Senior Health Care Analyst - URMBT Analytics

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.

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Competitive Compensation and Benefits Package

Overview: Create reports and fulfill ad hoc requests for distribution to our group customer using whYzen.&nbsp; Provide data reporting and analytic support to the Customer Consulting, Reporting and Analytics team and to others within Clinical Management, Strategy &amp; Innovation.&nbsp; Partner with internal Consultant to work on fulfilling reporting needs for large employer group.&nbsp;
Responsibilities: <ul> <li> <div><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></div> </li> <li> <div><span style="font-size: small;">Ability to think strategically and ask, &ldquo;why is this trend occurring&rdquo; and &ldquo;what&rsquo;s next&rdquo; based on data findings.</span></div> </li> <li> <div><span style="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-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-size: small;">Prepare presentations and technical reports in a clear and concise manner for internal and external stakeholders.&nbsp;</span></div> </li> <li> <div><span style="font-size: small;">Ability to communicate results of the analysis to management via reports/presentations and assist management in implementing programs that provide solutions.</span></div> </li> <li> <div><span style="font-size: small;">Investigate, review, recommend, communicate and implement solutions which identify problems/root cause of issues.</span></div> </li> <li> <div><span style="font-size: small;">Identify and resolve challenges in order to fulfill key corporate objectives and respond to the demand for change management and initiate actions needed to plan, organize and control team activities.</span></div> </li> <li> <div><span style="font-size: small;">Independently develop and plan, reports, papers and/or other materials in a clear and concise manner.</span></div> </li> <li> <div><span style="font-size: small;">Provide expertise and guidance to the unit and corporate staff as required.</span></div> </li> <li> <div><span style="font-size: small;">Acts as liaison between corporate business areas and participates in group or committee discussions.&nbsp;</span></div> </li> <li> <div><span style="font-size: small;">Other duties may be assigned.<span style="font-family: Arial; font-size: medium;">&nbsp;</span></span></div> </li> </ul>
Requirements: <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.&nbsp; Master's Degree in related field preferred.</span></li> <li><span style="font-size: small;">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).</span></li> <li><span style="font-size: small;">Excellent analytical, planning, problem solving, verbal and written skills to communicate complex ideas.</span></li> <li><span style="font-size: small;">Excellent knowledge and use of existing software packages (PowerPoint, Excel, Word, etc.).</span></li> <li><span style="font-size: small;">Strong working knowledge of data languages such as SAS or SQL.</span></li> <li><span style="font-size: small;">Ability to work independently, within a team environment and communicate effectively with employees at all levels.&nbsp; Ability to work effectively under minimal supervision.&nbsp;</span></li> <li><span style="font-size: small;">Extensive knowledge of advanced statistical methods used in analyzing health care data and data mining.</span></li> <li><span style="font-size: small;">Strong working knowledge of UM/CM concepts</span></li> <li><span style="font-size: small;">Strong working knowledge of SDOH and Population Health strategy</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;">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>