Remote Strategic Medical Cost Analytics Lead

Highmark Health; Montpelier (VT); Hybrid; USD 79,000 - 127,000; Full time

Job summary

Highmark Inc. is seeking a seasoned financial analyst to own the financial reporting for its strategic cost of care savings program. You will gather data from multiple partners, perform quality checks, and deliver an executive-ready report with insights on program impact to the health plan.

The role requires building dashboards, tracking program outcomes, and providing strategic focus recommendations within a matrixed organization. Strong communication and analytical skills are essential.

Qualifications

• Bachelor's Degree in Business, Health, Economics, Mathematics/Actuarial Sciences or related area
• Master's Degree in related area preferred
• 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) and dashboards in Tableau/Power BI/R Shiny

Responsibilities

• Provide strategic/tactical insights into emerging medical cost trends with executive-ready presentations.
• Extract, summarize and analyze large datasets via SAS, SQL or similar tools.
• Provide business areas with opportunity assessments of strategic medical cost programs; coordinate projections and post-implementation savings measurements.
• Drive medical cost analytics and present insights into claim cost drivers to key partners.
• Communicate analytics results clearly to senior leadership; present concise presentations.
• Collaborate in a matrixed environment with other departments to tell 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 (Business, Health, Economics, Math/Actuarial Sciences)

Master's degree (preferred)

Tools

SAS

SQL

R

Tableau

Power BI

Excel

Job description

Highmark Inc. is seeking a seasoned financial analyst to own the financial reporting for its strategic cost of care savings program. You will gather data from multiple partners, perform quality checks, and deliver an executive-ready report with insights on program impact to the health plan.

The role requires building dashboards, tracking program outcomes, and providing strategic focus recommendations within a matrixed organization. Strong communication and analytical skills are essential.