The hiring range for this role is:
$92,086.00 - $129,145.00
This is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the hiring range and this hiring range may also be modified in the future. A candidate’s position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs. This job is also eligible for annual bonus incentive pay.
We offer a comprehensive package of benefits including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits to eligible employees.
Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.
This role supports analyses of programs using both clinical and administrative data sources. Organize extracts and analyzes data to perform rigorous analyses and appraisals. Makes recommendations based on analyses. Helps lead and guide the preparation and delivery of effective summaries of information, presentations, reports and communications for various internal and external audiences. Coordinates collaboration with internal and external teams as well as vendors to accomplish project goals. Builds and maintains valuable business relationships in a cross-functional, fast-paced environment.
Primary Job Functions
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Helps lead and guide the overall management and execution of analytic activities on a project-specific basis across all program initiatives. This includes storing, retrieving, validating, and managing clinical and administrative data, maintaining data quality and accuracy, conducting statistical appraisals, performing data analysis and synthesis, and making recommendations based on the analysis. Additionally, the role involves designing and creating reports that include summaries, graphs, slides, diagrams, and summary tables, as well as program maintenance.
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Interacts with BCBSA, Plan staff, and Vendors to collect information and support analytic activities. Collects and analyzes data on health care markets, competitors and health plan performance; contributes to design and completion of project analyses. Summarizes the results of analyses in reports, notes, spreadsheets and charts; contributes to development of presentation slides. Provides data driven recommendations and process improvements.
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Helps lead and guide technology initiatives through, report/dashboard development, data cleaning, data reconciliations and testing.
Education, Experience, and Certification
Education
Required: Bachelors Degree, with emphasis on statistics and analytic methods.
Preferred: Masters Degree, with emphasis on statistics or analytic methods.
Experience
Required: minimum of 4 years business experience in quantitative and qualitative analysis, data collection, synthesis and reporting.
Preferred:
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Experience with performance based quality measures in the evaluation of hospitals, physicians, or other healthcare providers.
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Experience with to claims evaluation (e.g. coding, groupers, claims adjustment).
Knowledge, Skills, and Abilities
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Excellent technical proficiency with office oriented tools (e.g. Microsoft Office), with particular emphasis on Excel and PowerPoint, as well as analytic, query and reporting tools (e.g. R, SAS, SQL, Tableau)
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Ability to work independently to generate, synthesize and analyze data, reports and tables and identify key findings.
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Exposure to performance based quality measures in the evaluation of hospitals, physicians, or other healthcare providers
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Exposure to claims evaluation (e.g. coding, groupers, claims adjustment)
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Excellent verbal and written communication skills, problem solving and organizational abilities.
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Positive communicator with strong relationship skills to interact effectively with internal staff, Plan stakeholders, and external partners, increasing awareness of BCBSA value.
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Advanced problem solving skills.
People Management
No
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What We Do
Blue Cross Blue Shield Association is a national federation of 34 independent, community-based and locally operated Blue Cross and Blue Shield companies that collectively provide health care coverage for one in three Americans. BCBSA provides health care insights through The Health of America Report series and the national BCBS Health Index.
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