Job Description

Description

: 

JOB SUMMARY

This job supports executive leadership of the Organization with a range of strategy activities essential to the Organization's membership and margin goals. Provide analytical/strategic-thinking and leadership support that enables the medical policy and utilization management teams to: 1) isolate business issues; 2) design and execute analytics for studying business issues (market research, scenario planning, forecasting, market share, profitability, etc.); 3) develop technical content (competitive intelligence, market trend analysis); 4) support development of formal recommendations to senior levels of Highmark leadership; 5) create documents (ex. operational strategies) that inform critical strategic issues and decisions.

ESSENTIAL RESPONSIBILITIES

  • Work with business/ market owners to identify key business issues, apply right analytical framework, develop solution and recommendations, represent findings to stakeholders and own the outcome.
  • Manage major strategy projects with the help of internal or external strategy consulting resources.
  • Serve as subject matter expert to Strategic Operations staff and stakeholders on membership, growth and operational strategy issues.
  • Provide periodic informal work guidance/direction to junior team members; Provide performance input and recommendations to management for development/ training plans. May have supervisory responsibilities on a project basis.
  • Develop analytical frameworks, approach and methodology best practices to analyze strategy issues.
  • Other duties as assigned or requested.

    • EDUCATION

    Required

  • Masters Degree in Business, Healthcare, Economics or related degree
  • 2 years of post-grad experience with strategy / management consulting firms (such as McKinsey, Boston Consulting Group, Booz & Company, Accenture (strategy Practice) or Deloitte (Strategy practice) ) or internal strategy groups of healthcare companies (such as Aetna, United Health Group, WellPoint, GE, )
  • 6 years of related experience in Business or Healthcare

    • Substitution

  • Bachelor's degree and 3 years of relevant progressive strategic experience in lieu of Master's degree

    • Preferred

  • Extensive knowledge of Health Insurance and/or Provider operations
  • Experience in operational improvement
  • Through knowledge of membership, rates, financial, economic and competitive data
  • Knowledge of medical policy

    • 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
  • Strong critical thinking skills
  • Good communication and presentation skills

    • 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

    Never

    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

    Never

    Lifting: 25 to 50 pounds

    Never

    Pay Range Minimum:

    $92,300.00

    Pay Range Maximum:

    $172,500.00

    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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