Strategy Consultant - Risk Adjustment Accuracy

at Highmark Health in Little Rock, Arkansas, United States

Job Description

Company :

Highmark Inc.

Job Description :

JOB SUMMARY

This job supports leadership of the Risk Adjustment Accuracy Management (RAAM) department with a range of activities essential to RAAM's program strategy and operational goals. Provide analytical/strategic-thinking and leadership support that enables project 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 (go-to-market or operational strategies, etc.) that inform critical strategic issues and decisions.

This role can be hybrid or remote. However if you live within 50 miles of an office you are required to be onsite 3 days a week.

T, W, TH.

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.

+ Lead the successful delivery of evolving risk adjustment initiatives and projects, driving outcomes directly aligned with RAAM's strategic plan

+ 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 risk adjustment programs for Medicare Advantage, Medicaid, and ACA lines of business.

+ 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 relevan

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