Note: The job is a remote job and is open to candidates in USA. Highmark Inc. is seeking a Strategic Analytics Consultant to lead complex strategic initiatives aimed at optimizing the organization's programs in healthcare. This role involves managing strategic projects, conducting data-driven analyses, and providing actionable recommendations to enhance program effectiveness and resource alignment.

Responsibilities

• Lead and manage end-to-end strategic projects focused on program optimization across various clinical areas, defining project scope, methodologies, deliverables, and timelines
• Design and execute comprehensive, data-driven strategic analyses to identify significant opportunities for enhancing efficiency, quality of care, and overall program performance. This includes detailed analysis of trends, outcomes, provider patterns, and regulatory impacts
• Translate complex analytical findings and strategic insights into actionable recommendations and compelling business cases for senior management, driving strategic decision-making and investment
• Act as a trusted advisor and internal thought partner to cross-functional stakeholders, including leadership, clinical operations, network, finance, and actuarial teams, proactively identifying their strategic needs and proposing analytical solutions
• Proactively identify strategic gaps, emerging challenges, or underperforming areas within existing programs, initiating investigations and developing proposals for improvements
• Develop robust, quantifiable impact models for proposed strategies, and subsequently monitor and evaluate the effectiveness of implemented initiatives against defined objectives
• Mentor and provide guidance to more junior analytical staff on complex problem-solving approaches, analytical techniques, and strategic frameworks
• Prepare and deliver executive-level presentations, distilling complex data into clear strategic narratives and actionable insights for diverse audiences
• Other duties as assigned

Skills

• 5 years of progressive experience in strategic consulting, healthcare analytics, or a similar high-impact role, preferably within a large health plan, managed care organization, or consulting firm focused on healthcare
• 5 years of a demonstrated track record of successfully leading complex analytical projects and translating insights into actionable business strategies that drove measurable outcomes
• Bachelor's degree or relevant experience and/or education as determined by the company in lieu of bachelor's degree
• Background in clinical quality improvement or managed care, particularly with experience analyzing payer performance metrics such as denial rates and turnaround times
• Proven ability to leverage healthcare data and audit insights to drive operational excellence and continuous quality improvement initiatives
• Master's degree
• Degrees in a quantitative field such as Economics, Business Administration, Public Health, Health Administration, Finance, Statistics, or a related discipline are strongly preferred

Company Overview

Company H1B Sponsorship