Strategic Medical Cost Analytics Lead

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

Job summary

Highmark Health seeks a seasoned Healthcare Cost Analyst to turn large data sets into actionable cost analytics and executive-ready insights. You will drive the story of medical cost trends for strategic decisions in a matrixed environment.

The role requires 5+ years in Medical Economics or Healthcare Analytics, strong SAS/SQL/R skills, and proven ability to present complex results clearly to business partners. A Bachelor’s degree is required; Master’s degree preferred.

Qualifications

• 5 years in Medical Economics, Healthcare Analytics, Informatics or Actuarial Services in healthcare payer sector.
• Strong coding background (R, R Shiny, Python, SQL) and dashboards in Tableau/Power BI/R Shiny.
• Bachelor's Degree in Business, Health, Economics, Mathematics/Actuarial Sciences or related field.
• Master's Degree preferred.

Responsibilities

• Provide strategic/tactical insights into emerging medical cost trends. Develop executive ready presentations explaining analytical findings clearly.
• 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.
• Leverage analytical experience to drive independent medical cost analytics; develop opportunities using fact-based analysis and present to key partners.
• Strong communication skills to present clear, concise analytics to leadership.
• Work in a matrixed environment; partner with other departments to develop the analytical story.
• Other duties as assigned or requested.

Skills

Analytical skills

Data skills

Stakeholder communication

Healthcare analytics

Education

Bachelor's degree

Master's degree

Tools

SAS

SQL

R

Tableau

Power BI

Python

R Shiny

Job description

Highmark Health seeks a seasoned Healthcare Cost Analyst to turn large data sets into actionable cost analytics and executive-ready insights. You will drive the story of medical cost trends for strategic decisions in a matrixed environment.

The role requires 5+ years in Medical Economics or Healthcare Analytics, strong SAS/SQL/R skills, and proven ability to present complex results clearly to business partners. A Bachelor’s degree is required; Master’s degree preferred.