Job ID: J130639
Company: Highmark Inc
Location: Pittsburgh, PA, United States
Full/Part Time: Full time
Job Type: Regular
Posted at: Oct 5, 2018
The job will partner with business leadership by providing strategic insight using medical cost analytics. Enable medical cost programs by providing analytics to support business outcomes by 1) analyzing the value of their programs, 2) tracking the outcomes of the programs, and 3) providing strategic insight into areas of focus/opportunities. The goal of this role is to be a partner to the functional areas of the business in helping define the strategy of their go to market approach in impacting medical cost. This position will lead the development, coordination and management of medical economics analysis, medical cost models, health outcome studies and related forecasting and actual results analysis related to the portfolio of activities that are focused on improving medical cost outcomes. This work will leverage market-leading health plan medical economics processes, tools and reporting. This role will serve as the key link between the Finance/Actuarial work in support of these initiatives and each business segment and functional area partners’ work, with focus on 1) the coordination of infrastructure development to link initiatives with financial plans/forecasts, emerging results and pricing 2) infrastructure and process development to link medical economic related analytics (trend reporting, medical cost, conditions, etc.) with business partner actions, including progress and impact and 3) function as point person for all business segment medical economic analytics. The job will be required to oversee and influence the matrix- specifically business partners and those support functions- who have accountability to implement initiatives in the portfolio. This particular opening is a new position that has been created specifically to serve as part of the foundation for governance and management of this mission critical operating margin improvement effort. The position will report into the Health Plan Finance Organization; however, significant emphasis will be placed on frequent and meaningful interactions with business segment and functional department executive/senior leadership to ensure that earnings improvement initiatives are identified and executed in a timely manner. As such, the position will interact with Health Plan Management (SVPs, VPs, Directors, etc.) in formal and informal situations, and must demonstrate a high-level of analytical, communications and influence skills.
Language Requirement (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
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.
EEO is The Law
Equal Opportunity Employer Minorities/Women/ProtectedVeterans/Disabled/Sexual Orientation/Gender Identity (http://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.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 call HR Services at 844-242-HR4U or visit HR Services Online at HRServices@highmarkhealth.org