Strategy Consultant - Risk Adjustment (Remote/Hybrid)

Highmark Health; Bismarck (ND); Hybrid; USD 109,000 - 181,000; Full time

Job summary

Highmark Health is seeking a leader to support the Risk Adjustment Accuracy Management (RAAM) department with analytics, strategy development, and senior-level recommendations. You will help isolate business issues, design analytics, and create strategic content for leadership decisions.

Role can be hybrid or remote; onsite three days a week if within 50 miles of an office. You will guide major strategy projects and mentor junior staff while aligning with RAAM's strategic plan.

Qualifications

• Masters degree in Business, Healthcare, Economics or related degree.
• 2 years of post-grad experience with strategy/management consulting firms or internal strategy groups of healthcare companies.
• 6 years of related experience in Business or Healthcare.

Responsibilities

• Work with business/ market owners to identify key business issues, apply right analytical framework, develop solution and recommendations, represent findings to stakeholders and own the outcome.
• Lead the successful delivery of evolving risk adjustment initiatives and projects, driving outcomes directly aligned with RAAM's strategic plan
• Manage major strategy projects with the help of internal or external strategy consulting resources.
• Serve as subject matter expert to Strategic Operations staff and stakeholders on risk adjustment programs for Medicare Advantage, Medicaid, and ACA lines of business.
• Provide periodic informal work guidance/direction to junior team members; Provide performance input and recommendations to management for development/ training plans. May have supervisory responsibilities on a project basis.
• Develop analytical frameworks, approach and methodology best practices to analyze strategy issues.
• Other duties as assigned or requested.

Skills

Strategic thinking

MS Office (PowerPoint & Excel)

Healthcare industry trends

Critical thinking

Communication & presentation

Education

Masters degree in Business/Healthcare/Economics or related field

2 years post-grad strategy/management consulting experience

6 years related experience in Business or Healthcare

Job description

Highmark Health is seeking a leader to support the Risk Adjustment Accuracy Management (RAAM) department with analytics, strategy development, and senior-level recommendations. You will help isolate business issues, design analytics, and create strategic content for leadership decisions.

Role can be hybrid or remote; onsite three days a week if within 50 miles of an office. You will guide major strategy projects and mentor junior staff while aligning with RAAM's strategic plan.