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Highmark Health is a healthcare organization focused on improving how people experience and access care. Its work spans clinical services, technology, finance, marketing, and other functions that support the delivery of healthcare. As an independent licensee of the Blue Cross Blue Shield Association, the company brings together a broad range of professionals to help evolve the healthcare system. Highmark Health also highlights diversity, equity, and inclusion, with recognition for disability inclusion and military-friendly employment.
Clinical and Population Health Analyst - Highmark Health (Remote)
Highmark Health is seeking a clinical and population health analyst to turn healthcare data into actionable insights. The role analyzes clinical, member, financial, and administrative information to support better outcomes, quality, and cost management.
United States
Alabama
Alaska
Arizona
California
Colorado
Connecticut
Florida
Hawaii
Idaho
Illinois
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming$72,700 – $116,600 / year
RemoteFull-timeJuniorMiddleEnglish RequiredAnalystDescription
- Develop and interpret clinical and population health analyses, metrics, and reports from design through distribution.
- Use clinical, member, financial, and administrative data to identify and track opportunities to improve outcomes, quality, and care costs.
- Manage analytical projects efficiently through completion.
- Foster effective partnerships with clinical, administrative, operational, financial, and technical stakeholders.
- Ensure analytical work is actionable and supports organizational priorities, plans, needs, and available resources.
- Act as a strategic business partner and provide subject-matter expertise and thought leadership.
- Mentor senior- and lead-level analysts and colleagues across the enterprise.
- Complete additional duties as assigned.
Requirements
- U.S. citizenship is required because of contractual and access requirements.
- Bachelor's degree in public health, nursing, economics, health sciences, informatics, biostatistics, statistics, epidemiology, pharmacy, or a related field, or six years of relevant experience in place of a bachelor's degree.
- Two years of experience leading the design, execution, and distribution of clinical and population health reports, analyses, and studies with increasing scope and complexity.
- Two years of experience using coding languages, analytical software, systems, tools, and processes with claims, clinical, enrollment, and provider data.
- One year of project leadership experience in a complex, matrixed environment.
- One year of experience providing analytical consultation to clinical, administrative, operational, and financial stakeholders.
- Strong working knowledge of coding languages, relational databases, quantitative and qualitative methods, advanced analytics, and statistics.
- Healthcare industry expertise, including health insurance, healthcare delivery, provider relationships, and regulatory matters.
- Thorough understanding of clinical and business processes.
- Experience with R, SQL, or BigQuery/GCP is strongly preferred.
- Experience with R-Shiny, Tableau, or Power BI is strongly preferred.
- Excellent communication, facilitation, presentation, and interpersonal skills.
- Ability to lead through influence and guide matrixed teams informally.
- Ability to identify improvement opportunities and develop solutions.
- No licenses or certifications are required.
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