Clinical and Population Health Analyst

Summary

Highmark Health is a healthcare organization seeking a Clinical and Population Health Analyst. This role develops and interprets clinical and population health analyses using complex healthcare data to identify opportunities that improve outcomes, quality, costs, and care experiences. The analyst also serves as a consultative subject matter expert and strategic business partner to internal and external stakeholders.

Responsibilities

• Supports the design, development, execution, dissemination and interpretation of clinical and population health analyses, metrics and reports using clinical, member, financial and administrative data to identify, develop and/or monitor actionable opportunities for improving health and healthcare outcomes and clinical quality and costs of care, efficiently and effectively managing projects to successful completion
• Establishes strong, collaborative and effective relationships and communication with internal and external clinical, administrative, operational, financial and technical stakeholders to ensure analytics are actionable and aligned with organizational strategic priorities, needs, plans and resources
• Serves as a strategic business partner to internal and external stakeholders as demonstrated by providing thought leadership and subject matter expertise
• Supports Senior and Lead level analysts with consultative, technical, subject matter and business expertise mentorship to colleagues across the enterprise
• Other duties as assigned or requested

Skills

• 2 years of Leading the design, execution and dissemination of clinical and population health reporting, analyses and studies of progressive scope and complexity
• 2 years of Coding languages, analytical software, systems, tools and processes using claims, clinical, enrollment and provider data
• 1 year of Project leadership in a complex, matrixed environment
• 1 year of Providing analytical consultation to clinical, administrative, operational and financial stakeholders
• Demonstrated record of data-driven discovery, intense intellectual curiosity, and a passion for working with data to answer important questions about clinical care and population health that drive the Quadruple Aim
• Strong working knowledge of coding languages, relational databases, quantitative and qualitative analytic methodologies, advanced analytics and statistics
• Excellent communication and facilitation skills with project team members, stakeholders, executives, and external customer, exceptional written and oral presentation skills, proven ability to communicate interpersonally and technically with technical and non-technical, and internal and external audiences, and the ability to lead through influence
• Healthcare industry expertise and experience, knowledge about the shifting healthcare environment including trends concerning health insurance, healthcare delivery, provider relationships and regulatory issues
• Sophisticated knowledge of how organizations work and how to get things done through formal and informal channels
• Exhibition of perseverance through energy, drive and demonstrated success when resistance or setbacks are encountered
• In-depth understanding of and experience with both clinical and business processes, and the ability to identify opportunities for improvement and develop solutions
• Demonstrated ability to informally lead matrixed teams of technical, clinical, administrative, financial and operational staff to achieve shared organizational objectives and strategic goals
• Bachelor's degree in Public Health, Nursing, Economics, Health Sciences, Informatics, Biostatistics, Statistics, Epidemiology, Pharmacy or related field OR 6 years of relevant work experience in lieu of a Bachelor's Degree
• (payer and/or provider preferred)
• Master's degree in Medicine, Public Health, Nursing, Economics, Health Sciences, Informatics, Biostatistics, Statistics, Epidemiology, Pharmacy or related field

Qualifications

Must Haves

• 2 years of Leading the design, execution and dissemination of clinical and population health reporting, analyses and studies of progressive scope and complexity
• 2 years of Coding languages, analytical software, systems, tools and processes using claims, clinical, enrollment and provider data
• 1 year of Project leadership in a complex, matrixed environment
• 1 year of Providing analytical consultation to clinical, administrative, operational and financial stakeholders
• Demonstrated record of data-driven discovery, intense intellectual curiosity, and a passion for working with data to answer important questions about clinical care and population health that drive the Quadruple Aim
• Strong working knowledge of coding languages, relational databases, quantitative and qualitative analytic methodologies, advanced analytics and statistics
• Excellent communication and facilitation skills with project team members, stakeholders, executives, and external customer, exceptional written and oral presentation skills, proven ability to communicate interpersonally and technically with technical and non-technical, and internal and external audiences, and the ability to lead through influence
• Healthcare industry expertise and experience, knowledge about the shifting healthcare environment including trends concerning health insurance, healthcare delivery, provider relationships and regulatory issues
• Sophisticated knowledge of how organizations work and how to get things done through formal and informal channels
• Exhibition of perseverance through energy, drive and demonstrated success when resistance or setbacks are encountered
• In-depth understanding of and experience with both clinical and business processes, and the ability to identify opportunities for improvement and develop solutions
• Demonstrated ability to informally lead matrixed teams of technical, clinical, administrative, financial and operational staff to achieve shared organizational objectives and strategic goals
• Bachelor's degree in Public Health, Nursing, Economics, Health Sciences, Informatics, Biostatistics, Statistics, Epidemiology, Pharmacy or related field OR 6 years of relevant work experience in lieu of a Bachelor's Degree

Nice to Haves

• (payer and/or provider preferred)
• Master's degree in Medicine, Public Health, Nursing, Economics, Health Sciences, Informatics, Biostatistics, Statistics, Epidemiology, Pharmacy or related field

Benefits

• Remote work arrangement