Healthcare Cost Analytics Strategist

Highmark Health; Providence (RI); On-site; USD 79,000 - 127,000; Full time

Job summary

Highmark Inc. is seeking a Senior Healthcare Cost Analyst to transform large data into strategic insights on medical cost trends. You will craft executive-level presentations, work with SAS and SQL to analyze datasets, and collaborate with matrix partners to quantify program value and savings opportunities.

The role emphasizes data-driven storytelling, development of business cases, and tracking outcomes to guide strategic focus areas in a healthcare payer environment.

Qualifications

• Bachelor's degree in Business, Health, Economics, Mathematics/Actuarial Sciences or other related area.
• 5 years of Medical Economics, Healthcare Analytics, Informatics and/or Actuarial Services in the health care payer sector.
• Strong coding background (R, R Shiny, Python, SQL, etc.). Experience building dashboards in Tableau, Power BI, or R Shiny.

Responsibilities

• Provide strategic/tactical insights into emerging medical cost trends. Develop executive ready presentations explaining analytical findings in a clear concise manner.
• Proficiency to extract, summarize and analyze large datasets via SAS, SQL or other similar tools.
• Provide business areas with opportunity assessments of their strategic medical cost programs. Coordinate savings opportunity projections and post implementation savings measurements. Develop improved business case and savings estimate capabilities to enable more accurate and deeper projections.
• Leverage analytical experience and knowledge to drive independent medical cost analytics; develop areas of opportunity using a fact-based analysis, present medical cost analytics and insight into claim cost drivers to key business partners.
• Strong communication skills (verbal and executive quality presentations) to present clear, concise presentations of the detailed analytics.
• Work in a matrixed work environment. Partner with other departments in developing the full analytical story.
• Other duties as assigned or requested.

Skills

Analytical ability

Technical data skills

Communication with partners

Healthcare industry knowledge

Education

Bachelor's degree in Business/Health/ Economics/ Mathematics

Master's degree preferred

Tools

SAS

SQL

R

Tableau

Power BI

Excel

Job description

Highmark Inc. is seeking a Senior Healthcare Cost Analyst to transform large data into strategic insights on medical cost trends. You will craft executive-level presentations, work with SAS and SQL to analyze datasets, and collaborate with matrix partners to quantify program value and savings opportunities.

The role emphasizes data-driven storytelling, development of business cases, and tracking outcomes to guide strategic focus areas in a healthcare payer environment.