Strategy Analyst - (Reimbursement)

Highmark Health

$86K — $138K *
US-Anywhere
+ 50 other locationsRemote
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's Degree in Business, Economics, Engineering, Life Sciences, or related field
  • 3-5 years of experience in strategy/management consulting or internal strategy roles in healthcare
  • Proficiency in MS Office, including advanced Excel and PowerPoint
  • Broad understanding of strategic thinking principles and concepts
  • Strong analytical and problem-solving skills

Responsibilities

  • Identify business issues and develop actionable recommendations
  • Work on strategy projects under guidance from senior consultants
  • Act as a subject matter expert on operational strategy
  • Provide informal guidance to team members and manage training plans
  • Create analytical frameworks for assessing complex strategy issues

Benefits

  • Comprehensive healthcare coverage
  • Retirement savings plan with company match
  • Professional development and training opportunities
  • Work-life balance initiatives
  • Flexible working arrangements
Full 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


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:
$86,400.00

Pay Range Maximum:
$138,600.00

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.

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