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[Remote] Strategic Analytics Consultant - UM Transformation

Work from home Full-time role Hiring

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. The role involves managing strategic projects, conducting data-driven analyses, and providing actionable recommendations to enhance program performance and efficiency.

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
  • 3 years of documented track record of successfully leveraging advanced technology for significant operational improvement, widespread automation, and substantial unit cost reduction
  • 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

  • Highmark provides health insurance plans for individuals and businesses. It was founded in 1996, and is headquartered in Pittsburgh, Pennsylvania, USA, with a workforce of 10001+ employees. Its website is https://www.highmark.com.
  • Company H1B Sponsorship

  • Highmark has a track record of offering H1B sponsorships, with 11 in 2025, 7 in 2024, 19 in 2023, 21 in 2022, 18 in 2021, 23 in 2020. Please note that this does not guarantee sponsorship for this specific role.
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