Senior Health Care Analyst-Health Care Value & Provider Affiliation

Description

Responsible for planning organizing directing implementation and leading department assignments. Position operates within broad objectives to ensure optimum utilization of manpower and budget. Research compile and analyze appropriate and relevant data and make recommendations for operational improvements. Collaborate with teams across the enterprise to implement projects. Oversee claims processing to ensure accuracy while adhering to established guidelines.

• Leads in the research analysis identification and evaluation of data from assigned problems to evaluate existing and potential trends and issues.
• Possess and maintain an extensive comprehensive knowledge of BCBSM business products programs (including provider data networks etc.) corporate organizational structure (including functional responsibilities) and basic research principles/methodologies.
• Manage and monitor multiple projects simultaneously by establishing project plans and objectives to ensure goal attainment within defined parameters.
• Develop lines of communication to discuss/review results of analysis to management via reports/presentations and assist management in implementing programs that provide solutions.
• Investigate review recommend communicate and implement solutions which identify problems/root cause of issues.
• 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.
• Independently develop and plan reports papers and/or other materials in a clear and concise manner.
• Provide expertise and guidance to unit and corporate staff as required.
• Acts as liaison between corporate business areas and participates in group or committee discussions.

Qualifications

• Bachelors Degree in Business Administration Economics Health Care Information Systems Statistics or other related field is required. Masters Degree in related field preferred.
• 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).
• Excellent analytical planning problem solving verbal and written skills to communicate complex ideas.
• Excellent knowledge and use of existing software packages (PowerPoint Excel Word etc.).
• Strong working knowledge of data languages such as SAS or SQL.
• Ability to work independently within a team environment and communicate effectively with employees at all levels.
• Other related skills and/or abilities may be required to perform this job.

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.

Required Experience:

Senior IC