Senior Health Care Analyst - Clinical Data Strategy Lead

Blue Cross Blue Shield of Michigan•Detroit, MI

About The Position

The Senior Health Care Analyst plans, organizes, directs, implements, and leads department assignments within broad objectives, with the goal of optimizing manpower and budget. The role researches, compiles, and analyzes relevant data and makes recommendations for operational improvements. Within the Clinical Data Strategy & Operations team, the position provides strategic leadership for clinical data acquisition, exchange, interoperability, adoption, governance, and value realization. The analyst leads research and evaluation of data to identify trends and issues; manages multiple projects; communicates analytical results to management; investigates root causes and implements solutions; and develops strategies, business cases, reports, and decision materials. The role also provides strategic guidance and analytic support, and serves as a liaison across corporate business areas and cross-functional forums.

Requirements

Bachelor's degree in Business Administration, Economics, Health Care, Information Systems, Statistics, or a related field.
Six or more years of related experience, typically in two subject areas such as financial analysis, planning, health care economics or policy, statistical modeling, business decision support, data strategy, interoperability, health plan operations, or business management.
Excellent analytical, strategic-planning, problem-solving, verbal and written communication, presentation, and stakeholder-management skills.
Excellent knowledge and use of software packages such as PowerPoint, Excel, and Word.
Strong working knowledge of data languages such as SAS or SQL.
Ability to work independently and within a team, and to communicate effectively with employees at all levels.
Ability to perform the essential duties satisfactorily; reasonable accommodations may be made for individuals with disabilities.

Nice To Haves

Master's degree in a related field.
Experience developing strategies, roadmaps, business cases, recommendations, and executive presentations.
Knowledge of clinical data exchange, FHIR, APIs, healthcare data standards, interoperability workflows, data governance, HEDIS, digital quality, risk adjustment, care management, utilization management, or provider engagement.
Experience developing or advancing clinical data strategies, roadmaps, priorities, and investment recommendations related to data acquisition, exchange, governance, standardization, interoperability, and enterprise use.
Knowledge of healthcare industry trends, regulatory developments, interoperability capabilities, vendor solutions, and methods for assessing current-state gaps and future-state opportunities.
Experience with EMR/EHR or HIE connectivity initiatives and platforms such as Epic Payer Platform, AthenaPayer, Healow Insights, Oracle Health, Veradigm, or comparable solutions.
Experience supporting or leading complex, cross-functional clinical data or interoperability initiatives from planning through implementation and optimization.
Experience establishing or supporting governance structures, business standards, decision frameworks, and accountability for data or interoperability initiatives.
Ability to facilitate alignment and influence decisions across business, technology, analytics, compliance, privacy, legal, provider engagement, operations, and vendor stakeholders.
Strong executive communication and presentation skills, including communicating strategy, performance, risks, recommendations, and decisions to leadership and governance forums.
Experience defining or monitoring business outcomes, adoption measures, data-quality indicators, and value metrics for clinical data, interoperability, or other enterprise initiatives.
Ability to evaluate solution effectiveness and recommend enhancements to improve data availability, timeliness, completeness, usability, scalability, reuse, adoption, and operational effectiveness.
Analytical and problem-solving skills to connect clinical data capabilities to quality improvement, risk adjustment, provider engagement, care management, utilization management, digital quality, or other enterprise priorities.
Experience supporting strategic relationships with EMR/EHR, HIE, data, or technology vendors and external partners.
Ability to assess vendor capabilities, roadmaps, delivery performance, strategic fit, dependencies, and material risks, and communicate findings through appropriate governance channels.

Responsibilities

Lead research, analysis, identification, and evaluation of data related to assigned problems, trends, and issues.
Maintain comprehensive knowledge of BCBSM's business, products, programs, organizational structure, functional responsibilities, and basic research methods.
Manage and monitor multiple projects by establishing plans and objectives to achieve goals within defined parameters.
Communicate analysis results to management through reports and presentations and assist management with implementing solutions.
Investigate issues, identify root causes, recommend solutions, communicate them, and support implementation.
Identify and resolve challenges, respond to change-management needs, and initiate actions to plan, organize, and control team activities.
Independently develop strategies, plans, reports, papers, business cases, decision materials, and other clear, concise materials.
Provide strategic guidance and analytical support to department and corporate staff.
Act as a liaison between corporate business areas and participate in workgroups, committees, governance forums, and cross-functional decision-making forums.
Provide strategic leadership for clinical data acquisition, exchange, interoperability, adoption, governance, and value realization.