[Remote] Strategic Analytics Consultant
Note: The job is a remote job and is open to candidates in USA. Highmark Inc. is seeking a Strategic Analytics Consultant to lead complex strategic initiatives aimed at optimizing the organization's programs in healthcare. This role involves managing strategic projects, conducting data-driven analyses, and providing actionable recommendations to enhance program effectiveness and resource alignment.ResponsibilitiesLead and manage end-to-end strategic projects focused on program optimization across various clinical areas, defining project scope, methodologies, deliverables, and timelinesDesign 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 impactsTranslate complex analytical findings and strategic insights into actionable recommendations and compelling business cases for senior management, driving strategic decision-making and investmentAct 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 solutionsProactively identify strategic gaps, emerging challenges, or underperforming areas within existing programs, initiating investigations and developing proposals for improvementsDevelop robust, quantifiable impact models for proposed strategies, and subsequently monitor and evaluate the effectiveness of implemented initiatives against defined objectivesMentor and provide guidance to more junior analytical staff on complex problem-solving approaches, analytical techniques, and strategic frameworksPrepare and deliver executive-level presentations, distilling complex data into clear strategic narratives and actionable insights for diverse audiencesOther duties as assignedSkills5 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 healthcare5 years of a demonstrated track record of successfully leading complex analytical projects and translating insights into actionable business strategies that drove measurable outcomesBachelor's degree or relevant experience and/or education as determined by the company in lieu of bachelor's degreeBackground in clinical quality improvement or managed care, particularly with experience analyzing payer performance metrics such as denial rates and turnaround timesProven ability to leverage healthcare data and audit insights to drive operational excellence and continuous quality improvement initiativesMaster's degreeDegrees in a quantitative field such as Economics, Business Administration, Public Health, Health Administration, Finance, Statistics, or a related discipline are strongly preferredCompany OverviewHighmark provides health insurance plans for individuals and businesses. It was founded in 1996, and is headquartered in Pittsburgh, Pennsylvania, USA, with a workforce of 10001+ employees. Its website is https://www.highmark.com.Company H1B SponsorshipHighmark has a track record of offering H1B sponsorships, with 11 in 2025, 7 in 2024, 19 in 2023, 21 in 2022, 18 in 2021, 23 in 2020. Please note that this does not guarantee sponsorship for this specific role.