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

keywords: analysis,analysis,research,prepare,knowledge,management,degree,experience


Competitive Compensation and Benefits Package

Overview: Involved 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.
Responsibilities: <ul> <li><span style="font-size: small;">Analyze large volume of health care administrative data using advanced statistics/data mining methods to understand existing and predict future health care spending trends and issues.&nbsp;</span></li> <li><span style="font-size: small;">Proactively discovers potential areas for medical cost improvement and management/healthcare initiative strategies.</span></li> <li><span style="font-size: small;">Responsible for research, analyze and recommend topics within the scope of the internal desk audit, including the specifications.&nbsp;</span></li> <li><span style="font-size: small;">Provide statistical support and consultation to auditors, legal services, CFI, etc. on sampling and projections, and provider aberrancy and use patterns.&nbsp;</span></li> <li><span style="font-size: small;">Prepare presentations and technical reports in a clear and concise manner to communicate findings from epidemiologic studies to management, Michigan providers and other interested parties.&nbsp;</span></li> <li><span style="font-size: small;">Disseminate 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;">Identify potential problems through data information review, analyze and investigation from massive data files.&nbsp;</span></li> <li><span style="font-size: small;">Other duties may be assigned.</span></li> </ul>
Requirements: <ul> <li><span style="font-size: small;">Master's Degree in Statistics, Biostatistics or Health Economics.</span></li> <li><span style="font-size: small;">At least two (2) years experience in statistics, biostatistics or health economics</span></li> <li><span style="font-size: small;">Extensive knowledge of advanced statistical methods used in analyzing health care data and in data mining.</span></li> <li><span style="font-size: small;">Extensive knowledge of health insurance and health care industry in general and specifics 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;">Knowledge of statistical experience for audit sampling and projection with ability to explain statistic findings to non-statistician individuals and to defend the statistics in a legal setting.</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>