Senior Health Care Analyst-Health Care Value & Provider Affiliation
Blue Cross Blue Shield of Michigan · Detroit, MI · 2 wk ago
HybridFull-time
About the role
You will plan, organize, direct, implement, and lead department assignments while operating within broad objectives to ensure optimum utilization of staff and budget.
Responsibilities include researching, compiling, and analyzing relevant data to make recommendations for operational improvements, collaborating with enterprise teams to implement projects, and overseeing claims processing to ensure accuracy and adherence to guidelines.
You will lead research, analysis, and evaluation of data to identify trends and issues, manage multiple projects simultaneously, and develop communication lines to present findings and assist management in implementing solutions.
Responsibilities
- Research, compile, and analyze data to recommend operational improvements.
- Collaborate with teams across the enterprise to implement projects.
- Oversee claims processing for accuracy and adherence to guidelines.
- Lead research, analysis, and evaluation of data to identify trends and issues.
- Manage and monitor multiple projects simultaneously, ensuring goal attainment.
- Develop reports, presentations, and materials to communicate findings to management.
- Investigate, recommend, and implement solutions to identify and resolve root causes of issues.
- Address challenges to fulfill corporate objectives and respond to change management demands.
- Provide expertise and guidance to unit and corporate staff as required.
- Act as a liaison between corporate business areas and participate in discussions.
Requirements
- Bachelor’s Degree in Business Administration, Economics, Health Care, Information Systems, Statistics, or a related field (required).
- Master’s Degree in a related field (preferred).
- Six or more years of related experience, typically in two subject areas (e.g., financial analysis, planning, health care economics, policy, statistical modeling, business decisions, or business management).
- Excellent analytical, planning, problem-solving, verbal, and written communication skills.
- Proficiency in software packages such as PowerPoint, Excel, and Word.
- Strong working knowledge of data languages such as SAS or SQL.
- Ability to work independently and within a team environment, communicating effectively with employees at all levels.