Senior Bio-Statistician

<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="" 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.&nbsp;

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Competitive Total Compensation Package

Overview: <p><strong>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.</strong></p>
Responsibilities: <ul> <li>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;</li> <li>Monitor/mentor multiple projects simultaneously by ensuring appropriate statistic methods are adopted.&nbsp;</li> <li>Drive the continuous method improvement in department analytic work.&nbsp;</li> <li>Proactively discovers potential areas for medical cost improvement and management/healthcare initiative strategies.</li> <li>Identify and resolve challenges in order to fulfill key corporate objectives and respond to the demand of change management and initiate actions needed to plan, organize and control team activities.&nbsp;</li> <li>Provide statistical support and consultation to auditors, legal services, CFI, etc. on sampling and projections, and provider aberrancy and use patterns.&nbsp;</li> <li>Provide statistical expertise and guidance to unit and corporate staff as required.&nbsp;</li> <li>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;</li> <li>Disseminate research results through presentations to scientific and professional groups and through publications in scientific and professional journals.&nbsp;</li> <li>Identify potential problems through data information review, analyze and investigation from massive data files.&nbsp; Other duties may be assigned.&nbsp;</li> </ul>
Requirements: <p><strong>Department Preferences:</strong></p> <ul> <li>Education as above, or PhD in same fields</li> <li>Payer experience: PhD + 2 years as statistician/analyst working with medical claims/payer; with MS, 5+ years</li> <li>Required skills: Propensity score methods, predictive modeling, logistic regression, observational data analysis, longitudinal data analysis, program evaluation</li> <li>Required programming languages: SAS, SQL</li> <li>Desired programming languages: R</li> <li>Desired skills: Neural networks, extreme value modeling, cluster analysis, CART</li> </ul> <h2>Qualifications</h2> <ul> <li>Master's Degree in Statistics, Biostatistics or Health Economics. Doctoral degree in related fields preferred.</li> <li>Three (3) years experience in statistics, biostatistics or health economics</li> <li>Extensive knowledge of advanced statistical methods used in analyzing health care data and in data mining.</li> <li>Extensive knowledge of health insurance and health care industry in general and specifics about BCBSM business, products and programs.</li> <li>Must possess a working knowledge and understanding of how physicians and other providers practice can vary.</li> <li>Ability to write reports for internal and external customers.</li> <li>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.</li> <li>Ability to function independently, manage multiple tasks and work effectively under minimal supervision.</li> <li>Working knowledge of PC and mainframe applications and computer systems.</li> <li>Ability to present and defend work findings and decisions under the stress of conflict and challenges while maintaining</li> </ul>