<p>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.</p>

Southfield, 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.<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 />Learn more about your options as an external candidate. <a href="https://bcbsm.taleo.net/careersection/2/jobsearch.ftl?lang=en" target="_blank" rel="noopener noreferrer">Click here</a> to view open positions. http://www.bcbsm.com

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Competitive Total Compensation Package

Overview: <p><span style="font-size: small;">Department Summary / Preferences:</span></p> <div id="textContent" class="readOnlyFrame"><span style="font-size: small;">Independently leads HEDIS projects by performing rate reviews of Monthly and Annual HEDIS, reporting and analysis related to HEDIS STARS, competitor analyses, significance testing, program evaluations and other analysis using HEDIS data. Partners with HCV and HPB to help support and drive processes to improve HEDIS rates. Provides leadership that yield quantitative collaborations to enhance health care value. Monitors existing programs, and leverages evidence based analyses to guide decision making across various health insurance products. Supports strategic discussions with BCN Leadership and leadership across HCV and BCBSM. Interprets and presents results to a variety of quantitative and non-quantitative audiences.</span></div> <div class="readOnlyFrame">&nbsp;</div> <div class="readOnlyFrame"><span style="font-size: small;">HEDIS experience is highly preferred.</span></div>
Responsibilities: <div><span style="font-size: small;"><strong>nvolved in advanced analytics in support of conceptualization, design and evaluation of BCBSM clinical programs, such as the largest Patient-Centered-Medical Home initiative in the nation and numerous pay-for-performance initiatives.</strong></span></div> <ul> <li><span style="font-size: small;">Design and implement epidemiologic studies to understand disease burden in BCBSM insured population and health care services being utilized for disease diagnosis and treatment.&nbsp;</span></li> <li><span style="font-size: small;">Identify opportunities for clinical programs.&nbsp;</span></li> <li><span style="font-size: small;">Assist in the planning and implementation of clinical programs to prevent and control diseases and to improve quality and efficiency of care delivered to BCBSM insured population.&nbsp;</span></li> <li><span style="font-size: small;">Design and implement epidemiologic studies to evaluate the effectiveness of clinical programs.&nbsp;</span></li> <li><span style="font-size: small;">Prepare presentations and technical reports in a clear and concise manner to communicate finding from epidemiologic studies to management, providers and other interested parties.&nbsp;</span></li> <li><span style="font-size: small;">D</span><span style="font-size: small;">isseminate research results through presentations to scientific and professional groups and through publications in scientific and professional journals.&nbsp;</span></li> <li><span style="font-size: small;">Provides consultation to Michigan providers, physician organization and other interested groups.&nbsp;</span></li> <li><span style="font-size: small;">Other duties may be assigned.&nbsp;</span></li> </ul>
Requirements: <div id="requisitionDescriptionInterface.ID1574.row1" class="inlinepanel" title=""><span class="subtitle">Qualifications</span></div> <ul> <li><span style="font-size: small;">Master's Degree in Public Health, Epidemiology, Health Administration or other related field</span></li> <li><span style="font-size: small;">At least two (2) years experience in Epidemiology or related field</span></li> <li><span style="font-size: small;">Knowledge of complex epidemiologic and surveillance methods</span></li> <li><span style="font-size: small;">Knowledge of current concepts of population health manage, program evaluation and needs assessment</span></li> <li><span style="font-size: small;">Knowledge of health insurance and health care industry in general, more specific about BCBSM business, products and programs.</span></li> <li><span style="font-size: small;">Must possess a working knowledge and understanding of how physicians and other providers practice can vary.</span></li> <li><span style="font-size: small;">Ability to write reports for internal and external customers.</span></li> <li><span style="font-size: small;">Ability to function independently, manage multiple tasks and work effectively under minimal supervision.</span></li> <li><span style="font-size: small;">Working knowledge of PC and mainframe applications and computer systems.</span></li> <li><span style="font-size: small;">Ability to present and defend work findings and decisions under the stress of conflict and challenges while maintaining a professional image.</span></li> <li><span style="font-size: small;">Strong analytical, organizational, verbal and written communication skills.</span></li> <li><span style="font-size: small;">Strong working knowledge of data languages such as SAS or SQL.</span></li> </ul>