Strategy Consultant – Medical Policy

Job Summary

This role supports executive leadership by providing strategic analysis and recommendations to enable the medical policy and utilization management teams to achieve membership and margin goals.

• Collaborate with business/market owners to identify key issues, apply analytical frameworks, and develop solutions and recommendations.
• Manage major strategy projects, utilizing internal and external consulting resources.
• Act as subject‑matter expert on membership, growth, and operational strategy for Strategic Operations staff and stakeholders.
• Provide guidance to junior team members and participate in performance reviews and development planning.
• Develop best‑practice analytical frameworks and methodologies for strategy issues.
• Perform other assigned duties.

• Master’s degree in Business, Healthcare, Economics or related field.
• At least 2 years of experience at a strategy or management consulting firm (e.g., McKinsey, BCG, Booz‑Allen, Accenture Strategy, Deloitte Strategy) or internal strategy groups of healthcare companies.
• 6 years of related experience in business or healthcare.
• Bachelor’s degree and 3 years of progressive strategic experience in lieu of a Master’s degree.

• Extensive knowledge of health insurance and/or provider operations.
• Experience in operational improvement.
• Strong understanding of membership, rates, financial, economic, and competitive data.
• Knowledge of medical policy.

• Strategic thinking and analytical skills.
• Proficiency with MS Office, especially PowerPoint and Excel.
• Knowledge of healthcare industry trends and challenges.
• Strong critical thinking, communication and presentation skills.

0% – 25% travel required.

Pay range: $92,300 – $172,500.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on veteran status or disability, and prohibit discrimination against all individuals protected by applicable federal, state, or local law.