Highmark Health · 19 hours ago
Strategy Consultant - Risk Adjustment
NV, Working at Home - Nevada
Full-time
Hybrid
Mid, Senior Level
$92K/yr - $172K/yr
6+ years expHighmark Inc. is a healthcare organization seeking a Strategy Consultant focused on Risk Adjustment. The role involves supporting executive leadership with strategic initiatives, particularly in Risk Adjustment Accuracy Management and clinical data strategy, while managing major strategy projects and providing analytical expertise.
Health CareHospital
Responsibilities
Work with business/ market owners to identify key business issues, apply right analytical framework, develop solution and recommendations, represent findings to stakeholders and own the outcome
Manage major strategy projects with the help of internal or external strategy consulting resources
Serve as subject matter expert to Strategic Operations staff and stakeholders on membership, growth and operational strategy issues
Provide periodic informal work guidance/direction to junior team members; Provide performance input and recommendations to management for development/ training plans. May have supervisory responsibilities on a project basis
Develop analytical frameworks, approach and methodology best practices to analyze strategy issues
Other duties as assigned or requested
Qualification
Required
Masters Degree in Business, Healthcare, Economics or related degree
2 years of post-grad experience with strategy / management consulting firms (such as McKinsey, Boston Consulting Group, Booz & Company, Accenture (strategy Practice) or Deloitte (Strategy practice) ) or internal strategy groups of healthcare companies (such as Aetna, United Health Group, WellPoint, GE, )
6 years of related experience in Business or Healthcare
Strong analytical and problem-solving skills
Strong PC application Skills (MS Office including PowerPoint and Excel)
Knowledge of healthcare industry trends and challenges, especially in the context of interoperability
Hands-on experience working with and applying clinical data standards (FHIR, CDA, HL7, etc.)
Experience leveraging data integration technologies and cloud platforms to address business needs
Proficiency in gathering and facilitating the translation of business requirements into technical requirements
Strong knowledge of healthcare IT security and privacy regulations (e.g., HIPAA)
Strong critical thinking skills
Good communication and presentation skills across various audience levels
Preferred
Extensive knowledge of Health Insurance and/or Provider operations, especially related to Risk Adjustment
Experience in operational improvement and process optimization
Company
Highmark Health
Highmark Health is an integrated health care delivery and financing network.
10001+ employees
H1B Sponsorship
Highmark Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (38)
2024 (34)
2023 (55)
2022 (75)
2021 (54)
2020 (58)
Funding
Current Stage
Late StageTotal Funding
$6.75MKey Investors
Henry L. Hillman FoundationRichard King Mellon Foundation
2025-06-11Grant· $1.75M
2021-05-10Grant· $5M
Leadership Team
David Holmberg
President and Chief Executive Officer
Karen Hanlon
Executive Vice President, Chief Operating Officer
Recent News
Seattle TechFlash
2025-12-29
Company data provided by crunchbase