Skip To Content
Data@2X
J194671

Associate Strategy Analyst

Highmark Health

Company :

Highmark Health

Job Description : 

JOB SUMMARY

Associate Strategy Analyst

This job supports Highmark Health's Value-Based Reimbursement, Strategy & Innovation Team. The incumbent works closely with management and other stakeholders to develop, coordinate, and manage analysis accompanying existing and new reimbursement models, as well as provide analysis in the development and support of VBR projects and information required to make effective business decisions, and recommend innovative approaches to VBR models and programming. Serves as a liaison among numerous internal customers, including but not limited to VBR team members, operations, actuary, and advanced analytics and reporting. The incumbent serves as the key link between the design and analytical work in support of VBR initiatives, each related business segment, and functional area partners’ work, with a focus on the creation of a comprehensive suite of reimbursement models that align with enterprise goals and strategic objectives across multiple areas within the enterprise and at AHN and infrastructure and process development to link medical economic related analytics (trend reporting, medical cost, conditions, etc.) with business partner actions, including progress and impact. Functions as point person for all business segment medical economic analytics.  Manages the organizational matrix – specifically business partners and their respective support functions who have accountability to implement initiatives in the portfolio.

ESSENTIAL RESPONSIBILITIES

o   Develop and foster relationships across the enterprise.  Provide analytical and consultative support to a broad spectrum of internal customers and external business partners.

o   Identify innovative approaches to reimbursement that capitalize on opportunities and market inefficiencies and create value for the organization across cost, utilization and quality.

o   Lead the maintenance/maturation of in-market VBR models and the development of new VBR models partnering with internal stakeholders and aligning to broader organizational strategies and goals. 

o   Work with operations, reimbursement, actuary, and analytic teams to ensure opportunities for VBR model development are based upon empirical evidence and internal; aligning with the strategic roadmap to ensure maximum flexibility and speed to market.

o   Communicate recommendations for VBR strategies to leadership across the enterprise supporting organizational goals and objectives.  

o   Help develop and implement improved infrastructure and processes to provide Health Plan and Enterprise management with regular performance scorecards highlighting initiative implementation successes, accountability, and “capture” of initiative benefits, activity, progress and identification of barriers.

o   Consistently work with enterprise business and functional area partners to develop a pipeline of new VBR initiatives, seeking to achieve our multi-year financial improvement targets.  

o   Serve as a resource for the enterprise on issues related to value-based reimbursement, including impact to organizational strategic efforts and new programs in development at AHN and with other strategic partners.  Lead in a matrixed work environment and help drive a culture change from “reporting the past” to “creating the solutions for future. "Collaborate with senior and executive leadership on model builds and program design. 

o   Other duties as assigned or requested.

EDUCATION

Required

  • Bachelor's Degree in Business, Math, Economics, Health Administration or related field

Substitutions

  • Six years relevant experience in lieu of bachelors degree

Preferred

  • Master's Degree in Business, Math, Economics, Health Administration or related field

EXPERIENCE

Required

  • 3 years in cross-functional project team, strategy development role, and/or healthcare industry role

Preferred

  • 3 years in Business Analyst, Business Intelligence, Finance/Analytics

LICENSES AND CERTIFICATIONS

Required

  • None

Preferred

  • o   1 - 3 years as a Business Analyst

    o   1 - 3 years in Business Intelligence

    o   1 - 3 years in Finance

SKILLS

  • Strong verbal/written communication skills (including executive quality presentations)
  • Analysis of business problems/needs
  • Analytical skills
  • Collaborative problem solving
  • Creative thinking
  • Mathematics proficiency
  • Strategic thinking and development

Referral Bonus:

Level 1- $500- Career level- Administrative Staff

Level- 2- $1000-2 intermediate individual contributors, Team Managers, Supervisors.

Language (Other than English)

None 

Travel Required

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

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

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. 

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 their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

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 their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. 

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity ( https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf )

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.

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

California Consumer Privacy Act Employees, Contractors, and Applicants Notice


Thumbnail Join Talent Community@2X

Connect with a career that’s right for you.

Introduce yourself and we'll get in touch monthly to share career insights and company news.

Join Our Talent Community