[Hiring] Senior Clinical and Population Health Analyst @Highmark Health

Role Description

This job creates data-driven insights which identify actionable opportunities and/or create analytics and reporting solutions aligned to the Quadruple Aim of Healthcare:

• Lower per capita health care costs
• Improved outcomes from and quality of care received
• Optimal member/patient and provider experiences with care delivery

The incumbent serves as a consultative subject matter and technical expert for internal and external customers, leveraging advanced analytical expertise and experience to aggregate, analyze and understand patterns in varied and complex data; and articulates analytic findings, business implications, and recommendations to realize identified opportunities.

Qualifications

• Bachelor's Degree in Public Health, Nursing, Economics, Health Sciences, Informatics, Biostatistics, Statistics, Epidemiology or Pharmacy or closely related field
• Master's Degree in Medicine, Public Health, Nursing, Economics, Health Sciences, Informatics, Biostatistics, Statistics, Epidemiology, Pharmacy or related field (preferred)

Requirements

• 5 years of leading the design, execution and dissemination of clinical and population health reporting, analyses and studies of progressive scope and complexity
• 5 years with coding languages, analytical software, systems, tools and processes using claims, clinical, enrollment and provider data
• 3 years of project leadership in a complex, matrixed environment (payer and/or provider preferred)
• 3 years of providing analytical consultation to clinical, administrative, operational and financial stakeholders

Skills

• Demonstrated record of data-driven discovery, intense intellectual curiosity, and a passion for working with data to answer important questions about clinical care and population health that drive the Quadruple Aim
• Strong working knowledge of coding languages, relational databases, quantitative and qualitative analytic methodologies, advanced analytics and statistics
• Excellent communication and facilitation skills with project team members, stakeholders, executives, and external customers
• Exceptional written and oral presentation skills
• Proven ability to communicate interpersonally and technically with technical and non-technical, and internal and external audiences
• Ability to lead through influence
• Healthcare industry expertise and experience, knowledge about the shifting healthcare environment including trends concerning health insurance, healthcare delivery, provider relationships and regulatory issues
• Sophisticated knowledge of how organizations work and how to get things done through formal and informal channels
• Exhibition of perseverance through energy, drive and demonstrated success when resistance or setbacks are encountered
• In-depth understanding of and experience with both clinical and business processes, and the ability to identify opportunities for improvement and develop solutions
• Demonstrated ability to informally lead matrixed teams of technical, clinical, administrative, financial and operational staff to achieve shared organizational objectives and strategic goals

Travel Requirement

• 0% - 25%

Physical, Mental Demands and Working Conditions

• Position Type: Office-based
• Teaches / trains others regularly: Frequently
• Travel regularly from the office to various work sites or from site-to-site: Occasionally
• Works primarily out-of-the office selling products/services (sales employees): Never
• Physical work site required: Yes
• Lifting: up to 10 pounds: Constantly
• Lifting: 10 to 25 pounds: Occasionally
• Lifting: 25 to 50 pounds: Rarely

Compliance Requirement

This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. Employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.

Pay Range

• Pay Range Minimum: $67,500.00
• Pay Range Maximum: $126,000.00