Strategic Risk-Adjustment Consultant

Highmark Health; Pierre (SD); Hybrid; USD 109,000 - 181,000; Full time

Job summary

Highmark Health seeks a strategic leader to drive Risk Adjustment Accuracy Management (RAAM) initiatives, providing analytical and leadership support to project teams. You will isolate business issues, design analytics, and craft recommendations for senior leadership.

The role allows hybrid or remote work; onsite presence is required if within 50 miles of an office, three days a week (Tue, Wed, Thu). Prior healthcare strategy experience is strongly preferred.

Qualifications

• Master’s degree required in Business, Healthcare, Economics or related field.
• 2 years post-grad experience with strategy/management consulting or internal strategy groups of healthcare companies.
• 6 years of related experience in Business or Healthcare.

Responsibilities

• Identify key business issues with owners and apply analytical frameworks to develop solutions and recommendations.
• Lead delivery of evolving risk adjustment initiatives aligned with RAAM's strategic plan.
• Manage major strategy projects with internal/external resources.

Skills

Broad thinking

MS Office

Healthcare trends

Critical thinking

Communication skills

Education

Master's degree in Business/Healthcare/Economics

Bachelor's degree + 3 years strategic experience

Tools

PowerPoint

Excel

MS Office

Job description

Highmark Health seeks a strategic leader to drive Risk Adjustment Accuracy Management (RAAM) initiatives, providing analytical and leadership support to project teams. You will isolate business issues, design analytics, and craft recommendations for senior leadership.

The role allows hybrid or remote work; onsite presence is required if within 50 miles of an office, three days a week (Tue, Wed, Thu). Prior healthcare strategy experience is strongly preferred.