Strategy Consultant

Company: Highmark Inc
Location: Pittsburgh
Posted on: September 13, 2020

Job Description:

This role functions leads strategic initiatives for the Government Quality organization. Government Quality is accountable for Highmark Inc.’s Star Rating (Medicare) and Quality Rating System (On-Exchange Individual Market), and this role is responsible for understanding the various programs that are in flight to help achieve a 4+ star rating, the risks the company faces in achieving that goal, and leading initiatives to mitigate those risks in the short and long term. This role leads the cross-functional oversight committee for government quality, in which stakeholders provide regular updates on the status of programs, and the overall health of our star ratings. The role also prepares monthly steering committee materials for senior executives at Highmark. This role requires an analytical mind, combined with superior problem solving and communication skills.

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.

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 membership, growth and operational strategy issues.

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

Minimum

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

Preferred

Extensive knowledge of Health Insurance and/or Provider operations

Experience in operational improvement

Through knowledge of membership, rates, financial, economic and competitive data

LICENSES or CERTIFICATIONS

Required

None

Preferred

None

SKILLS

Broad application of principles, theories, and concepts in strategic thinking, plus working knowledge of other related fields

Strong PC application Skills (MS Office including PowerPoint and Excel)

Knowledge of healthcare industry trends and challenges

Strong critical thinking skills

Good communication and presentation skills

Language (Other than English):

None

Travel Requirement:

0% – 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-based

Teaches / trains others regularly

Occasionally

Travel regularly from the office to various work sites or from site-to-site

Never

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required

Yes

Lifting: up to 10 pounds

Constantly

Lifting: 10 to 25 pounds

Never

Lifting: 25 to 50 pounds

Never

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

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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 their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

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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 their race, color, religion, sex, national origin, sexual orientation/gender identity

or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in

employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or

disability.

Keywords: Highmark Inc, Pittsburgh , Strategy Consultant, Other , Pittsburgh, Pennsylvania