JOB SUMMARY
This job oversees all daily operations and functions of the department. The incumbent requires an in-depth knowledge of business systems, data warehousing, data collection and reporting. The incumbent will be tasked with ensuring all summary and analysis reporting projects are mechanically, statistically and theoretically accurate. Additionally, the incumbent will be responsible for summarizing, and presenting the results to enhance the organization’s understanding of underlying trends, results and implications. Organizes, assigns, and actively manages to completion the data analysis projects within the department.
ESSENTIAL RESPONSIBILITIES
- Performs management responsibilities to include, but not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity.
- Plan, organize, staff, direct and control the day-to-day operations of the department.
- Develop and implement policies and programs as necessary.
- May have budgetary responsibility and authority.
- Serve as the decision support analytics subject matter expert in the development and implementation of dashboards and reports to support key clinical and operational initiatives.
- Maintain key relationships with leadership and other stakeholders to proactively identify and communicate performance and continuous improvement opportunities for quality improvement and clinical effectiveness.
- Oversee the ongoing sourcing, assessment, defining, and maintenance of business data to ensure integrity, quality, validity, and overall applicability to the identification, analysis, and interpretation of ongoing trends or patterns in complex data sets for specified projects.
- Provide guidance on opportunities to enhance analytic capabilities with a particular focus on the ability to measure, benchmark and track value metrics.
- Lead the design, implementation, and maintenance of analytical processes and reports supporting Gateway Health Plan’s performance (internal to the organization and in comparison to industry benchmarks/best practices).
- Manage the utilization of measurement tools, statistical methods and benchmark comparisons to determine and analyze outcome measures in support of organizational goals.
- Partner with leadership and process owners to define key metrics and analytic needs for implementation, including dashboards, scorecards, and overall reporting solutions.
- Implement special initiatives to support the reporting and analytics needs of the organization as directed.
- Other duties as assigned or requested.
EDUCATION
Minimum
- Bachelor's Degree in Clinical-related field, Business Administration, Healthcare Administration, Health Information Management, or related discipline, or relevant experience and/or education as determined by the company in lieu of bachelor's degree
Preferred
- Bachelor's Degree - Clinical-related field, Business Administration, Healthcare Administration, Health Information Management, or related field
EXPERIENCE
Minimum
- 5 years of progressive experience in a clinical or reporting and analysis field in a healthcare organization
- Prior leadership and/or project management experience
Preferred
- Experience in a clinical area/function/organization
LICENSES & CERTIFICATIONS
Minimum
- None
Preferred
- None
SKILLS
- Advanced knowledge of SAS and SQL required
- Advanced computer skills with a strong knowledge of spreadsheet programs required
- Ability to perform under stressful and changing circumstances and deadlines; effective written and oral communication skills; and strong problem solving, project management, teamwork, and organizational skills required
- The ability to assist in ensuring compliance with regulatory agencies and HIPAA regulations required
LANGUAGE REQUIREMENT (other than English)?
None
TRAVEL REQUIREMENT:
0% - 25%
PHYSICAL, MENTAL DEMANDS AND WORKING CONDITIONS
Position Type:
Office-Based
Office-Based Positions
An employee in this position works in an office environment. The position frequently requires the employee to communicate effectively with others both inside and outside the workplace (e.g., in person, via telephone, via email). The employee must be able to understand, interpret and analyze data, solve problems, concentrate, and research, use available technological resources and systems (e.g., computers and computer programs), multi-task, prioritize, and meet multiple deadlines to complete essential tasks. The employee generally works in a fast-paced and frequently stressful environment, must attend work on a regular and reliable basis as well as adhere to all workplace policies, and may be called upon to work outside regular business hours.
Teaches/Trains others regularly
Frequently
Travels regularly from the office to various work sites or from site-to-site
Does Not Apply
Works primarily out-of-the office selling products/services (Sales employees)
Does Not Apply
Physical Work Site Required
Yes
Lifting: up to 10 pounds
Does Not Apply
Lifting: 10 to 25 pounds
Does Not Apply
Lifting: 25 to 50 pounds
Does Not Apply
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 position 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:
$102,700.00Pay Range Maximum:
$164,600.00Base 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.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at [email protected]
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Skills Required
- Bachelor's Degree in Clinical-related field, Business Administration, or related discipline
- 5 years of progressive experience in clinical or reporting fields
- Prior leadership and/or project management experience
- Advanced knowledge of SAS and SQL
- Advanced computer skills with spreadsheet programs
Highmark Health Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Highmark Health and has not been reviewed or approved by Highmark Health.
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Healthcare Strength — Medical, prescription, dental, and vision coverage are emphasized alongside 100% coverage for preventive exams, with onsite pharmacy access and fitness center availability at major campuses.
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Retirement Support — An employer‑sponsored 401(k) with a company match is highlighted, with AHN materials illustrating a 100% match on the first 4% plus an additional 1% employer contribution as an example within the enterprise.
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Wellbeing & Lifestyle Benefits — Wellness programs include stress‑management classes, health coaching, incentives for healthy activities, team‑member discounts, and volunteer incentives, with paid volunteer time also noted in the overall package.
Highmark Health Insights
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.


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