JOB SUMMARY
Candidates located within a 50-mile radius of Pittsburgh are expected to work from our office three days per week (Tuesday-Thursday).
This role supports the full application product lifecycle for clinical and utilization management software, with a specific focus on driving key technical initiatives such as data integration, cloud migration, and the strategic integration of Artificial Intelligence. The Lead Technical Analyst leverages significant independent judgment and discretion to collaborate extensively with business stakeholders and technical teams.
They function as a pivotal bridge, translating high-level clinical and utilization management software business needs into detailed technical requirements for new capabilities and enhancements, encompassing data structures, platform configurations, and AI model integration points. This involves gathering project specifications, developing business cases, and conducting cost analysis where appropriate.
The Lead Technical Analyst analyzes complex data to identify business problems, trends, and opportunities for process improvements within clinical and utilization management software. They are responsible for creating and executing test plans, providing root cause analysis and corrective action plans for technical issues, and verifying the successful delivery of solutions that meet customer needs while ensuring quality. They proactively identify, document, and resolve risks, defects, and issues across the software's technical landscape.
Bringing market trends and competitive insights, particularly in data integration, cloud technologies, and AI, they articulate the business value of proposed clinical and utilization management software solutions. This individual acts as a Subject Matter Expert (SME) on the most complex, cross-functional projects related to clinical and utilization management software, often with potential regulatory risk exposure, customer service, and financial impacts.
As a primary customer contact, they may negotiate project requirements against available resources. They resolve the most complex technical issues, which often span multiple systems (including data sources, core platforms, and AI components), developing alternative solutions with a deep understanding of potential enterprise-wide impacts.
This role requires an expert-level understanding of end-to-end processes and potential integration issues as new clinical and utilization management software enhancements and applications are developed. The Lead Technical Analyst will possess an expert understanding of how changes within clinical and utilization management software impact interconnected enterprise systems, including considerations for regulatory risk, customer service, and financial implications. Furthermore, they will mentor Associate, Intermediate, and Senior Technical Analysts, sharing functional and organizational knowledge.
Their core technical domains include, but are not limited to, Data Integration strategies and platforms, application architecture and cloud migration methodologies, and AI/ML integration patterns.
ESSENTIAL RESPONSIBILITIES
- Lead in working with customers, Technical Engineers, Software Engineers, Architects, Capability Managers, and other team members to capture capability needs and drive quality business solutions on complex issues. Create and maintain deliverables such as business vision, requirements, testing plan, testing schedule, testing scenarios, testing outcomes, user task analysis, wire framing, usability testing, personalization to different clients, and user interface design.
- Collaborate with or lead cross-functional teams, leveraging diverse technical skills and perspectives to proactively identify and address technology-related challenges across project phases, driving insights and solutions to ensure successful project delivery.
- Provide required business and/or subject matter expertise for both project and production related activities on complex issues, including new strategic programs or initiatives impacting current and existing systems.
- Ensure compliance for required standards and all necessary approvals have been obtained throughout the project lifecycle.
- Interface with the business areas, customers, partners, vendors, technical staff and project teams to drive value, return on investments and innovative solutions. This includes providing alternative solutions, including vendor solution acquisitions, with maximum benefits while reducing cost (e.g. cost benefit analysis, pros/cons of solutions).
- Lead in supporting various aspects of requirements testing (e.g. testing plan, scenarios, documentation, defect management) to ensure minimal production defects are realized and completing analysis of the results tying back to customer impacts.
- Communicate in an exemplary manner with team members, customers, partners and management, including assisting with or conducting requirement walkthroughs and sprint reviews, reporting project status, enabling vendor solutions and providing accurate and concise documentation.
- Provide thought leadership and strategic direction in Product and Technology Solutions.
- Other duties as assigned or requested.
EXPERIENCE
Required
- 7 years of experience in Information Systems or Technology
Preferred
- Technical BA and/or Development experience 3-5 years.
- Clinical and/or Utilization management experience 3-5 years.
SKILLS
- Advanced Analytical Skills
- Advanced Problem-Solving
- Advanced Communication Skills
- Project Management
- Customer Service
- Leadership
EDUCATION
Required
- Bachelor’s degree in Business Administration, Business Management, Information Technology, Information Systems or related field
Preferred
- Master's degree in Business Administration, Business Management, Information Technology, Information Systems or related field
LICENSES or CERTIFICATIONS
Required
- None
Preferred
- Information Technology Infrastructure Library (ITIL)
- The Open Framework Group (TOGAF)
- Six Sigma
- Project Management Professional (PMP)
Language (Other than English):
None
Travel Requirement:
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office- or Remote-based
Teaches / trains others
Occasionally
Travel from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
No
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Rarely
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.
Pay Range Minimum:
$78,900.00Pay Range Maximum:
$147,500.00Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.
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.
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Top Skills
What We Do
Highmark Health, a Pittsburgh, PA based enterprise that employs more than 40,000 people who serve millions of Americans across the country, is the second largest integrated health care delivery and financing network in the nation based on revenue. Highmark Health is the parent company of Highmark Inc., Allegheny Health Network, and HM Health Solutions. Highmark Inc. and its subsidiaries and affiliates provide health insurance to nearly 5 million members in Pennsylvania, West Virginia and Delaware as well as dental insurance, vision care and related health products through a national network of diversified businesses that include United Concordia Companies, HM Insurance Group, and Visionworks. Allegheny Health Network is the parent company of an integrated delivery network that includes eight hospitals, more than 2,800 affiliated physicians, ambulatory surgery centers, an employed physician organization, home and community-based health services, a research institute, a group purchasing organization, and health and wellness pavilions in western Pennsylvania. HM Health Solutions focuses on meeting the information technology platform and other business needs of the Highmark Health enterprise as well as unaffiliated health insurance plans by providing proven business processes, expert knowledge and integrated cloud-based platforms.
A national blended health organization, Highmark Health and our leading businesses support millions of customers with products, services and solutions closely aligned to our mission of creating remarkable health experiences, freeing people to be their best.
Headquartered in Pittsburgh, we're regionally focused in Pennsylvania, Delaware, West Virginia and New York, with customers in all 50 states and the District of Columbia.
We passionately serve individual consumers and fellow businesses alike. Our companies cover a diversified spectrum of essential health-related needs, including health insurance, health care delivery, population health management, dental solutions, reinsurance solutions, and innovative technology solutions.
We’re also proud to carry forth an important legacy of compassionate care and philanthropy that began more than 170 years ago. This tradition of giving back, reinvesting and ensuring that our communities remain strong and healthy is deeply embedded in our culture, informing our decisions every day.
