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Strategy Consultant - Risk Adjustment Accuracy
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Based on Kansas data
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What they do
A Risk Consultant helps clients to evaluate risk and recommends strategies to mitigate or offset risks that could result in financial losses for a company or organization. May analyze risk in investments, business operations or technology systems at a company. May provide risk management consulting for life insurance, health insurance or other types of insurance companies.
$78,529 / year median in Kansas
-4% projected decline
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 To view full details and how to apply, please login or create a Job Seeker account