Strategic Medical Cost Analytics Lead

Highmark Health; Louisiana; On-site; USD 79,000 - 127,000; Full time

Job summary

Highmark Inc. seeks a medical cost analytics professional to provide fact-based strategic insights into emerging cost trends.

You will work with large datasets using SAS, SQL, or similar tools to tell the story of medical costs and track program outcomes for value-based initiatives. The role requires 5 years of healthcare analytics experience, a Bachelor's in a related field, and strong communication skills to present findings to senior partners in a matrix environment.

Qualifications

• Bachelor's Degree in Business, Health, Economics, Mathematics/Actuarial Sciences or other 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, etc.). Experience building dashboards in Tableau, Power BI, or R Shiny.

Responsibilities

• Provide strategic/tactical insights into emerging medical cost trends. Develop executive ready presentations explaining analytical findings in a clear concise manner.
• Proficiency to extract, summarize and analyze large datasets via SAS, SQL or other similar tools.
• Provide business areas with opportunity assessments of their strategic medical cost programs. Coordinate savings opportunity projections and post implementation savings measurements. Develop improved business case and savings estimate capabilities to enable more accurate and deeper projections.
• Leverage analytical experience and knowledge to drive independent medical cost analytics; develop areas of opportunity using a fact-based analysis, present medical cost analytics and insight into claim cost drivers to key business partners.
• Strong communication skills (verbal and executive quality presentations) to present clear, concise presentations of the detailed analytics.
• Work in a matrixed work environment. Partner with other departments in developing the full analytical story.
• Other duties as assigned or requested.

Skills

Analytical ability

SAS / SQL

R / Tableau / Excel

Healthcare domain knowledge

Education

Bachelor's degree

Master's degree (preferred)

Tools

R Shiny

Job description

Highmark Inc. seeks a medical cost analytics professional to provide fact-based strategic insights into emerging cost trends.

You will work with large datasets using SAS, SQL, or similar tools to tell the story of medical costs and track program outcomes for value-based initiatives. The role requires 5 years of healthcare analytics experience, a Bachelor's in a related field, and strong communication skills to present findings to senior partners in a matrix environment.