Strategic Analytics Consultant - UM Transformation

<p> <strong>Headquarters:</strong> PA, Working at Home - Pennsylvania <br /><strong>URL:</strong> <a href="http://highmarkhealth.org">http://highmarkhealth.org</a> </p> <div><h2><b>Company :</b></h2>Highmark Inc.<h2><b>Job Description : </b></h2><p><b><span>JOB SUMMARY</span></b></p><p></p><p>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. 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.</p><p><br><b><span>ESSENTIAL RESPONSIBILITIES</span></b></p><ul><li><p>Lead and manage end-to-end strategic projects focused on program optimization across various clinical areas, defining project scope, methodologies, deliverables, and timelines.</p></li><li><p>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.</p></li><li><p>Translate complex analytical findings and strategic insights into actionable recommendations and compelling business cases for senior management, driving strategic decision-making and investment.</p></li><li><p>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 nee