Strategic Medical Cost Analytics Lead

Highmark Health; Elm (PA); On-site; USD 114,000 - 140,000; Full time

Job summary

Highmark Health is seeking a data-driven professional to analyze medical cost trends and derive insights for strategic decision-making. You will collaborate with matrix partners to quantify program value, track outcomes, and identify opportunities using SAS, SQL, R, and dashboard tools.

Your role includes presenting concise analytics to key business partners, building scalable data stories, and supporting healthcare payer initiatives.

Qualifications

• Bachelor's Degree in Business, Health, Economics, Mathematics/Actuarial Sciences or related area.
• Master's Degree in Business, Health, Economics, Mathematics/Actuarial Sciences or related area.
• 5 years of Medical Economics, Healthcare Analytics, Informatics and/or Actuarial Services in the health care payer sector.
• Strong coding background (R, R Shiny, Python, SQL) and dashboards in Tableau/Power BI/R Shiny.
• Strong Technical Data Skills (SAS/SQL, R, Tableau, Excel) and healthcare industry knowledge.
• Willingness to travel and office-based work environment.

Responsibilities

• Use medical cost analytics to provide strategic insights on cost trends.
• Develop the value of programs and track outcomes with matrix partners.
• Provide tactical opportunities and present analytics to business partners.
• Create dashboards and data stories to communicate findings to executives.

Skills

Cost analytics

SAS

SQL

R

Data visualization

Education

Bachelor's degree in Business/Health/Economics/Math

Master's degree in related field

Tools

Tableau

Power BI

R Shiny

Job description

Highmark Health is seeking a data-driven professional to analyze medical cost trends and derive insights for strategic decision-making. You will collaborate with matrix partners to quantify program value, track outcomes, and identify opportunities using SAS, SQL, R, and dashboard tools.

Your role includes presenting concise analytics to key business partners, building scalable data stories, and supporting healthcare payer initiatives.