Health Care Analyst / Provider Outreach

<p><strong>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.</strong></p>

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.<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

keywords: analysis,teamwork,maintain,communication,support,research,knowledge,degree,experience,communication,analysis,quality assurance,department summary/preference

Full-Time

Competitive Total Compensation Package

Overview: <strong>Responsible for identifying, collecting, analyzing, and maintaining data to evaluate issues that support prospective business decisions.&nbsp; Coordinate projects for senior management.</strong>
Responsibilities: <ul> <li> <div><span style="font-family: arial; font-size: small;">Research, analyze, identify, and evaluate data from assigned problems to evaluate existing and potential trends and issues.</span></div> </li> <li> <div><span style="font-family: arial; font-size: small;">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.</span></div> </li> <li> <div><span style="font-family: arial; font-size: small;">Assist in the management and monitoring of multiple projects simultaneously by establishing project plans and objectives to ensure goal attainment within defined parameters.</span></div> </li> <li> <div><span style="font-family: arial; font-size: small;">Communicate results of analysis to management via reports/presentations and assist management in implementing programs that provide solutions.</span></div> </li> <li> <div><span style="font-family: arial; font-size: small;">Recommend, communicate, and implement solutions to identified problems/root cause of issues. Provide expertise and guidance to unit and corporate staff as required.</span></div> </li> <li> <div><span style="font-family: arial; font-size: small;">Represent and participate in group or committee discussions.</span></div> </li> <li> <div><span style="font-family: arial; font-size: small;">Other duties may be assigned.</span></div> </li> </ul>
Requirements: <div id="requisitionDescriptionInterface.ID1510.row1" class="contentlinepanel" title=""> <p><span style="font-size: small;">Department Summary / Preferences:</span></p> <ol> <li> <div><span style="font-size: small;">Experience working in an administrative or clinical capacity as part of a physician organization, organized system of care, accountable care organization, health system or like organization strongly preferred</span></div> </li> <li> <div><span style="font-size: small;">Foundational knowledge of population health management concepts, including Patient Centered Medical Home</span></div> </li> <li> <div><span style="font-size: small;">Ability to effectively interface with external and internal leaders and subject matter experts aligned with quality improvement and analytic support</span></div> </li> <li> <div><span style="font-size: small;">Relationship management experience</span></div> </li> <li> <div><span style="font-size: small;">Strong verbal and written communication skills required to understand, interpret, and communicate ideas.</span></div> </li> <li> <div><span style="font-size: small;">Strong knowledge and use of existing software packages (PowerPoint, Excel, Word, etc).</span></div> </li> <li> <div><span style="font-size: small;">Strong analytical, organizational, planning and problem-solving skills.</span></div> </li> <li> <div><span style="font-size: small;">Understand and apply statistical inference.</span></div> </li> <li> <div><span style="font-size: small;">Ability to travel frequently within Michigan</span></div> </li> </ol> </div> <div id="requisitionDescriptionInterface.ID1566.row1" class="contentlinepanel" title=""> <div id="requisitionDescriptionInterface.ID1582.row1" class="inlinepanel" title=""><span class="subtitle">Qualifications</span></div> <ul> <li><span style="font-size: small;">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.</span></li> <li><span style="font-size: small;">Four (4) or more years of experience in related field required.</span></li> <li><span style="font-size: small;">Strong communication skills are required to understand, interpret, and communicate ideas.</span></li> <li><span style="font-size: small;">Strong knowledge and use of existing software packages (PowerPoint, Excel, Word, etc).</span></li> <li><span style="font-size: small;">Working knowledge of data languages such as SAS or SQL.</span></li> <li><span style="font-size: small;">Strong analytical, organizational, planning and problem solving skills.</span></li> <li><span style="font-size: small;">Ability to effectively interface with employees at all levels.</span></li> <li><span style="font-size: small;">Understand and apply statistical inference.</span></li> <li><span style="font-size: small;">Other related skills and/or abilities may be required to perform this job.</span></li> </ul> </div>