Strategic Analytics Consultant - UM Transformation

Job Summary This role is a high-impact role responsible for leading complex strategic initiatives aimed at optimizing the organization’s programs in a specific business area or discipline. This individual functions as an internal "consultant," taking ownership of critical projects from conception to actionable recommendations, directly influencing strategy and driving measurable improvements in program effectiveness and resource alignment. With a deep understanding of health plan economics and exceptional strategic problem-solving abilities, the incumbent excels at transforming sophisticated ad-hoc analyses into compelling strategic solutions that align with the organization’s mission of improving health outcomes and member value. Essential Responsibilities Lead and manage end-to-end strategic projects focused on program optimization across various clinical areas, defining project scope, methodologies, deliverables, and timelines. Design and execute comprehensive, data-driven strategic analyses to identify significant opportunities for enhancing efficiency, quality of care, and overall program performance. This includes detailed analysis of trends, outcomes, provider patterns, and regulatory impacts. Translate complex analytical findings and strategic insights into actionable recommendations and compelling business cases for senior management, driving strategic decision-making and investment. Act as a trusted advisor and internal thought partner to cross-functional stakeholders, including leadership, clinical operations, network, finance, and actuarial teams, proactively identifying their strategic needs and proposing analytical solutions. Proactively identify strategic gaps, emerging challenges, or underperforming areas within existing programs, initiating investigations and developing proposals for improvements. Develop robust, quantifiable impact models for proposed strategies, and subsequently monitor and evaluate the effectiveness of implemented initiatives against defined objectives. Mentor and provide guidance to more junior analytical staff on complex problem-solving approaches, analytical techniques, and strategic frameworks. Prepare and deliver executive-level presentations, distilling complex data into clear strategic narratives and actionable insights for diverse audiences. Other duties as assigned Required Experience 5 years of progressive experience in strategic consulting, healthcare analytics, or a similar high-impact role, preferably within a large health plan, managed care organization, or consulting firm focused on healthcare. 5 years of a demonstrated track record of successfully leading complex analytical projects and translating insights into actionable business strategies that drove measurable outcomes. Preferred Experience 3 years of documented track record of successfully leveraging advanced technology for significant operational improvement, widespread automation, and substantial unit cost reduction. Required Skills Exceptional Strategic Problem-Solving & Critical Thinking: Ability to independently frame complex, ambiguous strategic challenges, develop innovative solutions, and articulate a clear path forward. Expert-Level Analytical & Modeling Skills: Advanced proficiency in Microsoft Excel for complex data manipulation, statistical analysis, scenario modeling, and financial impact assessment. Experience with other analytical tools (e.g., SQL, Python, R, Tableau, Power BI) is a plus. Deep Healthcare & Business Area/Discipline Acumen: Extensive knowledge of health plan operations, P&L dynamics, value-based care models, and a comprehensive understanding of various levers and their impact. Project Leadership & Management: Proven ability to define project scope, manage multiple workstreams, meet deadlines, and ensure successful project execution in a fast-paced environment. Influence & Stakeholder Management: Superior communication, presentation, and negotiation skills, with the ability to build consensus and influence senior leadership and diverse stakeholder groups effectively. Mentorship & Development: Experience guiding and developing analytical talent. Entrepreneurial Drive: Proactive, self-motivated, and capable of identifying strategic opportunities without direct instruction. Required Education Bachelor’s degree or relevant experience and/or education as determined by the company in lieu of bachelor’s degree. Preferred Education Master’s degree. Degrees in a quantitative field such as Economics, Business Administration, Public Health, Health Administration, Finance, Statistics, or a related discipline are strongly preferred. Licenses or Certifications None (Required) None (Preferred) Other Language Proficiency None Travel Required Less than 25% Position Type Office-Based or Remote Position Physical Work Site Required Occasionally Pay Range Minimum: $86,400.00 Maximum: $138,600.00 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. California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J281836 #J-18808-Ljbffr Highmark Health