Health Care Analyst-Epi/Biostat

Responsible for identifying, collecting, analyzing, and maintaining data to evaluate issues that support prospective business decisions.  Coordinate projects for senior management.

• Research, analyze, identify, and evaluate data from assigned problems to evaluate existing and potential trends and issues.
• Possess and maintain a comprehensive understanding and knowledge of BCBSM business, products, programs (including provider data, networks, etc.), corporate organizational structure (including functional responsibilities), and basic research principles/methodologies.
• Assist in the management and monitoring of multiple projects simultaneously by establishing project plans and objectives to ensure goal attainment within defined parameters.
• Communicate results of analysis to management via reports/presentations and assist management in implementing programs that provide solutions.
• Recommend, communicate, and implement solutions to identified problems/root cause of issues.
• Provide expertise and guidance to unit and corporate staff as required.
• Represent and participate in group or committee discussions.

• 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.
• Four (4) or more years of experience in related field required.
• Strong communication skills are required to understand, interpret, and communicate ideas.
• Strong knowledge and use of existing software packages (PowerPoint, Excel, Word, etc).
• Working knowledge of data languages such as SAS or SQL.
• Strong analytical, organizational, planning and problem solving skills.
• Ability to effectively interface with employees at all levels.
• Understand and apply statistical inference.
• Other related skills and/or abilities may be required to perform this job.

Department Information

The department supports measurement and evaluation of Care Management program performance and provides insightful data and analysis to solve problems. Evaluation of program effectiveness is measured in terms of health outcomes, program processes, and financial savings. To perform analyses, data is integrated from a variety of sources such as claims, program activity, laboratory, biometric, and external sources.

• Master’s Degree in Biostatistics, Statistics, or Epidemiology
• Ability to effectively interface with employees at all levels.

To be successful in this position someone must have a strong Epidemiology/ Biostatistics background and experience with tools such as SQL, Python, and R. 
The main responsibilities for this position are to:  

•    Monitoring and enhancing Care Management outcomes reporting
•    Monitoring customer performance guarantees
•    Production of Care Management reports in support of NCQA accreditation 
•    Support Blue Cross Coordinated Care evaluations of program performance
•    Support the development of Care Management customer reports, act as a liaison between IT and        business to communicate requirements, support adhoc questions, and troubleshoot production defects for IT production support
•    Support adhoc analyses
•    Developing and documenting training materials

All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability.