Decision Support Analyst - Medicaid Value Based Analytics

Highmark Health•Pittsburgh, PA

14d•Onsite

About The Position

This role supports Medicaid value-based care and provider performance initiatives through advanced analytics, reporting, and data-driven insights. The analyst partners with business, clinical, provider, and operational stakeholders to evaluate value-based arrangements, analyze provider performance, identify opportunities to improve quality and cost outcomes, and support strategic decision-making. The position involves developing and maintaining reports, dashboards, and analytical models; interpreting complex healthcare and claims data; and translating findings into actionable recommendations. It requires strong analytical, problem-solving, and communication skills, as well as the ability to work independently on complex projects. The candidate must be a U.S. citizen due to contractual and access requirements. The position is office-based and requires a physical work site. Travel is listed as 0%–25%, with occasional travel from the office to various work sites. The role involves handling confidential information and requires compliance with HIPAA, company privacy and information-security policies, and the Code of Business Conduct.

Requirements

U.S. citizenship is required due to contractual and access requirements.
Bachelor's degree in Computer/Information Science, Mathematics/Statistics, Economics, or a related field, or relevant experience and/or education accepted by the company in lieu of a bachelor's degree.
Three years of relevant, progressive experience in Industrial Engineering, Operations Research, or a related field.
Strong technical skills with mainframe, PC, and internet-based technologies, including comfort and proficiency working with large, complex databases.
Strong skills using office and report-generation products such as Microsoft Office, Business Objects, Cognos, and Enterprise Guide.
Strong communication skills and comfort presenting findings and recommendations to senior management.

Nice To Haves

Experience using SQL to query and analyze large healthcare datasets.
Experience developing dashboards and visualizations using Tableau.
Experience working with healthcare claims, provider performance, quality, utilization, or value-based care data.
Experience supporting provider-facing analytics and value-based reimbursement programs.

Responsibilities

Develop and foster internal relationships across the corporation.
Provide analytic and consultative support to internal customer areas and external business partners.
Mentor less-experienced colleagues on technical and business aspects of project and consultative work.
Determine how decision support systems can provide information needed for effective business decisions, and translate requirements into applications using appropriate decision-support and reporting tools.
Use broad experience and technical knowledge to propose solutions to complex business problems and lead implementation of recommended solutions.
Lead the definition of issues and ideas to be studied and determine methodological and technical approaches for studies and projects.
Create or develop methods of analysis, database design, and performance measurement, or adapt existing solutions to new areas.
Model data sources and flows and work with data management staff to define an operational framework, policies, and security frameworks for accurate and secure delivery of information.
Interpret raw data, statistical results, and other compiled information; identify follow-up actions; and prepare or assist with written reports and oral presentations for internal and external audiences.
Develop and maintain moderately to extremely complex programs using 4GL languages such as SAS, R, and SQL, and database technologies such as DB2, Teradata, and Oracle.
Perform other duties as assigned or requested.