Strategic Decision Support Analyst

Highmark Health Company; Pittsburgh (Allegheny County); On-site; USD 85,000 - 110,000; Full time

Job summary

Highmark Inc. in Pittsburgh, PA is seeking an analytics professional to support Medicaid value-based care through advanced analytics, reporting, and data-driven insights.

You will collaborate with business, clinical, provider, and operational stakeholders to evaluate value-based arrangements, analyze provider performance, and translate findings into actionable recommendations. The role requires strong analytical and communication skills, the ability to manage complex projects independently, and

Qualifications

• Required 3 years of relevant, progressive experience in industrial engineering or operations research, or related field.
• Preferred Experience using SQL to query and analyze large healthcare datasets.
• Experience developing dashboards and visualizations using Tableau.
• Experience working with healthcare claims, provider performance, quality, utilization, or value-based care data.
• Experience supporting provider-facing analytics and value-based reimbursement programs.

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, translates 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.
• Creates 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.

Skills

Analytical skills

Communication skills

Presentation to execs

Education

Bachelor's Degree in Computer/Information Science, Mathematics/Statistics, Economics, or related field

Tools

SAS

R

SQL

DB2

Teradata

Oracle

Tableau

Microsoft Office

Cognos

Enterprise Guide

Job description

Highmark Inc. in Pittsburgh, PA is seeking an analytics professional to support Medicaid value-based care through advanced analytics, reporting, and data-driven insights.

You will collaborate with business, clinical, provider, and operational stakeholders to evaluate value-based arrangements, analyze provider performance, and translate findings into actionable recommendations. The role requires strong analytical and communication skills, the ability to manage complex projects independently, and