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Highmark Health
Strategy Consultant - Risk Adjustment
Highmark Health Lincoln, NE, USA
Company : Highmark Inc. Job Description : JOB SUMMARY This job supports executive leadership of the Organization with a range of strategic initiatives, specifically focusing on the evolution of Risk Adjustment Accuracy Management (RAAM) and Highmark's clinical data strategy. Providing analytical/strategic-thinking and leading project teams, particularly those bridging business and technical functions, to: 1) isolate complex business issues related to RAAM and interoperability; 2) design and execute analytics for studying these issues (market research, scenario planning, forecasting, etc.); 3) develop technical content and serve as a subject matter expert on clinical data exchange, interoperability standards, and related technologies; 4) support development of formal recommendations to senior levels of Highmark leadership, ensuring solutions maximize business value and adhere to technical standards; 5) create documents (go-to-market or operational strategies,...

Jan 12, 2026
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