Remote Healthcare Strategy & Analytics Lead (RAAM)

Highmark Health; Austin (TX); Hybrid; USD 109,000 - 181,000; Full time

Job summary

Highmark Inc. seeks a leadership-focused professional to guide the RAAM department, delivering analytic and strategic thinking that isolates issues, designs analytics, forecasts market scenarios, and develops competitive content for senior leadership.

The role can be hybrid or remote; if you live within 50 miles of an office you must be onsite 3 days a week (T, W, TH).

You will lead major strategy projects, supervise on a project basis, and mentor junior staff.

Qualifications

• Master's Degree in Business, Healthcare, Economics or related degree
• 2 years of post-grad experience with strategy / management consulting firms (such as McKinsey, Boston Consulting Group, Booz & Company, Accenture (strategy Practice) or Deloitte (Strategy practice) ) or internal strategy groups of healthcare companies (such as Aetna, United Health Group, WellPoint, GE)
• 6 years of related experience in Business or Healthcare
• Bachelor's degree and 3 years of relevant progressive strategic experience in lieu of Master's degree
• Extensive knowledge of Health Insurance and/or Provider operations
• Experience in operational improvement
• Extensive knowledge of government risk adjustment models, including CMS-HCC, HHS-HCC, and/or CDPS models
• Extensive experience in implementing and managing provider-facing and/or patient-facing programs for the purposes of ensuring complete and accurate risk documentation
• Through knowledge of membership, rates, financial, economic and competitive data
• Strong PC application Skills (MS Office including PowerPoint and Excel)
• Knowledge of healthcare industry trends and challenges
• Strong critical thinking skills
• Good communication and presentation skills

Responsibilities

• Lead the successful delivery of evolving risk adjustment initiatives and projects, driving outcomes directly aligned with RAAM's strategic plan
• Manage major strategy projects with the help of internal or external strategy consulting resources
• Serve as subject matter expert to Strategic Operations staff and stakeholders on risk adjustment programs for Medicare Advantage, Medicaid, and ACA lines of business
• Provide periodic informal work guidance/direction to junior team members; Provide performance input and recommendations to management for development/ training plans. May have supervisory responsibilities on a project basis
• Develop analytical frameworks, approach and methodology best practices to analyze strategy issues
• Other duties as assigned or requested

Skills

Strategic thinking

MS Office

Healthcare trends

Critical thinking

Communication

Education

Master's Degree in Business, Healthcare, Economics or related degree

2 years of post-grad experience with strategy/management consulting firms or internal strategy groups

6 years of related experience in Business or Healthcare

Bachelor's degree and 3 years of relevant strategic experience in lieu of Master's degree

Job description

Highmark Inc. seeks a leadership-focused professional to guide the RAAM department, delivering analytic and strategic thinking that isolates issues, designs analytics, forecasts market scenarios, and develops competitive content for senior leadership.

The role can be hybrid or remote; if you live within 50 miles of an office you must be onsite 3 days a week (T, W, TH).

You will lead major strategy projects, supervise on a project basis, and mentor junior staff.