Senior 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="" 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="" 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="" target="_blank" rel="noopener noreferrer">Click Here</a>. Learn more about your options as an external candidate. <a href="" target="_blank" title="BCBSM" rel="noopener noreferrer">Click here</a> to view open positions.

keywords: position summary,analysis,claims,performance,teamwork,leadership,departmental summary / preferences,degree,skills,experience,knowledge,professional


Competitive Total Compensation Package

Overview: Responsible for researching, planning, organizing, directing, implementing, and management of corporate programs and initiatives dedicated to enhancing health care value. Position operates within broad objectives to ensure optimum utilization of manpower and budget. Specialize in research, planning, development, implementation and leadership.
Responsibilities: <ul> <li>Utilize data analytics and extensive business knowledge to manage the research, analysis, identification, and evaluation of data from identified problems to evaluate existing and potential trends, competition, and issues.&nbsp;</li> <li>Possess and maintain in-depth knowledge of BCBSM business, products, programs (including claims, reimbursement, benefits, provider and program data, networks, etc.), corporate organizational structure (including functional responsibilities), and complex research principles/methodologies.&nbsp;</li> <li>Lead and monitor multidisciplinary corporate programs/projects simultaneously by managing the establishment of project plans and objectives to ensure goal attainment within defined parameters. Develop solutions to complex issues and present recommendations to senior management as well as employees at various corporate levels.&nbsp;</li> <li>Act as a Health Care Consultant by developing strategies and programs to reduce health care benefit costs and improve quality of care.&nbsp;</li> <li>Collaborate with appropriate business areas to implement proposed solutions and manage programs to evaluate effectiveness and results<em>.</em>&nbsp;</li> <li>Ensure programs and initiatives encompass the broad corporate scope and present significant variables.&nbsp;</li> <li>Anticipate, identify, and resolve challenges in order to fulfill key corporate objectives and respond to the demand of change management and initiate actions needed to plan, organize and control team activities.&nbsp;</li> <li>Independently develop and plan, reports, papers, and/or other materials.&nbsp;</li> <li>May have direct supervisory responsibility which includes performance reviews.&nbsp;</li> <li>Other duties may be assigned.</li> </ul> <p>Departmental Summary / Preferences:</p> Lead an analytics team dedicated to uncovering 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 the market landscape, and ongoing initiatives driven by BCBSM. This will include &ndash;&nbsp;<br /> <ul> <li>Performing root cause analysis to identify trend drivers</li> <li>Collaborating with senior HCV, clinical, and business unit leaders seeking to address affordability and other strategic objectives</li> <li>Identifying and quantifying opportunities to address cost drivers</li> </ul> <p>Strong structured and analytical problem-solving skills will be critical. Must be able to provide analytics leadership to the team. Experience working with health care claims data would be a plus. &nbsp;Should be able to adapt quickly to our data infrastructure through a strong working knowledge of SQL or SAS; experience with python a plus.</p>
Requirements: <ul> <li>Bachelor's Degree in Business Administration, Economics, Health Care, Information Systems, Statistics, or other related field is required. Master's Degree in related field preferred.</li> <li>Six (6) or more years experience in related experience, typically in two (2) subject areas (e.g. financial analysis, planning, health care economics, health care policy, statistical modeling, business decisions, analysis, or business management).</li> <li>Excellent analytical, planning, problem-solving, verbal, and written skills to communicate complex ideas.</li> <li>Excellent knowledge and use of existing software packages (PowerPoint, Excel, Word, etc.).</li> <li>Ability to work independently, within a team environment, and communicate effectively with employees at all levels.</li> <li>Other related skills and/or abilities may be required to perform this job.</li> </ul>