Strategic Analytics Consultant - UM Transformation

Job Overview

org Company : Highmark Inc. JOB SUMMARY This role is a high-impact role responsible for leading complex strategic initiatives aimed at optimizing the organization's programs in a specific business area or discipline.

This individual functions as an internal "consultant," taking ownership of critical projects from conception to actionable recommendations, directly influencing strategy and driving measurable improvements in program effectiveness and resource alignment.

Job Description

With a deep understanding of health plan economics and exceptional strategic problem-solving abilities, the incumbent excels at transforming sophisticated ad-hoc analyses into compelling strategic solutions that align with the organization's mission of improving health outcomes and member value.

Design and execute comprehensive, data-driven strategic analyses to identify significant opportunities for enhancing efficiency, quality of care, and overall program performance.

This includes detailed analysis of trends, outcomes, provider patterns, and regulatory impacts.

Proactively identify strategic gaps, emerging challenges, or underperforming areas within existing programs, initiating investigations and developing proposals for improvements.

Develop robust, quantifiable impact models for proposed strategies, and subsequently monitor and evaluate the effectiveness of implemented initiatives against defined objectives.

Key Responsibilities

• JOB SUMMARY This role is a high-impact role responsible for leading complex strategic initiatives aimed at optimizing the organization's programs in a specific business area or discipline.
• ESSENTIAL RESPONSIBILITIES Lead and manage end-to-end strategic projects focused on program optimization across various clinical areas, defining project scope, methodologies, deliverables, and timelines.
• Translate complex analytical findings and strategic insights into actionable recommendations and compelling business cases for senior management, driving strategic decision-making and investment.
• Act as a trusted advisor and internal thought partner to cross-functional stakeholders, including leadership, clinical operations, network, finance, and actuarial teams, proactively identifying their strategic needs and proposing analytical solutions.
• Prepare and deliver executive-level presentations, distilling complex data into clear strategic narratives and actionable insights for diverse audiences.
• Other duties as assigned EXPERIENCE 5 years of progressive experience in strategic consulting, healthcare analytics, or a similar high-impact role, preferably within a large health plan, managed care organization, or consulting firm focused on healthcare.
• 5 years of a demonstrated track record of successfully leading complex analytical projects and translating insights into actionable business strategies that drove measurable outcomes.
• Project Leadership & Management: Proven ability to define project scope, manage multiple workstreams, meet deadlines, and ensure successful project execution in a fast-paced environment.

Required Skills and Qualifications

• Other duties as assigned EXPERIENCE 5 years of progressive experience in strategic consulting, healthcare analytics, or a similar high-impact role, preferably within a large health plan, managed care organization, or consulting firm focused on healthcare.
• SKILLS Exceptional Strategic Problem-Solving & Critical Thinking: Ability to independently frame complex, ambiguous strategic challenges, develop innovative solutions, and articulate a clear path forward.
• Expert-Level Analytical & Modeling Skills: Advanced proficiency in Microsoft Excel for complex data manipulation, statistical analysis, scenario modeling, and financial impact assessment.
• Experience with other analytical tools (e.g., SQL, Python, R, Tableau, Power BI) is a plus.
• Deep Healthcare & Business Area/Discipline Acumen: Extensive knowledge of health plan operations, P&L dynamics, value-based care models, and a comprehensive understanding of various levers and their impact.
• Influence & Stakeholder Management: Superior communication, presentation, and negotiation skills, with the ability to build consensus and influence senior leadership and diverse stakeholder groups effectively.
• Mentorship & Development: Experience guiding and developing analytical talent.
• EDUCATION Bachelor’s degree or relevant experience and/or education as determined by the company in lieu of bachelor's degree.

Benefits and Perks

• In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.
• Pay Range Minimum: $86,400.00 Pay Range Maximum: $138,600.00 Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations.

Work Location and Schedule

This role is listed as Remote USA with location information shown as Remote USA. The employment type is Full Time.

About the Company

Highmark Health is the organization connected with this listing. USA Jobs Today displays this opportunity for job discovery only, so applicants should verify company details, application instructions, and eligibility on the official employer website.