Medical Cost Analytics & Strategy Lead

Highmark Health; East Windsor Hill (CT); Sur place; USD 79 000 - 127 000; Plein temps

Résumé du poste

Highmark Health in the United States seeks a cost analytics professional to transform large datasets into strategic insights on medical cost trends. The role emphasizes clear storytelling and executive-ready communication to influence business decisions.

You will extract and analyze data with SAS, SQL, and similar tools, develop program value, track outcomes, and present findings to matrix partners. A strong background in healthcare analytics and actuarial concepts is preferred.

Qualifications

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

Responsabilités

• 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.

Connaissances

Proven analytical ability

Strong Technical Data Skills

Demonstrated ability to communicate

Healthcare Industry knowledge

Formation

Bachelor's Degree in Business, Health, Economics, Mathematics/Actuarial Sciences or related area

Master's Degree in Business, Health, Economics, Mathematics/Actuarial Sciences or related area

Outils

SAS

SQL

R

Tableau

Power BI

Excel

Description du poste

Highmark Health in the United States seeks a cost analytics professional to transform large datasets into strategic insights on medical cost trends. The role emphasizes clear storytelling and executive-ready communication to influence business decisions.

You will extract and analyze data with SAS, SQL, and similar tools, develop program value, track outcomes, and present findings to matrix partners. A strong background in healthcare analytics and actuarial concepts is preferred.