Company : Highmark Inc. Job Description :
JOB SUMMARY
This job serves as a senior client analytics and decision support consultant, working closely with customers, client managers, healthcare consultants, brokers, and internal product, clinical, data, and analytics teams to prioritize data and information requirements that support customer retention, consultative strategy, and effective business decision-making. The incumbent is accountable for delivering, interpreting, and advising on client-specific financial, utilization, and performance analytics to support the sale, implementation, and ongoing optimization of product designs and strategies that deliver measurable financial and clinical value.
ESSENTIAL RESPONSIBILITIES
- Develop and foster internal relationships across the corporation. Provide analytic and consultative support to a broad spectrum of internal customer areas and external business partners.
- Mentor colleagues with less experience on both the technical and business aspects of project and consultative work.
- Determine how decision support systems will provide information required to make effective business decisions, translate requirements into applications that employ appropriate decision support and reporting tools. Use broad experience and technical knowledge to propose solutions to complex business problems. Take the lead in driving the implementation of the recommended solutions.
- Take the lead in defining issues and ideas to be studied as well as the approach (methodological and technical) to be used in addressing studies and projects. Create and/or develop new methods of analysis, database design, and performance measurement or, in some cases, adaptation of existing solutions to new areas.
- Perform modeling of data sources and flows, work with data management staff to define an operational framework that will define, develop, and implement policies and security frameworks to ensure precise and secure deliver of knowledge and information.
- Provide assistance and, depending on skill and experience, lead with interpretation of raw data, statistical results or otherwise compiled information, identify follow-up action items, and prepare or assist in the preparation of written reports and/or oral presentation of findings to internal and external audiences, customer managers, clinical staff, compliance agencies, group accounts, providers, agent plans, and brokers.
- Develop and maintain moderate-to extremely-complex computer programs using 4GL programming languages (such as SAS, R, SQL) and other database technology (DB2, Teradata, and Oracle).
- Other duties as assigned or requested.
EDUCATION
Required
- Bachelor's Degree in Computer/Information Science, Mathematics/Statistics, Economics, Industrial Engineering or Operations Research, or related field
Preferred
- Master's degree in or related to Mathematics/Statistics, economics, Healthcare Informatics, Healthcare Management or related field.
EXPERIENCE
Required
- 5 years of relevant, progressive experience as a Decision Support Analyst or equivalent training and experience in a business or clinical environment with direct responsibility for applying technology
Preferred
- 7-10 years' experience independently executing advanced analysis and developing consultative deliverables.
SKILLS
- Strong technical skills in the mainframe, PC and Internet-based technologies to be effective and must be comfortable and proficient using large and complex databases
- Strong skills using various third-party office and report generation products such as Microsoft Office, Business Objects, Cognos, and Enterprise Guide.
- Strong communication skills. Must be comfortable presenting findings and offering recommendations to senior management
Language (Other than English)
None
Travel Requirement
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
- Position Type: Office-based
- Teaches / trains others regularly: Never
- Travel regularly from the office to various work sites or from site-to-site: Never
- Works primarily out-of-the office selling products/services (sales employees): Never
- Physical work site required: Yes
- Lifting: up to 10 pounds Constantly
- Lifting: 10 to 25 pounds Occasionally
- Lifting: 25 to 50 pounds Never
Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
In connection with this, all employees must comply with both the Health I