Company :

United Concordia Dental

Job Description :

JOB SUMMARY

This job serves as the leadership contact for Market Facing Analytic (MFA) capabilities with both internal and external constituents. Internal constituents would include management and staff of specific business partner areas as well as other areas within EI. External constituents would include providers, physicians, clients, consulting firms, brokers, producers, etc. The incumbent provides leadership for market facing analytic efforts, including complex analyses to solve unique business problems or questions identified by the Organization's executive management, client management, and other business partners. Direct the work of MFA staff and their activity. Responsible for the oversight and direction-setting for staff working on MFA work, whether internal MFA staff or matrixed support staff from other EI areas. Responsible to ensure requirements are well-defined and documented and project issues including resource conflicts are resolved. Will require incumbent to obtain detailed knowledge of business partner and market objectives and strategy as well as MFA and/or EI capabilities, including staff experience, skills and other competencies. Ensure that the Organization remains current with emerging industry best practices and techniques with respect to MFA capabilities, such as financial/statistical modeling, predictive modeling, benchmarking, self-service analytics, episodic grouping, etc. Ensure that MFA staff are appropriately trained in use of these capabilities and that their use is appropriately utilized to enhance business value. Accountable for assuring that all MFA projects or initiatives are delivered on time, within the specified budget and in accordance with the agreed upon scope. This includes both internally driven work as well as all work in support of strategic and tactical initiatives, corporate releases, or BAU maintenance. Ensure that MFA staff are developed appropriately in their use of important data sources, analytic tools and software as well as business knowledge, consultative skills, and project management.

ESSENTIAL RESPONSIBILITIES

• Responsible for management of team activity under MFA - Client Analytics & Consulting department, including staff as well as related project teams consisting of matrixed support staff and team members from other areas, both within and outside EI

• Responsible for MFA - Client Analytics & Consulting department staff understanding the Organization from the enterprise perspective and ensuring that MFA activities align with the specific market needs, including ensuring that MFA staff possesses a thorough understanding of the responsibilities of the core market functions that it supports, the business processes of those areas, their data needs and relevant data flows and infrastructure. This includes an advanced knowledge of corporate systems and data sources as well as their content

• Responsible for MFA - Client Analytics & Consulting department staff understanding healthcare related analytic capabilities, including terminology, techniques, best practices, emerging trend, etc. as they relate to the accountabilities noted above. This function is required to remain abreast of industry knowledge and its potential practical application at Highmark.

• Responsible to function as the point person for all MFA - Client Analytics & Consulting department capabilities within Highmark with business partners and to develop and maintain relationships with those business partners. Assist the director of MFA in establishing the vision and strategy for Highmark’s market facing analytics function and determine how this function can best support the overall Highmark market strategic direction. Develop the scope, planning, execution and delivery of all MFA related efforts whether strategic phases or routine periodic work.

• Responsible to provide MFA capability support to the other areas of EI as well as to other areas both within and outside of Highmark dependent upon the underlying activity. This includes collaborating with business areas across the enterprise, and ensuring consistent definitions and analytic methods as well as their application.

• Responsible to ensure the MFA function contributes to and uses knowledge management assets from the EI portfolio or reusable intellectual capital, including documented data services, analytic tools and techniques, and reporting tools, packages and report capability.

• Responsible to ensure the professional development of staff with respect to business knowledge, data sources, technology, project management, consultation and presentation.

• Other duties as assigned or requested.

EDUCATION

Required

• Bachelor's Degree in Management Information Systems, Business Administration/Management, or related Healthcare Informatics field

Substitutions

• 6 years of related and progressive experience in lieu of Bachelor's degree

Preferred

• Master's Degree in Management Information Systems, Business Administration/Management, or related Healthcare Informatics field

EXPERIENCE

Required

• 3 years in Healthcare Informatics, Analytics, Business Intelligence or Statistics

• 3 years of Consultation and Application of analytic capabilities

• 3 years of Project Management

• 1 year in a management or leadership role

Preferred

• 3 years of solving business, financial and/or clinical problems

• Preparation of recommendations and presentations of findings upper management and external parties

LICENSES or CERTIFICATIONS

Required

• None

Preferred

• None

SKILLS

• Strong management, leadership, organizational, and analytical skills

• Working knowledge of application development lifecycle, analytical methodologies, business intelligence tools and infrastructure and overall systems support

• Ability to perform multiple tasks simultaneously covering a wide spectrum of issues

• Demonstrated PC skills, including the Microsoft Office suite. In particular, must be proficient in database design and management applications as well as possess expertise in the deployment and use of query tools, such as the SAS, SQL and Cognos

• Demonstrated effective written and verbal communication skills to include documented experience performing project activity of a complex nature.

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

Rarely

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

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:

$78,900.00

Pay Range Maximum:

$146,000.00

Base 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 their race, color, age, 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, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

EEO is The Law

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Req ID: J253622