Strategic Analytics Consultant - UM Transformation

Highmark; United States; Hybrid; USD 86,400 - 138,600; Full time

Job summary

Highmark is looking for a strategic leader to drive complex initiatives aimed at optimizing their healthcare programs. This role requires advanced analytical skills and strategic problem-solving capabilities to deliver actionable recommendations that influence organizational strategy.

The ideal candidate will have significant experience in healthcare analytics and consulting, with a track record of successful project leadership. Responsibilities include managing strategic projects, mentoring staff, and presenting insights to senior management.

Qualifications

• 5 years in strategic consulting or healthcare analytics with leadership experience.
• Demonstrated ability in leading complex analytical projects.
• Experience with advanced technology for operational improvements.

Responsibilities

• Lead strategic projects focused on program optimization.
• Design and execute strategic analyses to enhance program performance.
• Translate findings into actionable recommendations for management.
• Act as a trusted advisor to cross-functional stakeholders.
• Identify strategic gaps and propose improvements.
• Develop quantifiable impact models for strategies.
• Mentor junior analytical staff.
• Prepare and deliver executive-level presentations.

Skills

Strategic problem-solving

Analytical and modeling skills

Healthcare operations knowledge

Project leadership

Stakeholder management

Mentorship experience

Entrepreneurial drive

Education

Bachelor's degree or relevant experience

Master's degree in a quantitative field

Tools

Microsoft Excel

SQL

Python

R

Tableau

Power BI

Job description

Job Summary

This role is a high‑impact position responsible for leading complex strategic initiatives aimed at optimizing the organization’s programs in a specific business area or discipline. The incumbent functions as an internal consultant, taking ownership of critical projects from conception to actionable recommendations, directly influencing strategy and driving measurable improvements in program effectiveness and resource alignment. With a deep understanding of health‑plan economics and exceptional strategic problem‑solving abilities, the individual excels at transforming sophisticated ad‑hoc analyses into compelling strategic solutions that align with the organization’s mission of improving health outcomes and member value.

Company

Highmark Inc.

Essential Responsibilities

• Lead and manage end‑to‑end strategic projects focused on program optimization across various clinical areas, defining project scope, methodologies, deliverables, and timelines.
• Design and execute comprehensive, data‑driven strategic analyses to identify significant opportunities for enhancing efficiency, quality of care, and overall program performance. This includes detailed analysis of trends, outcomes, provider patterns, and regulatory impacts.
• Translate complex analytical findings and strategic insights into actionable recommendations and compelling business cases for senior management, driving strategic decision‑making and investment.
• Act as a trusted advisor and internal thought partner to cross‑functional stakeholders, including leadership, clinical operations, network, finance, and actuarial teams, proactively identifying their strategic needs and proposing analytical solutions.
• Proactively identify strategic gaps, emerging challenges, or underperforming areas within existing programs, initiating investigations and developing proposals for improvements.
• Develop robust, quantifiable impact models for proposed strategies, and subsequently monitor and evaluate the effectiveness of implemented initiatives against defined objectives.
• Mentor and provide guidance to more junior analytical staff on complex problem‑solving approaches, analytical techniques, and strategic frameworks.
• Prepare and deliver executive‑level presentations, distilling complex data into clear strategic narratives and actionable insights for diverse audiences.
• Other duties as assigned.

Required Experience

• 5 years of progressive experience in strategic consulting, healthcare analytics, or a similar high‑impact role, preferably within a large health plan, managed care organization, or consulting firm focused on healthcare.
• 5 years of a demonstrated track record of successfully leading complex analytical projects and translating insights into actionable business strategies that drove measurable outcomes.

Preferred Experience

• 3 years of documented track record of successfully leveraging advanced technology for significant operational improvement, widespread automation, and substantial unit cost reduction.

Skills

• Exceptional strategic problem‑solving & critical thinking ability to independently frame complex, ambiguous strategic challenges, develop innovative solutions, and articulate a clear path forward.
• Expert‑level analytical & modeling skills with advanced proficiency in Microsoft Excel for complex data manipulation, statistical analysis, scenario modeling, and financial impact assessment. Experience with other analytical tools (e.g., SQL, Python, R, Tableau, Power BI) is a plus.
• Deep healthcare & business area/discipline acumen with extensive knowledge of health‑plan operations, P&L dynamics, value‑based care models, and a comprehensive understanding of various levers and their impact.
• Project leadership & management with proven ability to define project scope, manage multiple workstreams, meet deadlines, and ensure successful project execution in a fast‑paced environment.
• Influence & stakeholder management with superior communication, presentation, and negotiation skills, capable of building consensus and influencing senior leadership and diverse stakeholder groups effectively.
• Mentorship & development experience guiding and developing analytical talent.
• Entrepreneurial drive: proactive, self‑motivated, and capable of identifying strategic opportunities without direct instruction.

Education

• Required: Bachelor’s degree or relevant experience and/or education as determined by the company in lieu of a bachelor’s degree.
• Preferred: Master’s degree in a quantitative field such as Economics, Business Administration, Public Health, Health Administration, Finance, Statistics, or a related discipline.

Licenses or Certifications

• None required.
• None preferred.

Language Proficiency (Other Than English)

• None required.

Travel Required

• Less than 25%.

Physical, Mental Demands and Working Conditions

• Position Type: Office‑Based or Remote.
• Physical Work Site Required: Occasionally.

Pay Range

Minimum: $86,400.00
Maximum: $138,600.00

EEO Statement

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, and local law.

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