To learn more about Arkansas Blue Cross and Blue Shield Hiring Policies, please click here. Job Summary FEP HEDIS Analyst Responsibilities: Run FEP reporting for CM/CM teams-Including prioritization and filtering. Run FEP HEDIS Reporting for meetings and prioritization. Submission of HEDIS data from internal sources to the BCBSA via traditional SFTP/email/etc. Prepare Power BI reporting for HEDIS Measures Become a liaison between the MA/ACA/FEP HEDIS teams for collaborated ideas Become a liaison between the Health Data Management and FEP HEDIS teams Requirements EDUCATION Bachelor’s degree in Science, Technology, Math, Business, Data Science/Informatics, Actuarial Science, Healthcare Management, or other related field. In lieu of degree, five (5) years' health-related, non-clerical experience with an insurance, managed care, or healthcare technology-related organization will be considered. EXPERIENCE Minimum three (3) years' data analytics experience, which includes data extraction, data manipulation, repository building and data interpretation. OR applicable Masters in related field with minimum one (1) years' data analytics experience. Experience with rational database i.e. SAS, SQL, AQT and MS Windows based query software. Experience with the application of data management and analysis tools including but not limited to MS Access, SAS, R, S+, SQL, or Cognos preferred. ESSENTIAL SKILLS & ABILITIES Process Information Deductive Reasoning Category Flexibility Case-Based Reasoning Problem Solving Report Creation Report Processing Report Presentations Objectives Oriented Strategic Approach Critical Thinking Organizing Prioritization Planning Activities MySQL IBM Cognos Impromptu Mathematical Reasoning Problem Sensitivity Interpersonal Communication Applied Research External Communication Sound Judgment Decision Making Written Expression Written Comprehension Information Collection Analyze Information Skills • Analytical Decision Making • Analytical Problem Solving • Collaborative Communications • Critical Reasoning • Critical Thinking • Cross-Functional Communications • Cross-Functional Planning • Data Analysis • Database Queries • Data Management • Deductive Reasoning • IBM Cognos Impromptu • Information Interpretation • Management Techniques • Mathematical Reasoning • MySQL Database Administration • Object Classification • Problem Sensitivity • Researching • Security Awareness • Sound Judgment • Strategic Planning • Written Communication Responsibilities • Consults with users or decision makers to identify data sources, required data elements, and/or data validation standards. • Integrates data from multiple data sources or functional areas, ensures data accuracy and integrity, and updates data as needed to develop statistics and design methodologies to be used for decision making and new business initiatives. • Interprets data to identify business trends, conduct root cause analysis of business problems, and suggest areas for process improvement. • Manages and uses ad-hoc report requests and findings to develop reporting processes. • Serves on special projects. Certifications Security Requirements This position is identified as level three (3). This position must ensure the security and confidentiality of records and information to prevent substantial harm, embarrassment, inconvenience, or unfairness to any individual on whom information is maintained. The integrity of information must be maintained as outlined in the company Administrative Manual. Segregation of Duties Segregation of duties will be used to ensure that errors or irregularities are prevented or detected on a timely basis by employees in the normal course of business. This position must adhere to the segregation of duties guidelines in the Administrative Manual. Employment Type Regular ADA Requirements 2.1 General Office Worker, Semi-Active, Campus Travel - Someone who normally works in an office setting or remotely, periodically has lifting and carrying requirements up to 40 lbs and routinely travels for work within walking distance of location of primary work assignment as essential functions of the job. Arkansas Blue Cross is consistently ranked as one of the best places to work in Central Arkansas. Why? We Love our Employees At Arkansas Blue Cross, we care about the health, wellness, and education of our employees. We offer many great incentives such as: Tuition reimbursement. Club Blue, a free, onsite gym to encourage exercise. Green Leaf Grill and Green Leaf Grill Express, onsite restaurants in Little Rock that promote healthy eating. Incentives for wellness education and exercise We Love our Culture The average tenure is 10 years with hundreds of employees having been here 15 years or longer. Our inclusive culture brings employees together to connect while celebrating our differences. We Love our Community Our employees often volunteer within their communities, at charity events, walks and runs, schools and nonprofits. When disasters strike, our employees help wherever they are needed. It’s just another way we show that Blue cares.
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Job Type
Full-time
Career Level
Entry Level