Senior Healthcare Analytics & Decision Support Leader

3M HEALTHCARE; Pennsylvania; Hybrid; USD 108,600 - 180,600; Full time

Job summary

Highmark Health seeks a Senior Informatics Project Manager to design, develop, and support complex data analyses across enterprise initiatives. You will advise on Informatics strategy, mentor analysts, and lead multi-project management efforts leveraging advanced data skills.

You will collaborate with multiple business units, integrate data from external sources, and develop analytic models to inform healthcare decisions, while ensuring alignment with corporate architecture and HIPAA compliance.

Qualifications

• Minimum bachelor's degree or equivalent experience.
• 10–15 years experience supporting a marketing function or data analyst role, or in a business environment applying technology to solve business problems.
• 10–15 years experience querying relational databases using 4GL programming languages such as SAS and SQL.
• 10–15 years experience performing project management activities (problem identification, meeting standards, information collection).

Responsibilities

• Provide insight into Enterprise Informatics analyses and offer consultative guidance to Highmark partners.
• Act as a key business contact across multiple business units for issue resolution.
• Maintain and contribute to the shared Enterprise Informatics Intellectual Capital Repository, including content submissions and best practices.
• Lead liaison advocacy for emerging Highmark business areas, prioritizing new work requests against existing workload.
• Provide overall technical direction of complex projects, implement decision support applications, and consult on design, testing, and enhancement of reporting systems.
• Develop and foster relationships across Highmark, professional organizations, user groups, and industry trade groups to stay current with technology and analysis methods.
• Design and implement analytic models and methodologies for profiling providers, assessing patient outcomes, cost and utilization trends, and other decision support activities.
• Lead special complex studies, simulations, statistical testing, and projects addressing unique questions from senior management, business partners, coalitions, or governmental agencies.
• Develop and maintain highly complex computer programs using 4GL programming languages and advanced database/SQL technology, including system testing and documentation.
• Integrate data from external sources such as HC4, HMS, Medco, Acxiom, NCQA, and BCBSA with internal Highmark data.
• Evaluate and select new clinical and technical products and methodologies to enhance current capabilities.
• Research, manipulate, and prepare data related to Health Management programs, documenting activities and results.
• Execute all facets of the Informatics project management process and lead multiple project managers.
• Define problems, gather requirements, design methods, perform statistical testing, and present findings.
• Ensure that resulting methodologies, processes, and software systems are compatible with corporate technology architecture and manage ISG implementation.
• Identify parallel issues and project needs in medical and business literature.
• Other duties as assigned or requested.

Skills

SAS

SQL

4GL languages

Relational databases

Healthcare terminology

Education

Bachelor's degree or equivalent experience

Job description

Highmark Health seeks a Senior Informatics Project Manager to design, develop, and support complex data analyses across enterprise initiatives. You will advise on Informatics strategy, mentor analysts, and lead multi-project management efforts leveraging advanced data skills.

You will collaborate with multiple business units, integrate data from external sources, and develop analytic models to inform healthcare decisions, while ensuring alignment with corporate architecture and HIPAA compliance.