Lead Medical Economics Analyst

Blue Cross & Blue Shield of Rhode Island•Providence, RI

7d•$102,300 - $163,700

About The Position

The Lead Medical Economics Analyst independently leads the extraction and analysis of health care data for studies and corporate initiatives. The role leads data-intensive projects, serves as a technical resource to department staff and management, develops analyses and reporting metrics to support decision-making, mentors less experienced staff, and improves automated processes to increase the efficiency and accuracy of work products. The analyst performs complex health care data analysis and translates quantitative findings into practical insights for a range of audiences. The role also designs and maintains databases and reporting capabilities, supports operational improvements, contributes to contract performance-guarantee provisions, and represents the organization at external meetings. BCBSRI offers in-office, hybrid, and remote schedules based on the role. Remote arrangements are limited to approved residence in specified states. The company describes benefits including paid time off, tuition reimbursement, student-loan repayment assistance, health, dental, and vision insurance, mental-health and well-being programs, bonuses, investment plans, and additional paid volunteer time.

Requirements

Bachelor’s degree in Computer Science, Mathematics, Economics, or a related field, or an equivalent combination of education and experience.
Seven to ten years of experience in health data analysis, business analysis, software applications, database design, and technical documentation; health insurance industry experience is preferred.
Successfully pass the Wolfe Spence Programmer Aptitude test.
Knowledge of claims processing and membership processing for all BCBSRI lines of business.
Knowledge of CPT-4 and ICD-9 coding and covered benefits.
Understanding of SAS programming, spreadsheet and database software, and other application development tools.
Knowledge of general mathematical principles.
Working knowledge of Business Objects and Windows.
Understanding of micro and mainframe computer systems.
Strong business acumen and political savvy.
Ability to lead and manage projects.
Ability to collaborate while dealing with complex situations.
Ability to think creatively and drive innovation.
Ability to motivate, lead, and inspire a diverse group toward a common goal or solution involving multiple stakeholders.
Ability to convert business strategy into action-oriented objectives and measurable results.
Strong negotiating, influencing, and consensus-building skills.
Ability to mentor, coach, and guide others.

Nice To Haves

Knowledge of applied statistics.
Knowledge of econometric modeling.
Knowledge of marketing analytic principles and modeling.
Experience utilizing competitive intelligence.

Responsibilities

Initiate and lead data-intensive projects, interpreting data, trends, and other sources to translate quantitative findings into practical insights.
Prepare project results and recommendations for varied audiences through written reports and presentation exhibits or graphics.
Perform complex analytical work on health care data and use data to provide customer and prospect insights that support growth in market segments.
Conduct special data extraction and analysis studies, summarize results, and provide recommendations where appropriate.
Design, implement, and maintain assigned databases; develop reporting capabilities and ensure adequate data quality and documentation.
Identify opportunities to improve operational efficiency through automation and collaborate with technical staff to implement enhancements.
Communicate necessary changes and enhancements to internal and external customers.
Represent the organization at external meetings.
Provide recommendations and input on new contract provisions for performance guarantees.
Respond to Requests for Implementation from marketing staff and perform special studies as needed.
Train and mentor less experienced staff.
Perform other duties as assigned.