QI Data Analyst

Horizon Blue Cross Blue Shield of New Jersey•Hopewell, NJ

About The Position

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 million people who place their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds. This position contributes to Quality Improvement efforts through the research, analysis, design, programming, implementation and coordination of accurate and timely reporting. The incumbent will partner with multiple customers across the Enterprise to provide complex resolutions to analytics/data problems and will provide reporting/analytic deliverables (i.e. tables, graphs, recommendations, etc.) in a consultative manner. Incumbent is responsible for conducting research and root cause analysis for customers with the goal of recommending and implementing new processes and solutions to operational deficiencies. This is a senior level position working independently with guidance only in the most complex situations. Analyzes reporting needs, available data, and various methods of data retrieval to develop systems which are responsive to the needs of the Department. Develops and maintain production reporting capabilities. Monitor the timely and accurate production and distribution of all standard and special user-generated reports. Provides statistical and analytical support to the Department staff. Utilizes SAS, SQL, SOURCE and other statistical based software packages to extract and analyze the data required by the Department for both continuing and special needs. Facilitate business requirements and define parameters of more complex analytic projects Research and investigate key business problems through quantitative analyses of healthcare cost and quality data. Analyze data results from multiple information sources to ensure reporting and analytic requirements are met. Develop forecasting tools using current technology/systems. Translate business requirements and assist IT with the development of technical specifications. Lead or participate in internal and external project workgroup(s) and presentations. Conduct User Acceptance Testing (UAT) for projects, implementations, system fixes and enhancements, etc. Prepare materials for internal and external audit activities; review audit findings/reports for accuracy and completeness. If appropriate, formulate rebuttal and/or corrective action steps. Coach/mentor less experienced staff, assist in on-boarding of new staff and/or distribute and follow-up on work assignments.

Requirements

Bachelor's degree required
Bachelors in Quantitative Field (i.e. Analytics, Economics, mathematics, Computer Science, Engineering, Public Health, Nursing from an accredited college or university, etc.) preferred.
3-5 yrs experience conducting complex analytics deliverables (i.e. Linear Models and more advanced independent Analytics).
Requires proficiency with very large data sets and software/coding skills (e.g. Python, SQL)
Requires proficiency in MS Office (particularly Excel including formulas, calculations and graphs).
Requires analytical thinking ability.
Good written and verbal communication skills are essential
Ability to express analytic thoughts clearly and concisely both verbally and in writing (to various audiences) is required.
Requires strong interpersonal skills and the ability to interact with all management levels.
Require ability to make decisions to analytic/data problems that synthesize information from several sources into concrete actions/recommendations for higher level audience.
Requires the ability to utilize logic in problem solving.
Requires the ability to coordinate projects.
Requires the ability to translate business objectives into technical solutions.
Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware

Nice To Haves

MS/MA preferred.
Managed Health Care or provider experience preferred, especially in roles that routinely have used clinical data sources to support quality management operations

Responsibilities

Analyzes reporting needs, available data, and various methods of data retrieval to develop systems which are responsive to the needs of the Department.
Develops and maintain production reporting capabilities.
Monitor the timely and accurate production and distribution of all standard and special user-generated reports.
Provides statistical and analytical support to the Department staff.
Utilizes SAS, SQL, SOURCE and other statistical based software packages to extract and analyze the data required by the Department for both continuing and special needs.
Facilitate business requirements and define parameters of more complex analytic projects
Research and investigate key business problems through quantitative analyses of healthcare cost and quality data.
Analyze data results from multiple information sources to ensure reporting and analytic requirements are met.
Develop forecasting tools using current technology/systems.
Translate business requirements and assist IT with the development of technical specifications.
Lead or participate in internal and external project workgroup(s) and presentations.
Conduct User Acceptance Testing (UAT) for projects, implementations, system fixes and enhancements, etc.
Prepare materials for internal and external audit activities; review audit findings/reports for accuracy and completeness.
If appropriate, formulate rebuttal and/or corrective action steps.
Coach/mentor less experienced staff, assist in on-boarding of new staff and/or distribute and follow-up on work assignments.