Job Description

COBX - Senior Health Services

SUMMARY:

The Senior Health Care Analyst is responsible for planning, organizing, directing, implementing, and leading department assignments for the largest Senior Health Services Accounts (URMBT and MSPERS). This position operates within broad objectives to ensure optimum utilization of manpower and budget. This role researches, compiles, and analyzes appropriate and relevant data and makes recommendations for operational and tactical improvements.

RESPONSIBILITIES/TASKS:

• Provides audit and analytics support to Medicare Advantage and Senior Health Services team.
• Builds and supports business reports to be included in executive and client dashboards.
• Gathers requirements for Medicare Advantage dashboard and implements the dashboards.
• Maintains the master list of all issues to be addressed for the Key Account clients with the Senior Health Services Team.
• Leads in the research, analysis, identification, and evaluation of data from assigned problems to evaluate existing and potential trends and issues.
• Possesses and maintains an extensive comprehensive knowledge of BCBSM business, products, programs (including provider data, networks, etc.), corporate organizational structure (including functional responsibilities), and basic research principles and methodologies.
• Manages and monitors multiple projects simultaneously by establishing project plans and objectives to ensure goal attainment within defined parameters.
• Develops lines of communication to discuss and review results of analysis to management via reports and presentations and assists management in implementing programs that provide solutions.
• Investigates, reviews, recommends, communicates, and implements solutions which identify problems/root cause of issues.
• Identifies and resolves challenges in order to fulfill key corporate objectives and responds to the demands of change management and initiates actions needed to plan, organize, and control team activities.
• Independently develops and plans reports, papers, and/or other materials in a clear and concise manner.
• Provides expertise and guidance to unit and corporate staff as required.
• Acts as a liaison between Senior Health Services areas and our major clients.
• Participates in group or committee discussions.
• Interacts with Medicare Advantage functional business owners to define measurable metrics and assists them to use the dashboard on a daily basis.
• Supports ongoing maintenance of executive dashboards and related products, applications, and platforms.
• Works with business analysts and operations personnel to automate dashboard functions.

This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required.

Requirements

EMPLOYMENT QUALIFICATIONS:

EDUCATION:

Bachelor's degree in Business Administration, Economics, Health Care, Information Systems, Statistics, or a related field. Master's degree in a related field is preferred. 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. Certification or progress toward certification is highly preferred and encouraged.

EXPERIENCE:

Seven years experience in a related field, typically in two subject areas (e.g. financial analysis, planning, health care economics, health care policy, statistical modeling, business decisions, analysis, or business management). Several years' experience with Star Rating and CAHPS would be preferred.

SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED:

• Ability to design and develop SharePoint site and use Dundas charts/excel web services, Access, and SAS data sources.
• Knowledge of PBM systems and tools.
• Excellent analytical, planning, problem solving, verbal, and written skills to communicate complex ideas.
• Excellent knowledge and use of existing software packages (PowerPoint, Excel, Word, etc.).
• Strong working knowledge of data languages such as SAS or SQL.
• Ability to work independently, within a team environment, and communicate effectively with

employees at all levels.

WORKING CONDITIONS:

Work is performed in an office setting with no unusual hazards.

The qualifications listed above are intended to represent the minimum education, experience, skills, knowledge and ability levels associated with performing the duties and responsibilities contained in this job description.

We are an Equal Opportunity Employer. Diversity is valued and we will not tolerate discrimination or harassment in any form. Candidates for the position stated above are hired on an "at will" basis. Nothing herein is intended to create a contract.

City

Southfield

State

Michigan