Segment President, Blue Cross Blue Shield West Virginia
James L. Fawcett is president of Highmark Blue Cross Blue Shield West Virginia, which serves approximately 250,000 members through the company's health care benefits business as well as a comparable number of additional members through the national BlueCard® program. Based in Parkersburg, Mr. Fawcett is responsible for all West Virginia market functions. This includes health, dental, vision and stop-loss products and services in the West Virginia market.
Mr. Fawcett has been with Highmark for more than 35 years. Prior to becoming president, Mr. Fawcett served in a number of leadership roles where he was responsible for the Medicaid markets in Highmark's Delaware and West Virginia health markets, sales and client management for Highmark's Pennsylvania individual and group health markets, and provider contracting and network management for Highmark’s core markets in Pennsylvania, Delaware and West Virginia.
Mr. Fawcett was instrumental in creating the Highmark West Virginia Charitable Fund for Health, administered by the Highmark Foundation, whose mission is to improve the health, well-being and quality of life for individuals who reside in all 55 counties in West Virginia. In the first three years of existence, the Fund has issued over $4.6 million in grants to impact efforts within West Virginia focusing on oral health, substance use disorders, social determinants of health, behavioral health, community health and other programs.
Highmark West Virginia has consistently scored 100% on the Human Rights Campaign Foundation’s Corporate Equality Index as a Best Places to Work employer. Only one of two employers in the State of West Virginia to achieve this score.
Mr. Fawcett holds a bachelor's degree from Indiana University. He was a commissioned Officer in the U.S. Air Force and is a graduate of Leadership Pittsburgh class XXII.
In 2020, Mr. Fawcett received statewide recognition for his personal and professional accomplishments from West Virginia Executive magazine when he was named Sharp Shooter for the class of 2020. The Sharp Shooter award recognizes West Virginians who have forged successful paths that include great accomplishments in both their careers and communities in an effort to make the Mountain State a better place to live.
Current Board of Director affiliations include:
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Provider Payment Arrangements
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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 and/or to one or more of its affiliated Blue companies. This website is operated by Highmark, Inc. and is not the Health Insurance Marketplace website. It also 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.
Highmark Blue Cross Blue Shield or Highmark Blue Shield are Medicare Advantage HMO, PPO, and/or Part D plans with a Medicare contract. Enrollment in these plans depends on contract renewal. ®Blue Cross, Blue Shield and the Cross and Shield symbols are registered service marks of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. Benefits and/or benefit administration may be provided by or through the following entities, which are independent licensees of the Blue Cross Blue Shield Association: Western and Northeastern PA: Highmark Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Choice Company, Highmark Health Insurance Company, Highmark Coverage Advantage Inc., Highmark Benefits Group Inc., First Priority Health, First Priority Life, Highmark Wholecare or Highmark Senior Health Company. Central and Southeastern PA: Highmark Inc. d/b/a Highmark Blue Shield, Highmark Benefits Group Inc., Highmark Health Insurance Company, Highmark Choice Company, Highmark Wholecare or Highmark Senior Health Company. PA: Your plan may not cover all your health care expenses. Read your plan materials carefully to determine which health care services are covered. For more information, call the number on the back of your member ID card or, if not a member, call 866-459-4418. Delaware: Highmark BCBSD Inc. d/b/a Highmark Blue Cross Blue Shield or Highmark BCBSD Health Options Inc. d/b/a Highmark Health Options. West Virginia: Highmark West Virginia Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Health Insurance Company, or Highmark Senior Solutions Company or Highmark Health Options West Virginia Inc. d/b/a Highmark Health Options. Western NY: Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Cross Blue Shield. Northeastern NY: Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Shield.