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Medical Economics Consultant - Medicaid Segment C2V

Job Overview

Location

PA, Working at Home - Pennsylvania

Job Type

Full-time

Category

Data Science

Date Posted

July 17, 2026

Full Job Description

📋 Description

  • This job is responsible for using medical cost analytics to provide fact-based strategic insights into emerging medical cost trends.
  • The ideal candidate will create the story of medical cost trends in a way that is clear, concise, and easily understandable.
  • The incumbent will have proven detailed technical and analytical experience with strong communication and influencing skills.
  • The role will engage with matrix partners to develop the medical cost analytics to determine the value of business solutions.
  • Using data-driven analytics, the ideal candidate will: 1) develop the value of the programs, 2) track the outcomes of the programs, and 3) provide strategic insight into areas of focus/opportunities.

🎯 Requirements

  • Bachelor's Degree in Business, Health, Economics, Mathematics/Actuarial Sciences or other related area.
  • 5 years of Medical Economics, Healthcare Analytics, Informatics, and/or Actuarial Services in the health care payer sector.
  • Strong Technical Data Skills (SAS / SQL, R, Tableau, Excel, etc.)
  • Proven analytical ability to drive independent work and meet business timelines and outcomes.

🏖️ Benefits

  • This role can be hybrid or remote.
  • The company offers a competitive pay range of $79,300.00 to $127,100.00.
  • The company prohibits discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibits discrimination against all individuals based on any category protected by applicable federal, state, or local law.

Skills & Technologies

Remote
Degree Required

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About Highmark Health

Highmark Health is a Pittsburgh-based integrated health care delivery and financing system. It combines the Highmark Inc. insurance business with Allegheny Health Network hospitals and physicians, plus a growing portfolio of health services companies. The not-for-profit system serves millions of members across Pennsylvania, West Virginia, Delaware, and New York, offering medical, pharmacy, dental, vision, and behavioral health benefits while operating inpatient and outpatient facilities, research programs, and community health initiatives aimed at improving population health outcomes.

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