Clinical Reporting Supervisor- CGS Administrators, LLC

CGS AdministratorsNashville, TN
Remote

About The Position

CGS Administrators, LLC (CGS) is part of BCBSSC™'s Celerian Group of companies and provides a variety of services for Medicare beneficiaries, healthcare providers, and medical equipment suppliers in 38 states, supporting the needs of over 8.7 million Medicare beneficiaries and 103,000 healthcare professionals nationwide. The Medical Affairs Team supports non-clinical operations for the Medical Review team, including government inquiries and contract requirements, with leadership over a team of 12 Senior Analysts. This position can be fully remote for the right candidate. Typical office environment. Some travel between office buildings. Provides supervision and direction of the statistical reporting function and data analysis to support clinical reporting function.

Requirements

  • Associate's degree
  • 5 years of experience in healthcare data analysis and data retrieval.
  • Strong written and verbal communication skills; strong analytical, judgment, presentation, critical thinking, organizational and planning skills; working knowledge of statistical concepts, population statistical and analysis methods.
  • Comprehensive understanding of statistical principles and practices.
  • Strong decision-making, reasoning and mathematical skills.
  • Effectively direct and coordinate multiple tasks.
  • Able to effectively manage complex project incorporating participation from key personnel across various areas of the company.
  • Basic knowledge of accounting principles.
  • Proven experience with database query/reporting tools, software and other applications, such as Access Databases, DB2, SQL, and Easytrieve.
  • Strong understanding of relational database structures, theories, principles, and practices with exposure to the analysis of relational database software and data retrieval methodologies.

Responsibilities

  • Monitors adherence to statistical reporting requirements, updates systems as necessary.
  • Sets and maintains general direction/focus of statistical reporting function.
  • Perform analysis and reporting including performing clinical trend analysis.
  • Develop reports through various data reporting tools.
  • Develop data driven solutions to improve outcomes.
  • Collaborate with other areas to reduce expense through data analysis, including gathering business requirements, documentation, testing, and delivery of reporting.
  • Serve as internal subject matter expert and point of contact for query/design for clinical analysis.
  • Identifies data analysis needs based on customer.
  • Supervises staff including directing work, addressing performance, and providing training.
  • Review work and coaches subordinates.
  • Consistently demonstrates high standards of integrity by supporting the Company's mission and values and adhering to the Corporate Code of Conduct.
  • Maintains high regard for member, customer and/or beneficiary privacy in accordance with the corporate confidentiality, privacy and security policies and procedures.

Benefits

  • Subsidized health plans, dental and vision coverage
  • 401K retirement savings plan with company match
  • Life Insurance
  • Paid Time Off (PTO)
  • Nine paid holidays
  • On-site cafeterias and fitness centers in major locations
  • Wellness program and healthy lifestyle premium discount
  • Tuition assistance
  • Service recognition
  • Employee Assistance
  • Discounts to movies, theaters, zoos, theme parks and more
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