Strategy Analyst - (Reimbursement)

Company :

Job Description : 

JOB SUMMARY

Support leadership of Highmark, or its affiliates with a range of reimbursement strategy activities essential to Highmark's provider partnerships and margin goals. Strategy Analysts provide analytical/strategic-thinking and leadership support that enables project teams to:

• Isolate policy, mandate, and compliance issues
• Help design and execute analytics for cost containment (market research, scenario planning, forecasting, market share, profitability, etc.)
• Develop communication content (competitive intelligence, market trend analysis)
• Support development of formal recommendations to senior levels of Highmark leadership
• Create strategic impact packages and presentations (go-to-market or operational strategies, etc.) that inform critical strategic

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ESSENTIAL RESPONSIBILITIES

• Work with business/ market owners to identify key business issues, articulate problem, apply right analytical framework, develop solution and recommendations, represent findings to stakeholders and own the outcome
• Under the guidance of Strategy Consultants and Leadership, participate in / lead small to medium sized strategy projects/ work streams with the help of internal or external strategy consulting resources
• Serve as subject matter expert (resource) to staff and stakeholders on membership, growth and operational strategy issues
• Provide periodic informal work guidance/direction to other team members; Provide performance input and recommendations to management for development/ training plans. May have supervisory responsibilities on a project basis
• Apply a broad knowledge of concepts and principles to develop analytical frameworks, approach and methodology best practices to analyze complex strategy issues, often applying ingenuity and originality to develop unique solutions
• Other duties as assigned or requested.

EDUCATION

Required

• Bachelor's Degree in Business, Economics, Engineering or Life Sciences or other related degree

Substitutions

• Six years of relevant experience in lieu of Bachelor's Degree

Preferred

• Master’s Degree in Business, Health, Economics or other related degree

EXPERIENCE

Required

• 3-5 years of relevant, progressive experience in strategy / management consulting firms or internal strategy groups of healthcare and related companies

Preferred

• Experience in Health Insurance operations and technology
• Experience in operational improvement

LICENSES or CERTIFICATIONS

Required

• None

Preferred

• None

SKILLS

• Broad application of principles, theories, and concepts in strategic thinking, plus working knowledge of other related fields
• Strong PC application Skills (MS Office including PowerPoint and Excel)
• Knowledge of healthcare industry trends and challenges

Language (Other than English):

None

Travel Requirement:

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-based

Teaches / trains others regularly

Occasionally

Travel regularly from the office to various work sites or from site-to-site

Rarely

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

Rarely

Lifting: 25 to 50 pounds

Never

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

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.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.  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. 

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range Minimum:

Pay Range Maximum:

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.  The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

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For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

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