Manager, Stars Data & Analytic

Blue Cross Blue Shield of Michigan•Detroit, MI

10d•$92,200 - $154,500

About The Position

SUMMARY: The Manager, HEDIS Data & Analytics will oversee activities in support of HEDIS data management including HEDIS rate generation, oversight of the HEDIS vendor, collaboration with IT teams, and HEDIS audit support. This position is responsible to plan, organize, direct, control, and lead the assigned business unit. ESSENTIAL DUTIES AND RESPONSIBILITIES: Manages activities of a department including, but not limited to, planning, problem solving, staff development, and communication. Executes function/area objectives that support continuous improvement. Manages professional, exempt, and non-exempt non-bargaining and bargaining unit employees. Responsible for special projects and/or problem resolutions. Provides effective and efficient solutions to complex business problems. Provides high level oversight and leadership. Participates in development of annual departmental budget, monitors budget, and identifies budget discrepancies. Researches cause and makes recommendations. Responsible for balancing workload to optimize the effectiveness of the department.

Requirements

Bachelor’s degree in a related field.
Relevant combination of education and experience may be considered in lieu of degree.
Continuous learning, as defined by the Company’s learning philosophy, is required.
Seven (7) years experience of progressive responsibility in a related environment with demonstrated technical knowledge that provides the necessary knowledge, skills, and abilities required.
Three (3) years supervisory or lead experience in related field required.
Proficient with databases like MS SQL, Oracle, etc. and data applications such as Toad and/or SQL server
Proficient in data programming languages such as SAS and/or SQL
Proficient in current industry standard PC applications and systems (e.g. Access, Excel and Word)
Knowledge and experience of HEDIS program
Knowledge and experience with healthcare data and knowledge of industry standard data models
Knowledge and understanding of architecture, application design, and integration
Ability to work under general direction.
Ability to work effectively in a team environment.
Excellent analytical, organizational, planning, verbal, and written communication skills.
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of the organization.
Must demonstrate leadership ability and team building skills to effectively supervise professional and non-professional staff and interact with all levels of management.
Ability to work with and empower others on a collaborative basis to ensure success of unit team.
Ability to effectively exchange information, in verbal or written form, by sharing ideas, reporting facts and other information, responding to questions, and employing active listening techniques.
Ability to establish workflows, manage multiple projects, and meet necessary deadlines.

Nice To Haves

Master’s degree in a related field preferred.
Certification or progress toward certification is highly preferred and encouraged.
Bilingual skills preferred.
Knowledge of Medicare Advantage Stars a plus
Other related skills and/or abilities may be required to perform this job.

Responsibilities

Manages activities of a department including, but not limited to, planning, problem solving, staff development, and communication.
Executes function/area objectives that support continuous improvement.
Manages professional, exempt, and non-exempt non-bargaining and bargaining unit employees.
Responsible for special projects and/or problem resolutions.
Provides effective and efficient solutions to complex business problems.
Provides high level oversight and leadership.
Participates in development of annual departmental budget, monitors budget, and identifies budget discrepancies. Researches cause and makes recommendations.
Responsible for balancing workload to optimize the effectiveness of the department.
Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws.
Responsibilities include interviewing, hiring and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.