Healthcare Medical Cost Analytics Consultant

Highmark Health; Richmond (VA); Hybrid; USD 79,000 - 127,000; Full time

Job summary

Highmark Inc. is seeking a finance analytics professional to manage the reporting for the strategic cost of care savings program. You will gather data, perform quality checks, analyze data, and deliver an executive-facing report with insights on program impact.

The role requires a strong coding background (SAS/SQL/R) and dashboarding skills, plus collaboration across departments to tell the full analytical story. Hybrid or remote work options in the Richmond area.

Qualifications

• Bachelor's degree in business, health, economics, math/actuarial sciences, or related field.
• 5+ years in medical economics, healthcare analytics, informatics, or actuarial services in healthcare payers.
• Master's degree preferred in related field.
• Strong coding background in R, Python, SQL, and data visualization tools.
• Experience building dashboards in Tableau, Power BI, or R Shiny.
• Proven analytical ability to drive independent work and meet timelines.
• Experience in the healthcare industry with knowledge of trends and challenges.

Responsibilities

• Provide strategic insights into emerging medical cost trends and deliver executive-ready presentations.
• Extract, summarize and analyze large datasets using SAS, SQL or similar tools.
• Assess savings opportunities and post-implementation savings; develop business case and savings estimates.
• Present medical cost analytics and insights into claim cost drivers to key business partners.
• Communicate analytics clearly to executives with concise presentations.
• Collaborate with other departments to craft the full analytical story.
• Other duties as assigned.

Skills

SAS

SQL

R

Tableau

Power BI

Excel

Communication

Healthcare knowledge

Education

Bachelor's degree

Master's degree

Tools

R Shiny

Python

Job description

Highmark Inc. is seeking a finance analytics professional to manage the reporting for the strategic cost of care savings program. You will gather data, perform quality checks, analyze data, and deliver an executive-facing report with insights on program impact.

The role requires a strong coding background (SAS/SQL/R) and dashboarding skills, plus collaboration across departments to tell the full analytical story. Hybrid or remote work options in the Richmond area.