Highmark · 12 hours ago
Medicare Advantage Quality Consultant
Pittsburgh, PA
Full-time
Hybrid
Mid LevelHighmark Inc. is an independent licensee of the Blue Cross Blue Shield Association, serving about 7.1 million members across several states. They are seeking a Medicare Advantage Quality Consultant to analyze data, ensure quality control, and identify opportunities for process improvement in Medicare Advantage plans.
Health CareHealth InsuranceInsuranceWellness
Responsibilities
Strong Analytical Skills to interpret data and inform decision-making
Demonstrated experience in Quality Control, Quality Assurance, and Quality Management
Proven ability in Consulting, with a focus on identifying opportunities for process improvement
Knowledge of Medicare Advantage plans and regulations is preferred
Proficiency in relevant software tools and methodologies for quality assessments and reporting
Strong communication, organizational, and problem-solving skills to successfully interact with stakeholders
Qualification
Required
Strong Analytical Skills to interpret data and inform decision-making
Demonstrated experience in Quality Control, Quality Assurance, and Quality Management
Proven ability in Consulting, with a focus on identifying opportunities for process improvement
Proficiency in relevant software tools and methodologies for quality assessments and reporting
Strong communication, organizational, and problem-solving skills to successfully interact with stakeholders
Hiring in Central PA. Must be willing to travel to office 3 days per week
Preferred
Knowledge of Medicare Advantage plans and regulations is preferred
A bachelor's degree in healthcare management, business, or a related field is preferred
Company
Highmark
Highmark provides health insurance plans for individuals and businesses.
Founded in 1996
10001+ employees
H1B Sponsorship
Highmark 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 (11)
2024 (7)
2023 (19)
2022 (21)
2021 (18)
2020 (23)
Funding
Current Stage
Late StageTotal Funding
$27.3M2018-04-06Grant· $25M
2014-08-07Grant· $2.3M
Leadership Team
Deborah Rice-Johnson
CEO, Diversified Businesses at Highmark Inc. and Chief Growth Officer
Paul Sikora
CTO Provider Services
Recent News
2025-12-11
Company data provided by crunchbase