Matthew J. Rhenish serves as Senior Vice President, COO of Health Plan Operations with enGen, a wholly owned subsidiary of Highmark Health that supports and streamlines complex operations for health plans and their provider partners. In this role, he is accountable for member and provider servicing and transformation across health plan operations, utilization management and provider operations.
Prior to this new role within Highmark Health, Mr. Rhenish drove growth strategies and strategic endeavors across the enterprise with responsibilities for Highmark’s Pharmacy Business, which serves both Highmark Health Plans and other health plans, and Helion, a company that manages high-performance post-acute care networks through value-based reimbursement designs and technology solutions that enable providers to achieve better outcomes and lower cost for members across various sites of care (SNF, IRF, LTAC, home).
Mr. Rhenish has also served as senior vice president of Pharmacy & Market Growth Strategies for Highmark Inc., where he had direct responsibility for pharmacy, sales operations, product development, portfolio management, sales training and health plan growth strategies.
Mr. Rhenish previously held the position of president of national and specialty markets, president and chief operating officer of HM Insurance Group and pharmacy markets in addition to multiple positions at the consulting firm McKinsey & Company.
He also previously served as manager of corporate strategy at Cardinal Health, a multinational health care distributor and services provider.
Mr. Rhenish received his MBA from Harvard Business School and earned a BSBA in finance with honors and with distinction from The Ohio State University.
Current Board of Director affiliations include:
National Kidney Foundation
Heinz History Center
Thought Leadership Topics:
Controlling drug costs in health care
Ensuring members are getting the right drugs they need on time, every time
Using partnerships to lower the costs of prescriptions
Managing the cost of hospital-based drugs
Managing health care costs through product designs
Designing products that provide our members with better care for less
Value of ancillary product lines
Utilize our ancillary value to grow in our current footprint and build new markets
Stop loss and dental strategies to grow ancillary value
Health plan strategies
Influencing the future of health care across the country
Identifying where we will succeed, how we will succeed, and how everyone has a role in that success
Highmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Highmark Blue Cross Blue Shield West Virginia serves the state of West Virginia plus Washington County. Highmark Blue Cross Blue Shield Delaware serves the state of Delaware. Highmark Western and Northeastern New York Inc., serves eight counties in Western New York under the trade name Highmark Blue Cross Blue Shield of Western New York and serves 13 counties in Northeastern New York under the trade name Highmark Blue Shield of Northeastern New York. Each of these companies is an independent licensee of the Blue Cross Blue Shield Association. Blue Cross, Blue Shield and the Blue Cross and Blue Shield symbols are registered marks of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield companies. All references to “Highmark” in this document are references to the Highmark company that is providing the member’s health benefits or health benefit administration.
This website is operated by Highmark, Inc. and is not the Health Insurance Marketplace website. This website does not display all Qualified Health Plans available through the Health Insurance Marketplace website. To see all available Qualified Health Plan options, go to the Health Insurance Marketplace website at HealthCare.gov.
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