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Solutions Analyst - Medicaid Operations Reporting

Highmark Inc
  • Pittsburgh, PA
  • Remote
    2 days ago
    Highmark Inc

    Job Description

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    Solutions Analyst - Medicaid Operations Reporting

    501 Penn Avenue, Pittsburgh PA 15222, United States

    Full time

    Apply Now

    Job DescriptionWorking with UsBenefits & PerksHear From Our TeamHow We Hire

    Job Details

    Category Business Analysis/Reporting

    Type Full time

    Location(s) 501 Penn Avenue, Pittsburgh PA 15222, United States

    Brand enGen

    Posted 11/10/2026

    Req ID J282114

    Apply Now

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    Job Description

    Company :

    enGen

    Job Description :

    JOB SUMMARY

    For candidates located within a 50-mile radius of our Pittsburgh office, this position operates on a hybrid schedule, with mandatory in-office work on Tuesdays, Wednesdays, and Thursdays. Candidates residing outside this 50-mile radius are eligible for fully remote work.

    This job is responsible for one or more analytical aspects of the business products and services life cycle, within a sub-product scope (one or more data components). Uses regular judgement and discretion to collaborate with customers to understand data, reporting, and analytical capability needs, gather project and data specifications, create data sets, operational reports, and analytical deliverables to translate high-level business data needs into detailed requirements for new capabilities (and change request/enhancements on existing capabilities), analyze data to determine business problems, trends, or opportunities for process improvements, create/execute test cases, provide root cause analysis and corrective action plan, verify delivery of customer data needs, and ensure quality delivery. Also responsible for identification, documentation, and resolution of risks, defects and issues. Responsible for analyzing market trends for competitive insight to correlate into business value statements. Builds organizational and platform knowledge in one or more disciplines to advance professional track career. Uses functional and organizational knowledge to mentor junior resources. Requires thorough understanding of data store and end systems impact of changes across multiple data stores and systems.

    ESSENTIAL RESPONSIBILITIES

    • Work with customers, Data Engineers, Data Architects, Capability Managers, and other team members to capture capability needs and drive quality data and reporting solutions. Responsible for creation and maintenance of deliverables such as data set creation, operational reports, and analytical dashboards.

    • Collaborate effectively with cross-functional teams, leveraging diverse data skills and perspectives to proactively identify and address data-related challenges across project phases, driving data-driven insights and solutions to ensure successful project delivery.

    • Support various aspects of data and report delivery requirements testing (e.g. testing plan, scenarios, documentation, defect management) to ensure minimal production defects are realized and completing analysis of the results tying back to customer impacts.

    • Assure compliance for required standards and all necessary approvals have been obtained throughout the data delivery lifecycle.

    • Effectively communicate with team members, customers, partners and management, including assisting with or conducting requirement walkthroughs and sprint reviews, reporting project status, enabling vendor solutions and providing accurate and concise documentation.

    • Other duties as assigned or requested.

    EXPERIENCE

    Required

    • 3 years of experience in Information Systems or Technology

    Preferred

    • 1 year of experience in Lean/Six Sigma

    • 1 year of experience in Health Insurance or Healthcare Industry

    SKILLS

    • Analytical Skills

    • Problem-Solving

    • Communication Skills

    • Report Writing

    • SQL

    EDUCATION

    Required

    • Bachelor's degree in Business Administration, Business Management, Information Systems or related field or relevant experience and/or education as determined by the company in lieu of bachelor"s degree.

    Substitutions

    • None

    Preferred

    • Master"s degree in Business Administration, Business Management, Information Systems or related field

    LICENSES or CERTIFICATIONS

    Required

    • None

    Preferred

    • Six Sigma

    • Project Management Professional (PMP)

    Language (Other than English):

    None

    Travel Requirement:

    0% - 25%

    PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

    Position Type

    Office- or Remote-based

    Teaches / trains others

    Occasionally

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

    Rarely

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

    Never

    Physical work site required

    No

    Lifting: up to 10 pounds

    Constantly

    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.

    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 any category protected by applicable federal, state, or local law.

    California Consumer Privacy Act Employees, Contractors, and Applicants Notice

    Why Choose enGen?

    At enGen, our 11,000 technology professionals simplify healthcare through secure, cutting-edge innovation. We continuously transform health tech to improve patient outcomes, empowering you to drive real impact, grow your skills at the industry"s leading edge, and help reshape the future of care.

    Benefits & Perks

    Taking Care of You

    Your Benefits at a Glance

    • Health: Complete medical, dental, vision, prescription, HSA, and FSA coverage.
    • Time Off: Paid vacation, holidays, and dedicated volunteer time.
    • Finance: Employer-sponsored 401(k), life/disability insurance, and tuition reimbursement.
    • Perks: Exclusive team discounts on shopping, memberships, and events.

    Medical Coverage

    Medical, prescription drug, dental, and vision coverage

    Paid Time Off

    Vacation, holidays, volunteering

    Retirement Package

    Employer-sponsored 401(k) plan

    Insurance & Coverage

    Life, AD&D and disability insurance

    Onsite & Preventative Care

    We make staying healthy easy with 100% covered preventative exams (including flu shots) and onsite pharmacy services at major campuses. Plus, stay active with free fitness center access at major Highmark campuses, Allegheny General, and West Penn Hospital.

    Make Mindful Changes

    Secure bicycle parking at major campuses. Healthy food options at onsite cafeterias. Stress management classes including yoga, mindfulness, and meditation.

    Holistic Support, 24/7

    Work-life resources including assistance programs and financial counseling services. 24/7 telephone access to health and wellness coaching.

    Get Rewarded for Giving Back

    Health incentive program that rewards team members. Team member networks to gather in the name of health. Paid volunteer time and incentives for making a difference.

    Hear from Our Team

    Real people, real stories

    "I have met some really great people over the years at Highmark Health and the company has treated me really well. I get really good benefits. I"ve always been rewarded for working hard. That"s what keeps me here."

    Victoria T.

    Associate Strategy Analyst, enGen

    "I love participating with the PRIDE BRG. It"s an engaged, dynamic group of almost 400 people. I also love to turn on the digital hub on my computer and see what"s going on with any of the Business Resource Groups. It"s really neat to be able to support other BRGs and see others support PRIDE. Every time I go to a different BRG event, I always feel welcome, even if I"m not part of that group."

    Amanda M.

    Director of Social Determinants of Health | Vice Chair of PRIDE

    Our Hiring Process: Step-by-Step

    1. Apply

    Find a role that sparks your passion and submit your application! We'll send an immediate confirmation email, and our team will review your qualifications over the next 1-2 weeks.

    1. Interview

    If your profile is a great match, we'll reach out to schedule your interview-whether by phone, video, or in person. Don"t worry, we'll provide all the prep details in advance so you can shine.

    1. Job Offer

    The moment you've been waiting for! If selected, we'll connect to celebrate and walk you through the details: compensation, benefits, paid time off, and all the perks of joining the team.

    1. Pre-Employment

    After you accept online, we'll guide you through standard screening (including a background check and drug screen, plus health screenings for certain clinical roles). Once cleared, we"ll officially confirm your start date!

    1. Onboarding

    Welcome aboard! Before Day 1, we'll send everything you need to hit the ground running-including your schedule, location, and the required identification documents to bring with you.

    Bonus Fast-Track Tip

    Applying for EVS, Dietary, or Customer Service roles? You can skip the traditional line and chat with Bridget, our AI recruiting assistant, to find open roles and schedule an eligible interview instantly.

    Apply Now

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    Highmark Health is an independent licensee of the Blue Cross Blue Shield Association.

    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 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.

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

    Highmark Health. All Rights Reserved.

    Numbers & Facts

    LocationPittsburgh, PA (
    Remote
    )
    IndustryHealthcare Services
    Company Size1,000 to 1,499 employees
    Year Founded1996
    Websitehttps://www.highmark.com/hmk2/index.shtml

    About Company

    Highmark provides millions of people with the security of quality health insurance

    Our history of helping families and companies with their health insurance needs dates to the 1930s, when our predecessor companies were established to help Pennsylvania's residents pay for health care.

    Highmark was created in 1996 by the consolidation of two Pennsylvania licensees of the Blue Cross and Blue Shield Association — Pennsylvania Blue Shield (now Highmark Blue Shield) and Blue Cross of Western Pennsylvania (now Highmark Blue Cross Blue Shield). We are now one of the largest health insurers in the United States.

    Highmark's officers and board of directors set the company's strategic direction and corporate policies. They are guided by our mission, vision and values.

    Skills

    • Agile Programming Methodologiesunmatched
    • Analysis Skillsunmatched
    • Background Investigationunmatched
    • Bug Tracking/Defect Managementunmatched
    • Business Administrationunmatched
    • Business Analysisunmatched
    • Business Servicesunmatched
    • Business Solutionsunmatched
    • Change Requests/Ordersunmatched
    • Clinical Medicineunmatched
    • Coachingunmatched
    • Communication Skillsunmatched
    • Computer Securityunmatched
    • Corporate Policiesunmatched
    • Corrective Actionunmatched
    • Cross-Functionalunmatched
    • Customer Support/Serviceunmatched
    • Customer/Client Researchunmatched
    • Data Analysisunmatched
    • Data Collectionunmatched
    • Data Setsunmatched
    • Documentationunmatched
    • English Languageunmatched
    • Federal Laws and Regulationsunmatched
    • Financial Servicesunmatched
    • Fitnessunmatched
    • Flexible Spending Accountsunmatched
    • HIPAA (Health Insurance Portability and Accountability Act)unmatched
    • Health Insuranceunmatched
    • Health Planunmatched
    • Healthcareunmatched
    • Hospitalunmatched
    • Incentive Programsunmatched
    • Information Technology & Information Systemsunmatched
    • Information/Data Security (InfoSec)unmatched
    • Insuranceunmatched
    • Internet Securityunmatched
    • Lean Six Sigmaunmatched
    • Legal Standardsunmatched
    • LinkedInunmatched
    • Medicaidunmatched
    • Mentoringunmatched
    • On Site Supportunmatched
    • Operational Auditunmatched
    • Patient Careunmatched
    • Pharmacyunmatched
    • Prescription Drugsunmatched
    • Process Improvementunmatched
    • Product Lifecycleunmatched
    • Project Management Professional (PMP)unmatched
    • Regulatory Complianceunmatched
    • Reporting Dashboardsunmatched
    • Reporting Skillsunmatched
    • Root Cause Analysisunmatched
    • Salesunmatched
    • Security Policyunmatched
    • State Laws and Regulationsunmatched
    • Strategic Analysisunmatched
    • Test Caseunmatched
    • Test Plan/Scheduleunmatched
    • Test Requirementsunmatched
    • Test Scenariounmatched
    • Trend Analysisunmatched
    • Willing to Travelunmatched
    • Work From Homeunmatched

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