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Highmark Health Manager Advanced Analytics – Data Architecture and Cloud Enablement (HEDIS) in Richmond, Virginia

Company :

Highmark Health

Job Description :

JOB SUMMARY

We are seeking a highly motivated and experienced Manager, Advanced Analytics to lead and grow our team focused on delivering impactful insights from complex healthcare data. This role requires a strong understanding of data architecture, cloud-based data solutions (ideally GCP or Azure), and a proven track record of success in designing and implementing advanced analytics solutions to drive improvements in clinical quality and HEDIS performance. The ideal candidate will possess hands-on experience with the entire software development life cycle (SDLC), including hands-on coding experience in relevant languages (e.g., Python, SQL), and a demonstrated ability to design and implement efficient data pipelines. Responsibilities include designing and implementing data solutions, collaborating with cross-functional teams, and driving the digitalization of quality measures. Excellent communication, problem-solving, and project management skills are essential. The successful candidate will also be a strong mentor and developer of a high-performing team.

ESSENTIAL RESPONSIBILITIES

  • Perform management responsibilities to include, but are not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity.Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as necessary; may have budgetary responsibility and authority.

  • Create and communicate the product/capability vision, strategy and roadmap across multiple products or capabilities. Own the product/capability backlog and uses multi-stakeholder input to refresh and re-prioritize the backlog to drive business value. Clearly articulates backlog items and acceptance criteria to the team, and represent the capability in all governance meetings. Proactively identify new initiatives/themes and builds out backlog items under these new initiatives or themes based upon value. Empower team to manage their work by setting clear priorities and success metrics against the backlog.

  • Work directly with the business to understand their questions, business processes, programs and/ or initiatives, then oversee the identification and delivery of analytical solutions which support them to deliver value in production.This requires technical flexibility, strong knowledge of and delivery record in advanced analytical approaches.

  • Consult with the business to contextualize and translate the results of our analysis in a form which the business can understand and act upon. This will be include written reports, presentation and data visualizations, and draws clear lines between the high-level problem specifications, the analyses performed, and how the results link directly back to business objectives.Network in the wider organization to find new stakeholders and broaden the impact of the advanced analytic products / capabilities.

  • Research self-directed new analytical skills and approaches, building relationships internally and externally to transfer knowledge and maintain their position as subject matter experts, consult with fellow data scientists and analysts to guide analysis and deliver larger projects.

  • Other duties as assigned or requested.

EDUCATION

Required

  • Master's Degree in STEM (Science, Technology, Engineering, Mathematics) OR Bachelor's Degree + 3 years of relevant work experience in lieu of a Master's Degree

Preferred:

  • None

EXPERIENCE

Required

  • 7 years of Data Analytics, Academic Research, and/or Work Experience

  • 2 years of Data Analytics, Academic Research, and/or Work Experience (if PhD Education)

To Include

  • 1 year of Using Large Data-sets

  • 1 year in Predictive Modeling or Advanced Statistics

  • 1 year presenting complex analytics to non-technical audiences

Preferred

  • 1 year of Data Engineering

  • 1 year in Healthcare Industry

  • 1 year in Clinical Quality (HEDIS) Analytics

  • 1 year in Research and Development

  • 1 year as Business Intelligence

  • 1 year in Consulting

  • 1 year in Clinical Quality (HEDIS) Analytics

  • 1 year in Research and Development

  • 1 year as Business Intelligence

  • 1 year in Predictive Modeling or Advanced Statistics

  • 1 year in Consulting

LICENSES AND CERTIFICATIONS

Required

  • None

Preferred

  • None

SKILLS

  • Analytics

  • Agile

  • Stakeholder Management

  • Presentation

  • Communication

  • People Management

  • Project Management

Preferred Skills:

I. Technical Skills:

  • Data Modeling& Architecture: Proficient in designing and implementing data warehouses, data lakes, and other data architectures. Experience with dimensional modeling, snowflake schema, etc.

  • Cloud Computing: Expertise in at least one major cloud platform (AWS, Azure, GCP), including services like data storage (S3, Blob Storage, Cloud Storage), data processing (Spark, Dataproc, Databricks), and data warehousing (Redshift, Snowflake, BigQuery).

  • Big Data Technologies: Experience with Hadoop, Spark, Hive, or similar big data processing frameworks. Understanding of distributed systems and parallel processing.

  • Data Pipelines & ETL/ELT: Proficiency in designing, building, and maintaining data pipelines using tools like Apache Airflow, Kafka, or similar technologies. Experience with ETL/ELT processes and tools.

  • Databases: Strong understanding of relational (SQL) and NoSQL databases. Experience with database administration, performance tuning, and optimization.

  • Programming Languages: Proficiency in at least one scripting language (Python, Scala, etc.) and SQL. Experience with other languages like Java or Go is a plus.

  • Data Warehousing & Business Intelligence: Understanding of data warehousing concepts and experience with BI tools (Tableau, Power BI, etc.) is beneficial.

  • Data Governance & Quality: Experience with data quality management, data governance policies, and metadata management.

  • Version Control: Git or other version control systems.

  • Containerization & Orchestration: Docker and Kubernetes experience is increasingly valuable.

II. Leadership & Management Skills:

  • Team Leadership & Mentorship: Ability to lead, mentor, and motivate a team of data engineers and data quality analysts.

  • Project Management: Experience managing multiple projects simultaneously, prioritizing tasks, and meeting deadlines.

  • Communication & Collaboration: Excellent written and verbal communication skills, ability to effectively communicate technical concepts to both technical and non-technical audiences. Strong collaboration skills working with cross-functional teams.

  • Hiring & Performance Management: Experience with the full employee lifecycle, including recruiting, performance reviews, and talent development.

III. Strategic Skills:

  • Data Strategy: Ability to develop and execute a data strategy aligned with business goals.

  • Technology Selection & Evaluation: Experience evaluating and selecting new technologies and tools.

  • Problem-Solving & Analytical Skills: Ability to identify and solve complex data engineering problems.

  • Business Acumen: Understanding of business needs and how data can be used to drive business value.

Language (Other than English)

None

Travel Required

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-Based

Teaches / trains others regularly

Frequently

Travel regularly from the office to various work sites or from site-to-site

Never

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required

No

Lifting: up to 10 pounds

Frequently

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:

$108,000.00

Pay Range Maximum:

$199,800.00

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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We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.

For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

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Req ID: J254576

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