Clinical Quality and Medical Policy. She is in charge of creating and implementing a hybrid clinical quality strategy that includes both structural and virtual integration models. Her goal, in collaboration with the clinical leadership team, is to reduce abuse and overuse while boosting underuse, all while improving the value-based member/patient/provider experience. Dr. Obilor received her medical degree from the University of Calabar College of Medicine in Nigeria, as well as her master's and doctoral degrees in public health from Walden University in Minneapolis, Minnesota. She is a certified professional in health care quality (CPHQ), Certified Case Manager (CCM), Lean Six Sigma Healthcare Black Belt, Lean Six Sigma Healthcare Green Belt, Walden University Certificate on Meeting the Leadership Challenge, and a certificate from Harvard School of Public Health on Measurement, Design, and Analysis Methods for Health Outcomes.

Dr. Obilor is particularly interested in finding, standardizing, tracking, and improving quality outcome measurements such as provider satisfaction (quadruple objective) and demonstrating value improvement. She is in charge of leading Health Plan quality operations as well as developing the Health Plan's quality improvement function and capability in collaboration with the Operational Effectiveness team and the Government Stars leaders to ensure that all quality programs are effectively connected and aligned. She is in charge of developing, maintaining, revising, and enforcing business medical policies for all goods in conformity with regulatory standards.

Highmark Health's vision is a world where everyone enjoys health, and its objective is to offer a unique health experience that frees individuals to be their best. Client First is one of Highmark Health's Core Behaviors, which places the customer at the center of everything the company does. Highmark Health is dedicated to serving both individual customers and other businesses. Highmark Health firms provide a wide range of vital health-related services, such as health insurance, health care delivery, population health management, dentistry solutions, reinsurance solutions, and cutting-edge technology.

Dr. Obilor says, “ My passion for improving numbers stems from the fact that every data point in the healthcare industry has a human narrative behind it. Numbers are not just numbers for me. People's spouses, siblings, friends, and relatives make up this group. “Throughout the pandemic, Highmark Health has worked with many partners on several vaccination events serving minority and vulnerable populations across Pennsylvania. To date, Highmark and AHN have worked together to administer nearly 400,000 vaccine doses.

Highmark Health launched a wholly owned subsidiary under Larry Kleinman's leadership to assist businesses in achieving large-scale transformation using digital tools, process improvement, and agile approaches to streamline and automate work that is highly manual, repetitive, time-consuming, and introduces unnecessary errors. On-site and virtual ideation solutions to engage employees and gather ideas; readiness and adoption techniques to support change management; and employee outreach to establish a community mindset around transformation are some of the services offered.

Dr. Obilor says, Highmark designed the Living Health Model to capitalize on the abilities, technology, and insights of our payers and care providers, who work in tandem, as part of our unique blended health strategy. Frictionless convenience, simplicity, affordability, and favorable health outcomes are all features of this new experience. Dr. Tony Farah, EVP Chief Medical and Transformation Officer, and his team are reimagining health care with the objective of providing the best possible care for our members at the lowest possible cost while offering the greatest possible patient and clinician experience. Dr. Obilor also adds, "Always listen to the voices of your internal and external customers. Lead with empathy, passion, and mutual respect. Always strive to create remarkable experiences for your team members so that they will in return create remarkable experiences for the customers you serve. Dr. Obilor's passion and broad approach to her work have made her a pioneering woman leader. IEWL