Company :Highmark Inc.
Job Description :
This job is responsible for the oversight and operations of the healthcare management analytics function. The incumbent retains responsibility for development, implementation and management of complex analytical, research, and decision support activities which includes complex analysis, including statistical analysis, quantitative analysis, predictive modeling, data mining, segmentation modeling, campaign evaluation, simulation model implementation and testing, and content knowledge. Provides consultation and analytical expertise in the development and support of various projects and data analysis.
- Perform management responsibilities including, but not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity.
- Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as necessary; may have budgetary responsibility and authority.
- Assure that all projects or initiatives are delivered on time and in accordance with the agreed upon scope. This includes both internally driven work as well as all work in support of strategic and tactical initiatives, corporate releases, or business as usual maintenance.
- Establish the vision and strategy for the function and determines how this function can best support the overall organizational strategic initiatives. Develop the scope, planning, execution and delivery of all functional related efforts, whether strategic phases or routine periodic work.
- Serve as the primary leadership contact within the department for healthcare management analytic capabilities with both internal (within the Organization enterprise) and external constituents (including consulting firms, facilities or providers). Will be a focal point for the public face for the department’s participation in a variety of high-level healthcare management analytics efforts.
- Ensure that the company remains current with emerging industry best practices and techniques with respect to healthcare management analytical capabilities, which may include statistical modeling, predictive modeling, chart comparisons, matching strategies, and data visualizations using business intelligence tools.
- Other duties as assigned or requested.
- Bachelor's degree in Statistics, Math, Computer Information Systems or related field
- Master's degree in Statistics, Math, Computer Information Systems or related field
- 5-7 years of lead role experience in healthcare informatics, analytics, business intelligence or statistics with responsibility for: a) application of analytic capabilities in the solution of business problems OR b) consulting arrangements and/or management OR c) program and project management OR d) management of professional analytic staff in a business, clinical or technology function
- 5-7 years of experience solving business, financial and/or clinical problems. This includes using technologies and analytical methodologies, preparation of related recommendations and presentations of findings to various levels of management and external parties
- 3-5 years of management experience or similar experience in a supervisory capacity or role
LICENSES AND CERTIFICATIONS
- Agile Application Development
- Business Intelligence Tools (Alteryx, Tableau, Power BI)
- Analytical Skills
- Data Analysis
- Excellent Multi-Tasker
- Microsoft Office
- Python, SQL, SA
- Critical Thinking, Creative Problem Solving
Language (Other than English):
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Teaches / trains others regularly
Travel regularly from the office to various work sites or from site-to-site
Works primarily out-of-the office selling products/services (sales employees)
Physical work site required
Lifting: up to 10 pounds
Lifting: 10 to 25 pounds
Lifting: 25 to 50 pounds
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
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