Summary
 

Provide supervision and direction of the statistical reporting function and data analysis to support clinical reporting function.

Description
 

Logistics: Palmetto GBA – one of BlueCross BlueShield's South Carolina subsidiary companies.

Location: W@H anywhere in the US, but preferably candidates live in South Carolina.

Centers for Medicare and Medicaid Services (CMS) Requirements: Certain divisions within BlueCross BlueShield of South Carolina require CMS (Centers for Medicare and Medicaid Services) residency that requires employees to have lived in the US for at least three (3) out of the last five (5) years. This is a business requirement – government contracts, not an HR requirement.

Sponsorship: We are interested in every qualified candidate who is eligible to work in the United States. However, we are not able to sponsor visas for this position

What You’ll Do:

• Monitor adherence to statistical reporting requirements, updates systems as necessary. Sets and maintains general direction/focus of statistical reporting function. Perform analysis and reporting including performing clinical trend analysis. Develop reports through various data reporting tools. Develop data driven solutions to improve outcomes.

• Collaborate with other areas to reduce expense through data analysis, including gathering business requirements, documentation, testing, and delivery of reporting. Serve as internal subject matter expert and point of contact for query/design for clinical analysis. Identify data analysis needs based on customer.

• Supervise staff including directing work, addressing performance, and providing training. Review work and coach subordinates.

• Values: Consistently demonstrates high standards of integrity by supporting the Company's mission and values and adhering to the Corporate Code of Conduct.

• Confidentiality: Maintain high regard for member, customer and/or beneficiary privacy in accordance with the corporate confidentiality, privacy and security policies and procedures.

To Qualify for This Position, You'll Need the Following:

• Required Education: Associate Degree

• Work Experience: 5 years of experience in healthcare data analysis and data retrieval

• Skills and Abilities: Strong written and verbal communication skills; strong analytical, judgment, presentation, critical thinking, organizational and planning skills; working knowledge of statistical concepts, population statistical and analysis methods. Comprehensive understanding of statistical principles and practices. Strong decision-making, reasoning and mathematical skills. Effectively direct and coordinate multiple tasks. Able to effectively manage complex project incorporating participation from key personnel across various areas of the company. Basic knowledge of accounting principles.

• Software and Other Tools: Proven experience with database query/reporting tools, software and other applications, such as Access Databases, DB2, SQL, and Easytrieve. Strong understanding of relational database structures, theories, principles, and practices with exposure to the analysis of relational database software and data retrieval methodologies.

We Prefer That You Have the Following:

• Education: Bachelor's Degree