Lead Clinical and Population Health Analyst – Medical Policy
Highmark Health
full-time
Posted on:
Location Type: Remote
Location: Remote • Louisiana, Maryland, North Carolina, Pennsylvania, Washington • 🇺🇸 United States
Visit company websiteSalary
💰 $78,900 - $147,500 per year
Job Level
Senior
About the role
- Drive the full lifecycle of medical policies, from initial development to publication and maintenance
- Leverage advanced data analytics to generate insights and develop reporting solutions
- Act as a primary owner of assigned medical policies, ensuring accuracy and clinical soundness
- Engage non-clinical teams to align operational guidelines with clinical policy intent
- Serve as a subject matter expert for internal and external customers
Requirements
- Master's Degree in Public Health, Nursing, Economics, Health Sciences, Informatics, Biostatistics, Statistics, Epidemiology or Pharmacy or related field
- 7 years of leading the design, execution and dissemination of clinical and population health reporting, analyses and studies of progressive scope and complexity
- 7 years with coding languages, analytical software, systems, tools and processes using claims, clinical, enrollment and provider data
- 5 years of project leadership in a complex, matrixed environment (payer and/or provider preferred)
Benefits
- Healthcare insurance options
- Paid time off
- Retirement savings plan
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
data analyticsreporting solutionsclinical policy designpopulation health reportinganalytical softwarecoding languagesclaims data analysisclinical data analysisenrollment data analysisprovider data analysis
Soft skills
leadershipcommunicationcollaborationsubject matter expertiseoperational alignmentaccuracy assuranceclinical soundness
Certifications
Master's Degree in Public HealthMaster's Degree in NursingMaster's Degree in EconomicsMaster's Degree in Health SciencesMaster's Degree in InformaticsMaster's Degree in BiostatisticsMaster's Degree in StatisticsMaster's Degree in EpidemiologyMaster's Degree in Pharmacy