Health Care Analyst - Risk Adjustment

Emergent Holdings Career Section

100d • $71,800 - $120,200

About The Position

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

Requirements

• Bachelor’s Degree in Business Administration, Economics, Health Care, Information Systems, Statistics, or other related field is required.
• 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.

Nice To Haves

• Master’s Degree in related field preferred.
• Certification or progress toward certification is highly preferred and encouraged.
• ETL experience is highly preferred.

Responsibilities

• 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.
• Provides technical, data, and software support.
• Leads and participates, with some direction, in data solutions projects.
• Provides design, programming, testing, validation, and data expertise for simple and moderately complex projects and ad hoc requests.
• Presents data and solutions to internal and/or external customers in a logical way.
• Provides documentation, data support, and analysis for usage of departmental sandbox.
• Standardizes, cleans, and shares data.
• Creates and maintains data-centric product solutions, including third party program integrations.
• Supports various reporting activities and continuously strives toward automation.
• Completes ad hoc data and analytic requests as assigned.

Benefits

• Actual compensation decision relies on the consideration of internal equity, candidate's skills and professional experience, geographic location, market, and other potential factors.
• It is not standard practice for an offer to be at or near the top of the range.

What This Job Offers

• Education Level: Bachelor's degree
• Number of Employees: 1,001-5,000 employees