Run FEP reporting for CM/CM teams-Including prioritization and filtering. Run FEP HEDIS Reporting for meetings and prioritization. Submission of HEDIS data from internal sources to the BCBSA via traditional SFTP/email/etc.
Prepare Power BI reporting for HEDIS Measures
Become a liaison between the MA/ACA/FEP HEDIS teams for collaborated ideas
Become a liaison between the Health Data Management and FEP HEDIS teamsRequirements
EDUCATION
Bachelor’s degree in Science, Technology, Math, Business, Data Science/Informatics, Actuarial Science, Healthcare Management, or other related field. In lieu of degree, five (5) years' health-related, non-clerical experience with an insurance, managed care, or healthcare technology-related organization will be considered.
EXPERIENCE
Minimum three (3) years' data analytics experience, which includes data extraction, data manipulation, repository building and data interpretation. OR applicable Masters in related field with minimum one (1) years' data analytics experience.
Experience with rational database i.e. SAS, SQL, AQT and MS Windows based query software.
Experience with the application of data management and analysis tools including but not limited to MS Access, SAS, R, S+, SQL, or Cognos preferred.
ESSENTIAL SKILLS & ABILITIES
Process Information
Deductive Reasoning
Category Flexibility
Case-Based Reasoning
Problem Solving
Report Creation
Report Processing
Report Presentations
Objectives Oriented
Strategic Approach
Critical Thinking
Organizing
Prioritization
Planning Activities
MySQL
IBM Cognos Impromptu
Mathematical Reasoning
Problem Sensitivity
Interpersonal Communication
Applied Research
External Communication
Sound Judgment
Decision Making
Written Expression
Written Comprehension
Information Collection
Analyze Information
Skills• Analytical Decision Making • Analytical Problem Solving • Collaborative Communications • Critical Reasoning • Critical Thinking • Cross-Functional Communications • Cross-Functional Planning • Data Analysis • Database Queries • Data Management • Deductive Reasoning • IBM Cognos Impromptu • Information Interpretation • Management Techniques • Mathematical Reasoning • MySQL Database Administration • Object Classification • Problem Sensitivity • Researching • Security Awareness • Sound Judgment • Strategic Planning • Written CommunicationResponsibilities• Consults with users or decision makers to identify data sources, required data elements, and/or data validation standards. • Integrates data from multiple data sources or functional areas, ensures data accuracy and integrity, and updates data as needed to develop statistics and design methodologies to be used for decision making and new business initiatives. • Interprets data to identify business trends, conduct root cause analysis of business problems, and suggest areas for process improvement. • Manages and uses ad-hoc report requests and findings to develop reporting processes. • Serves on special projects.CertificationsSecurity RequirementsThis position is identified as level three (3). This position must ensure the security and confidentiality of records and information to prevent substantial harm, embarrassment, inconvenience, or unfairness to any individual on whom information is maintained. The integrity of information must be maintained as outlined in the company Administrative Manual.
Segregation of DutiesSegregation of duties will be used to ensure that errors or irregularities are prevented or detected on a timely basis by employees in the normal course of business. This position must adhere to the segregation of duties guidelines in the Administrative Manual.
Employment TypeRegularADA Requirements
2.1 General Office Worker, Semi-Active, Campus Travel - Someone who normally works in an office setting or remotely, periodically has lifting and carrying requirements up to 40 lbs and routinely travels for work within walking distance of location of primary work assignment as essential functions of the job.
Top Skills
What We Do
Arkansas Blue Cross and Blue Shield provides reliable insurance plans to Arkansans while being a valuable community partner. We live here, work here and raise our families here – we are dedicated to Arkansas and to you. We work hard to improve the health, financial security and peace of mind to the members and communities we serve. Arkansas Blue Cross and Blue Shield is an Independent Licensee of the Blue Cross and Blue Shield Association.
