Clinical and Population Health Analyst-NE (Part-time)

Highmark Health; Pennsylvania; Hybrid; USD 43,000 - 67,000; Part time

Job summary

Highmark Health is seeking a part-time data analytics professional to design, execute, and interpret clinical and population health analyses. The role supports analysts and collaborates with stakeholders to improve health outcomes and reduce costs while ensuring data-driven decisions align with organizational priorities.

The ideal candidate has strong SQL, R, and BigQuery skills, with Tableau experience and a background in healthcare analytics.

Qualifications

• Requires 2+ years leading clinical and population health analyses, reports, and studies with progressive scope.
• Proficiency with coding languages and analytics tools using claims, clinical, enrollment and provider data.
• Experience providing analytical consultations to clinical, administrative, operational and financial stakeholders.
• Healthcare analytics background is preferred; strong communication and stakeholder management skills.

Responsibilities

• Supports design, development, execution, dissemination and interpretation of clinical and population health analyses and reports.
• Builds and maintains relationships with internal/external stakeholders to ensure analytics are actionable.
• Acts as strategic partner, providing thought leadership and subject matter expertise.
• Mentors Senior/Lead analysts and other colleagues in analytics methods and tools.
• Performs other duties as assigned.

Skills

Data analysis

Analytical thinking

Data visualization

SQL

R

BigQuery

Tableau

Education

Bachelor's degree in public health, Nursing, Economics, Health Sciences, Informatics, Biostatistics, Statistics, Epidemiology, Pharmacy or related field

Tools

R

SQL

BigQuery

Tableau

GCP

Job description

Company : Highmark Health Job Description : JOB SUMMARY ***CANDIDATE MUST BE US Citizen (due to contractual/access requirements)*** This part-time job creates data-driven insights which identify actionable opportunities aligned to the Quadruple Aim of Healthcare: lower per capita health care costs, improved outcomes from and quality of care received, and optimal member/patient and provider experiences with care delivery. The incumbent serves as a consultative subject matter and technical expert for internal and external customers, leveraging advanced analytical expertise and experience to aggregate, analyze and understand patterns in varied and complex data; and articulates analytic findings, business implications, and recommendations to realize identified opportunities.

ESSENTIAL RESPONSIBILITIES

• Supports the design, development, execution, dissemination and interpretation of clinical and population health analyses, metrics and reports using clinical, member, financial and administrative data to identify, develop and/or monitor actionable opportunities for improving health and healthcare outcomes and clinical quality and costs of care, efficiently and effectively managing projects to successful completion.
• Establishes strong, collaborative and effective relationships and communication with internal and external clinical, administrative, operational, financial and technical stakeholders to ensure analytics are actionable and aligned with organizational strategic priorities, needs, plans and resources.
• Serves as a strategic business partner to internal and external stakeholders as demonstrated by providing thought leadership and subject matter expertise.
• Supports Senior and Lead level analysts with consultative, technical, subject matter and business expertise mentorship to colleagues across the enterprise.
• Other duties as assigned or requested.

EXPERIENCE

Required 2 years of Leading the design, execution and dissemination of clinical and population health reporting, analyses and studies of progressive scope and complexity 2 years of Coding languages, analytical software, systems, tools and processes using claims, clinical, enrollment and provider data 1 year of Project leadership in a complex, matrixed environment (payer and/or provider preferred) 1 year of Providing analytical consultation to clinical, administrative, operational and financial stakeholders Preferred Preference will be given to individuals with a strong health care/insurance analytics background R, SQL, and BigQuery/GCP experience strongly preferred Tableau experience strongly preferred

SKILLS

Demonstrated record of data-driven discovery, intense intellectual curiosity, and a passion for working with data to answer important questions about clinical care and population health that drive the Quadruple Aim Strong working knowledge of coding languages, relational databases, quantitative and qualitative analytic methodologies, advanced analytics and statistics Excellent communication and facilitation skills with project team members, stakeholders, executives, and external customer, exceptional written and oral presentation skills, proven ability to communicate interpersonally and technically with technical and non-technical, and internal and external audiences, and the ability to lead through influence. Healthcare industry expertise and experience, knowledge about the shifting healthcare environment including trends concerning health insurance, healthcare delivery, provider relationships and regulatory issues. Sophisticated knowledge of how organizations work and how to get things done through formal and informal channels. Exhibition of perseverance through energy, drive and demonstrated success when resistance or setbacks are encountered. In-depth understanding of and experience with both clinical and business processes, and the ability to identify opportunities for improvement and develop solutions. Demonstrated ability to informally lead matrixed teams of technical, clinical, administrative, financial and operational staff to achieve shared organizational objectives and strategic goals.

EDUCATION

Required Bachelor's degree in public health, Nursing, Economics, Health Sciences, Informatics, Biostatistics, Statistics, Epidemiology, Pharmacy or related field OR 6 years of relevant work experience in lieu of a bachelor's degree. Preferred Master's degree in Medicine, Public Health, Nursing, Economics, Health Sciences, Informatics, Biostatistics, Statistics, Epidemiology, Pharmacy or related field

LICENSES or CERTIFICATIONS

Required None Preferred None

Language (Other than English)

None

Travel Requirement

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type Office- or Remote-based Teaches / trains others Occasionally Travel from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely

Disclaimer

The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement

This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range

Minimum: $31.51 Pay Range Maximum: $48.81 Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

EEO Statement

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

Company Overview

Highmark Health is a national, blended health organization that includes one of America’s largest Blue Cross Blue Shield insurers and a growing regional hospital and physician network. Based in Pittsburgh, Pa., Highmark Health’s 35,000 employees serve millions of customers nationwide through the nonprofit organization’s affiliated businesses, which include Highmark Inc., Allegheny Health Network, HM Insurance Group, United Concordia Dental, HM Health Solutions and HM Home & Community Services. Highmark Health’s businesses proudly serve a broad spectrum of health-related needs including health insurance, health care delivery, population health management, dental solutions, reinsurance solutions, and innovative, technology solutions.