Health Care Analyst

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.

Grand Rapids, US-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: management,teamwork,maintain,consulting,communication,support,research,knowledge,license,department preferences,quality assurance,department requirements,communication,analysis,travel

Full-Time

Competitive Total Compensation Package

Overview: <strong><span style="font-family: Arial;">Blue Cross Blue Shield of Michigan is seeking a Health Care Analyst who is responsible for working with&nbsp;our&nbsp;Provider networks in identifying areas of opportunity such as referrals and prescriptions, enabling Providers with new tools to manage their patients, and collecting, analyzing, and maintaining data to evaluate issues that support prospective business decisions.&nbsp; This position also coordinates projects for senior management.</span></strong>
Responsibilities: <ul> <li> <div><span style="font-family: Arial;"><span style="font-family: Arial; font-size: medium;">Research, analyze, identify, and evaluate data from assigned problems to evaluate existing and potential trends and issues.</span></span></div> </li> <li> <div><span style="font-family: Arial;"><span style="font-family: Arial; font-size: medium;"><span style="font-size: medium;">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></span></span></div> </li> <li> <div><span style="font-family: Arial;"><span style="font-family: Arial; font-size: medium;"><span style="font-size: medium;">Assist in the management and monitoring of multiple projects simultaneously by establishing project plans and objectives to ensure goal attainment within defined parameters.</span></span></span></div> </li> <li> <div><span style="font-family: Arial;"><span style="font-family: Arial; font-size: medium;"><span style="font-size: medium;">Communicate results of analysis to management via reports/presentations and assist management in implementing programs that provide solutions.</span></span></span></div> </li> <li> <div><span style="font-family: Arial;"><span style="font-family: Arial; font-size: medium;"><span style="font-size: medium;">Recommend, communicate, and implement solutions to identified problems/root cause of issues.</span></span></span></div> </li> <li> <div><span style="font-family: Arial;"><span style="font-family: Arial; font-size: medium;"><span style="font-size: medium;">Provide expertise and guidance to unit and corporate staff as required.</span></span></span></div> </li> <li> <div><span style="font-family: Arial;"><span style="font-family: Arial; font-size: medium;"><span style="font-size: medium;">Represent and participate in group or committee discussions.&nbsp;</span></span></span></div> </li> <li> <div><span style="font-family: Arial;"><span style="font-family: Arial; font-size: medium;"><span style="font-size: medium;">Other duties may be assigned.</span></span></span></div> </li> </ul>
Requirements: <p><span style="font-family: Arial;"><span style="font-family: Arial; font-size: medium;"><strong>DEPARTMENT REQUIREMENTS:</strong></span></span></p> <ul> <li> <div><span style="font-family: Arial;"><span style="font-family: Arial; font-size: medium;"><strong>Minimum of two (2) years health care related analytical experience.</strong></span></span></div> </li> <li> <div><span style="font-family: Arial;"><span style="font-family: Arial; font-size: medium;"><strong>Ability to understand and apply statistical inference.</strong></span></span></div> </li> <li> <div><span style="font-family: Arial;"><span style="font-family: Arial; font-size: medium;"><strong>Foundational knowledge of population health management concepts.</strong></span></span></div> </li> <li> <div><span style="font-family: Arial;"><span style="font-family: Arial; font-size: medium;"><strong>Ability to effectively interface with external and internal leaders and subject matter experts aligned with quality improvement and analytical support.</strong></span></span></div> </li> <li> <div><span style="font-family: Arial;"><span style="font-family: Arial; font-size: medium;"><strong>Strong verbal and written communication skills required to understand, interpret and communicate ideas.</strong></span></span></div> </li> <li> <div><span style="font-family: Arial;"><span style="font-family: Arial; font-size: medium;"><strong>Robust analytical, organizational, planning and problem-solving skills.</strong></span></span></div> </li> <li> <div><span style="font-family: Arial;"><span style="font-family: Arial; font-size: medium;"><strong>Ability to travel within Michigan.&nbsp; Must have valid, non-restricted driver license.</strong></span></span></div> </li> </ul> <p><span style="font-family: Arial;"><span style="font-family: Arial; font-size: medium;"><strong>DEPARTMENT PREFERENCES:</strong></span></span></p> <ul> <li> <div><span style="font-family: Arial;"><span style="font-family: Arial; font-size: medium;"><strong>Experience working with payors (insurance and third party payors).</strong></span></span></div> </li> <li> <div><span style="font-family: Arial;"><span style="font-family: Arial; font-size: medium;"><strong>Working knowledge of data languages in programs such as SAS, SQL and/or Access.</strong></span></span></div> </li> </ul>