Job Overview

Company: Blue Cross Blue Shield of Michigan

Contact: Not Available

Location: US-MI-Detroit

Base Pay: N/A

Employee Type: Full-Time

Industry: Insurance
Healthcare - Health Services

Manages Others: Not Specified

Job Type: Information Technology

Required Education: Not Specified

Required Experience: Not Specified

Required Travel: None

Relocation Covered: Not Specified

 

Job Description

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Summary
Under general supervision, responsible for identifying, collecting, analyzing and maintaining health care data and programs. Coordinate projects for senior management.
 
Essential Duties and Responsibilities

• Research, identify and analyze health care data to evaluate existing and potential trends/issues.
• Assist in the management and monitoring of multiple projects by establishing project plans and objectives to ensure goal attainment within defined parameters.
• Communicate results of analysis and recommendations to management via presentations and written reports.
• Assist management with the implementation of solutions for identified problems/issues.
• Provide knowledge and guidance of health care data to unit and corporate staff as required.
• Participate in group/committee discussions and attend client meetings.
• Participate in ongoing data validation to ensure data integrity and reliability.
• Maintain a strong understanding of requirements determination, data organizational structures, testing approaches, report design and development, relevant health care issues and industry initiatives.
• Maintain a comprehensive understanding of BCBSM business, products, programs (including provider data, networks, etc.), corporate organizational structure, basic research principles/methodologies.
• Other duties may be assigned.

 

Job Requirements

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Education and/or Experience

• Bachelor's Degree in Business Administration, Economics, Health Care, Information Systems, Statistics or other related field is required; Master's degree preferred.
• Four (4) or more years of experience in related field required.
• Strong analytical, data management, planning, problem solving, verbal and written communication skills.
• Strong project management and consultative skills.    
• Ability to interface with employees at all levels including senior leadership.    
• Must be self-motivated and able to work independently within a team environment.
• Proficient in data languages (i.e. SAS, SQL) and industry standard PC applications (i.e. Excel, Access).
• Other related skills and/or abilities may be required to perform this job.
• Applicant needs to be a highly motivated, creative and a critical-thinker who can analyze complex problems and present healthcare solutions to our Stakeholders. 
• Possess a history of providing exceptional customer service along with a demonstrated success applying project management skills and concepts to analytic tasks. 
• Ability to work both independently and in team environments on complex projects and issues with large financial and/or risk impact to the corporation.

 

Preferred Experience

• ETG / ERG / EBM knowledge / experience.
• Healthcare data groupers - DRG/APG/RVU/ETC knowledge / experience.
• Trend analysis experience.
• Cost and utilization analysis experience.
• Plan design evaluation experience.
• Analysis of statistical fluctuation and norms among provider and member health care utilization patterns.