Remote Strategy Consultant — Risk Adjustment Accuracy

Highmark Health; Nashville (TN); Hybrid; USD 109,000 - 181,000; Full time

Job summary

Highmark Inc. is seeking a strategic leader to support the Risk Adjustment Accuracy Management (RAAM) department, guiding analytics and recommendations for market studies, forecasting, and competitive analysis.

The role emphasizes translating complex data into actionable insights and formal recommendations for executive leadership. Hybrid or remote work is possible; onsite 3 days/week within 50 miles of an office (Tue/Wed/Thu).

Qualifications

• Masters Degree in Business, Healthcare, Economics or related degree.
• 2 years of post-grad experience with strategy / management consulting firms or internal strategy groups of healthcare companies.
• 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.

Responsibilities

• Identify key business issues with owners, apply analytical framework, develop solutions and recommendations, and own the outcome.
• Lead delivery of evolving risk adjustment initiatives aligned with RAAM's strategic plan.
• Manage major strategy projects with internal/external resources.
• Serve as SME to Strategic Operations on risk adjustment programs for Medicare, Medicaid, and ACA lines of business.
• Provide informal guidance to junior team members; support management with development/training plans; may have project-based supervision.
• Develop analytical frameworks and best practices to analyze strategy issues.

Skills

Strategic thinking

MS Office

Healthcare trends

Critical thinking

Communication skills

Education

Master's degree

Strategy/management consulting exp

Experience in healthcare

Bachelor's + 3 yrs exp substitution

Job description

Highmark Inc. is seeking a strategic leader to support the Risk Adjustment Accuracy Management (RAAM) department, guiding analytics and recommendations for market studies, forecasting, and competitive analysis.

The role emphasizes translating complex data into actionable insights and formal recommendations for executive leadership. Hybrid or remote work is possible; onsite 3 days/week within 50 miles of an office (Tue/Wed/Thu).