Health Care Analyst

<p><strong>With more than 8,000 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. Interested in joining us?</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.&nbsp; http://www.bcbsm.com

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Full-time

Competitive Total Compensation Package

Overview: <p>Responsible for identification, analysis, and presentation of healthcare claims data to internal and external customer. Based on the analysis of the data, the department provides program and product recommendations to support prospective business decisions. The department will deliver information, knowledge, and decision making analyses to support customer expectations for responsive and solution-oriented analytics to help customers contain their healthcare costs while providing the best quality care for their members. The department presents analytics and trend data to customers in a consultative, solution-focused way. Analysts are assigned to customers for long-term consultative relationships to assist the customers in their decision-making regarding BCBSM programs or products. The department provides annual customer evaluations, quarterly presentations, monthly presentations, and deeper-dive analytics to support decisions.</p>
Responsibilities: <p>Responsible for identification, analysis, and presentation of healthcare claims data to internal and external customers. Provide program and product recommendations based on analysis of data to support prospective business decisions. Coordinate projects for senior management. Research, identify, analyze, and evaluate healthcare data from assigned problems to evaluate existing and potential trends and issues. Recommend, communicate, and implement solutions to identified problems/root cause of issues. Represent and participate in group or committee discussions. Possess and maintain a comprehensive understanding and knowledge of BCBSM business, products, corporate organizational structure (including functional responsibilities), and basic research principles/methodologies. Communicate results of analysis to internal and external customers via reports/presentations and assist customers in implementing programs that provide solutions through standard and custom analytics. Other duties may be assigned.</p>
Requirements: <ul> <li>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.</li> <li>Four (4) or more years of experience in related field required.</li> <li>Strong communication skills are required to understand, interpret, and communicate ideas.</li> <li>Strong knowledge and use of existing software packages (PowerPoint, Excel, Word, etc).</li> <li>Working knowledge of data languages such as SAS or SQL.</li> <li>Strong analytical, organizational, planning and problem solving skills.</li> <li>Ability to effectively interface with employees at all levels.</li> <li>Understand and apply statistical inference.</li> <li>Other related skills and/or abilities may be required to perform this job.</li> </ul> <p><strong><u>Department Requirements:</u></strong></p> <p>Strong communication skills to understand, interpret, and communicate ideas to a variety of internal and external customers and working knowledge of business intelligence tools &ndash; reporting and querying software, online analytical processing, data mining, and data warehousing is highly desired.<br /><br /></p> <p><em>All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability.</em></p>