Health Care Analyst - Analytics & Insights

With more than 7,000 employees, we are the largest health insurance company in Michigan. We offer an exciting work environment with a diverse group of employees. Our goal is to make health insurance easier for our members. We want to transform the industry and become a resource that people can trust.

Detroit, MI

Blue Cross Blue Shield of Michigan

When you think of <a href="https://www.bcbsm.com/" target="_blank" rel="noopener noreferrer">Blue Cross Blue Shield of Michigan</a> for health insurance, you can know you&rsquo;re getting much more. We're a company founded on a tradition of affordable, quality health care for everyone, improving the present and investing in the future.&nbsp;<br /><br />We offer:<br />Plans for employers and individuals that meet today&rsquo;s needs, budgets and lifestyle<br />The largest network of doctors and hospitals in the state<br />Lower health care costs Higher quality health care<br />Award-winning diversity practices<br />Grants and programs that promote better health throughout Michigan<br /><strong><br />Mission:&nbsp;</strong>We commit to being our members&rsquo; trusted partner by providing affordable, innovative products that improve their care and health.<br /><br /><a href="http://www.bcbsm.com/index/about-us/our-company.html" target="_blank" rel="noopener noreferrer"><strong>Click here</strong></a> to learn more about our commitment to our Social Mission, view company updates and reviews, and view our awards &amp; accolades.<br /><br />For Application Timeline &amp; Selection Process:&nbsp;<a href="https://s3.amazonaws.com/data.vizirecruiter.com/Images/BCBSMCareers+-+Quick+Reference+Guide.pdf" target="_blank" rel="noopener noreferrer">Click Here</a>. Learn more about your options as an external candidate. <a href="https://ejko.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_3/requisitions" target="_blank" title="BCBSM" rel="noopener noreferrer">Click here</a> to view open positions. http://www.bcbsm.com

keywords: summary,strategy,medical,teamwork,organization,communication,department summary,knowledge,degree,skills,experience

Full-Time

Competitive Total Compensation Package

Overview: Responsible for identifying, collecting, analyzing, and maintaining data to evaluate issues that support prospective business decisions. Coordinate projects for senior management.
Responsibilities: <ul> <li>Research, analyze, identify, and evaluate data from assigned problems to evaluate existing and potential trends and issues.</li> <li>Possess and maintain a comprehensive understanding and knowledge of BCBSM business, products, programs (including provider data, networks, etc.), corporate organizational structure (including functional responsibilities), and basic research principles/methodologies.</li> <li>Assist in the management and monitoring of multiple projects simultaneously by establishing project plans and objectives to ensure goal attainment within defined parameters.</li> <li>Communicate results of analysis to management via reports/presentations and assist management in implementing programs that provide solutions.</li> <li>Recommend, communicate, and implement solutions to identified problems/root causes of issues.</li> <li>Provide expertise and guidance to unit and corporate staff as required.</li> <li>Represent and participate in group or committee discussions.</li> </ul> <p>Department Summary / Preferences:</p> Uncover opportunities to improve the affordability of healthcare by performing strategic and exploratory analytics. Understand drivers of increasing medical costs based on analysis of claims data, awareness of market landscape and trends, and ongoing programs and initiatives driven by BCBSM. <br /><br />This will include &ndash;&nbsp;<br /> <ul> <li>Performing root cause analysis to identify trend drivers</li> <li>Collaborating with HCV leaders seeking to address affordability and other strategic objectives</li> <li>Identifying and quantifying opportunities to address cost drivers by, in alignment with BCBSM&rsquo;s broader strategies, reducing unwarranted variation, increasing performance relative to industry benchmarks, and/or delivering new innovations</li> </ul> <p>Strong structured and analytical problem-solving skills will be critical. Experience working with health care claims data would be a plus. Should be able to adapt quickly to our data infrastructure through strong working knowledge of SQL or SAS; experience with python a plus.&nbsp;</p>
Requirements: <ul> <li>Bachelor's Degree in Business Administration, Economics, Health Care, Information Systems, Statistics or other related field is required.&nbsp; Master's Degree in related field preferred.</li> <li>Four (4) or more years of experience in related field required.</li> <li>Strong communication skills are required to understand, interpret, and communicate ideas.</li> <li>Strong knowledge and use of existing software packages (PowerPoint, Excel, Word, etc).</li> <li>Working knowledge of data languages such as SAS or SQL.</li> <li>Strong analytical, organizational, planning and problem solving skills.</li> <li>Ability to effectively interface with employees at all levels.</li> <li>Understand and apply statistical inference.</li> <li>Other related skills and/or abilities may be required to perform this job.</li> </ul> <div id="gtx-trans" style="position: absolute; left: -317px; top: 26.7639px;">&nbsp;</div>