Senior Healthcare Analyst - Trends and Projections

Blue Cross and Blue Shield of Minnesota • Eagan, MN

332d • $88,600 - $146,200

About The Position

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming health care. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing. If you are ready to make a difference, join us. Blue Cross Blue Shield of MN is hiring a Senior Healthcare Analyst to support trend analysis initiatives in Eagan, MN. In this role, you will be supporting and guiding the strategic needs of the team through the application of advanced analytics to diverse business questions and initiatives. You will focus on ideation and trend analysis, working closely with the actuary team and the total cost of care team. Your role will involve analyzing healthcare trends, developing financial models, supporting rating trends and ROI analysis. You will create reliable, accurate and timely data that can be used by the business to solve and drive business solutions. The position will lead efforts cross-functionally to clarify requirements, analyze complex data, and produce and present meaningful and defensible results, including the identification of success factors and barriers, improvement opportunities, proposing solutions, and informing strategic decisions.

Requirements

• 5+ years of related professional experience.
• 2 years experience using programming and statistical software (e.g., SAS), use of various databases and other data sources, and performing analytics.
• Proficiency in Microsoft software applications such as Word, PowerPoint, Excel, Access.
• Ability to perform and interpret a variety of statistical analyses.
• Demonstrated ability to evaluate and interpret complex data.
• Demonstrated ability to handle multiple tasks with competing priorities.
• Demonstrated problem solving skills.
• Excellent written and verbal communication skills and with an ability to interpret and communicate analytical information to individuals and groups with varying levels of analytics expertise in a clear and concise manner.
• Demonstrated ability to present complex results and conclusions to non-technical audiences and to senior decision-makers.
• Demonstrated ability to work effectively both independently and in a team setting with individuals having diverse professional backgrounds including business, technical, and/or clinical.

Nice To Haves

• Bachelor's Degree or Master's degree in Finance, Economics, Healthcare Administration or related field.
• Advance degree preferred.
• Actuarial experience is a plus.
• Extensive experience in financial modeling, specifically in developing savings and projection models.
• Strong technical skills in SAS, SQL, R, and Python.
• Experience in healthcare analytics; with a strong preference for experience in medical and pharmacy claims.
• Proficient with Power BI Service for creating, sharing, collaboration, and managing reports and dashboards across the organization.
• Ability to query and analyze data independently.
• Excellent presentation and communication skills, capable of presenting to various audiences, including VPs.

Responsibilities

• Analyze and project healthcare trends using historical and future data.
• Develop and maintain financial models, including savings and projection models.
• Support rate setting for groups by providing expected and anticipated trends.
• Query, analyze, and present data to various audiences, including sales, marketing, finance, and executive leadership.
• Identify opportunities and monitor the performance of Affordability of Care (AOC) initiatives.
• Collaborate with the Actuarial team on rate setting and financial analysis.
• Use multiple data sources for analysis and dissemination of information.
• Perform complex analysis of data.
• Research, analyze data, apply statistical methods when appropriate, and provide interpretation of outcomes.
• Identify issues to be researched, determining affected areas, and estimating potential impact opportunities.
• Lead teams to develop analytic approaches, measurement plans, data analysis, and report results on health care utilization, expenditures, outcomes, and benchmarks.
• Initiate actions to discover new analyses that will contribute to the strategic needs of Blue Cross Blue Shield of Minnesota.
• Work with leadership to understand and interpret the impacts to cost and quality of proposals using relevant data sources and analytic methods.
• Help drive the implementation of new products and systems by providing actionable information and recommendations that evaluate the impact of the proposed products and systems.
• Represent the division on corporate projects and may have leadership roles on these teams.
• Independently manage issues that may arise on multiple tasks or projects with limited or no management involvement.
• Act as a resource and/or mentor for other members of the department and company on business issues and may be responsible for training and guidance of other employees.
• Formulate strategic recommendations and present findings to management and external clients.
• Serve as an analytic consultant who can explain complex measurement or analysis techniques and results in layman's terms.

Benefits

• Medical, dental, and vision insurance
• Life insurance
• 401k
• Paid Time Off (PTO)
• Volunteer Paid Time Off (VPTO)
• And more

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: Bachelor's degree