Expert Analyst - Stars

Blue Cross Blue Shield of MichiganDetroit, MI

About The Position

The Expert Analyst is responsible for identifying, collecting, analyzing, and maintaining data to evaluate issues that support prospective business decisions. This role also coordinates projects for senior management. Develops documentation, reports and presentations for all levels within the organization including executive leadership. Demonstrates ownership of assigned analyses from data pull through validation, summary of findings, and final deliverable. Summarizes analytical findings clearly, including approach, key observations, conclusions, and business implications. Performs data validation and quality checks to ensure accuracy, completeness, and consistency of reporting outputs. Responsible for trend analysis, report development, ad-hoc analysis and support. Develop and present complex analytics concisely for consumption by upper management and Executive leadership. Conduct healthcare analytics to evaluate quality performance, member outcomes, utilization trends, and program effectiveness. Ability to manage multiple projects simultaneously by establishing project plans and objectives to ensure goal attainment within defined parameters. Compile data from a variety of sources and conduct analytics using software including Excel, Oracle (SQL) and SAS to support business decisions.

Requirements

  • Five (5) years of experience in a 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.).
  • Strong 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.
  • Administer and adhere to corporate and departmental policies, practices and procedures.

Nice To Haves

  • Knowledge and experience with Medicare Advantage Stars and/or HEDIS data is a plus.
  • Master’s Degree in Public Health, Epidemiology or other related field preferred.
  • Continuous learning, as defined by the Company’s learning philosophy, is required. Certification or progress toward certification is highly preferred and encouraged.

Responsibilities

  • Identifying, collecting, analyzing, and maintaining data to evaluate issues that support prospective business decisions.
  • Coordinating projects for senior management.
  • Developing documentation, reports and presentations for all levels within the organization including executive leadership.
  • Demonstrating ownership of assigned analyses from data pull through validation, summary of findings, and final deliverable.
  • Summarizing analytical findings clearly, including approach, key observations, conclusions, and business implications.
  • Performing data validation and quality checks to ensure accuracy, completeness, and consistency of reporting outputs.
  • Trend analysis, report development, ad-hoc analysis and support.
  • Developing and presenting complex analytics concisely for consumption by upper management and Executive leadership.
  • Conducting healthcare analytics to evaluate quality performance, member outcomes, utilization trends, and program effectiveness.
  • Managing multiple projects simultaneously by establishing project plans and objectives to ensure goal attainment within defined parameters.
  • Compiling data from a variety of sources and conducting analytics using software including Excel, Oracle (SQL) and SAS to support business decisions.
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