Senior Health Care Analyst

SUMMARY 

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. 

Care Delivery Solutions is a dynamic and innovative area within Health Care Value at Blue Cross. The team manages a growing portfolio of cohort-built care delivery solutions and supports risk enablers. Given the nature of our work, the team is seeking candidates who have:

•Experience structuring, manipulating, and analyzing data from internal and external data sources to exchange data with partners, understand performance, and assess data issues

•Confidence liaising with other areas of the business including executives and clinical leadership to coordinate planning and execution of projects 

•Strong organizational skills to balance, track, and prioritize multiple urgent workstreams

•Proven problem-solving ability, resourcefulness, flexibility, and grit

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following.  Other duties may be assigned.

1. Leads in the research, analysis, identification and evaluation of data from assigned problems to evaluate existing and potential trends and issues.
2. 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.
3. Manage and monitor multiple projects simultaneously by establishing project plans and objectives to ensure goal attainment within defined parameters.
4. Develop lines of communication to discuss/review results of analysis to management via reports/presentations and assist management in implementing programs that provide solutions.
5. Investigate, review, recommend, communicate and implement solutions which identify problems/root cause of issues. 
6. 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.
7. Independently develop and plan, reports, papers and/or other materials in a clear and concise manner.
8. Provide expertise and guidance to unit and corporate staff as required.
9. Acts as liaison between corporate business areas and participates in group or committee discussions. 

EDUCATION AND/OR EXPERIENCE 

1. 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.
2. 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).

QUALIFICATIONS 

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  The requirements listed below are representative of the knowledge, skill, and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

OTHER SKILLS AND ABILITIES 

1.   Excellent analytical, planning, problem solving, verbal and written skills to communicate complex 

      ideas.

2.   Excellent knowledge and use of existing software packages (PowerPoint, Excel, Word, etc.).

OTHER SKILLS AND ABILITIES (CONTINUED)

3.   Strong working knowledge of data languages such as SAS or SQL.

4.   Ability to work independently, within a team environment and communicate effectively with 

      employees at all levels.

5.   Other related skills and/or abilities may be required to perform this job.

LANGUAGE SKILLS 

Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.  Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.

MATHEMATICAL SKILLS

Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume.  Ability to apply concepts of basic algebra and geometry.

REASONING ABILITY

Ability to define problems, collect data, establish facts, a