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Transforms strategy into implementation of national network programs. Manages data and analytics across all Network Solutions program initiatives. The scope includes: a) Management of clinical data initiatives and ensures the accuracy of data and analytics; b) Supports, leads and conducts complex statistical and methodological appraisal and summaries; c) Performing analysis and synthesis of complex data; d) Making recommendations based on data analysis and synthesis and presenting to senior leadership, plans and external audiences as appropriate
Leads the outreach and collaborative engagement across diverse stakeholders (internal, Plan, and external) to develop, scope, and execute the delivery of all Network Solution initiatives
Leads a team of consultants and analysts as a supervisor and coach. Executes evaluations for direct reports as advised by BCBSA HR department.
Education
Bachelors Degree
Masters Degree
Requires Bachelor's degree in Data Science / Analytics/ Computer Science
Advanced Degree in Analytics or Healthcare or Healthcare Administration, MBA, MPH
Certifications
Project Management Professional (PMP)
PAHM or FAHM certification through the Academy of Healthcare Management (or other demonstrated knowledge of healthcare industry.
Experience
5-7+ years of business analytics experience with at least 2 years in healthcare or similar industry in qualitative and quantitative analysis, data collection and synthesis
3+ years of supervisory experience and project management experience implementing complex projects and demonstrated leadership skills to drive projects to successful conclusion
3+ years of hands-on expertise in SQL/ Python/ Tableau
Skills
Excellent oral and written communication skills to effectively communicate to varying audiences internal and external to BCBSA using various media platforms
Strong analytical, organizational, processes and systems, and problem solving skills with the ability to conduct quantitative and qualitative analysis of health care concept.
Relationship management skills: builds and maintains strong business relationships;
Organizational skills; demonstrated ability to manage tasks, resources and identify process improvements in a fast paced environment;
Demonstrated leadership skills as well as supervisory skills
Hands-on expertise in SQL/ Python/ Tableau
Advanced skills using statistical packages such as SAS, R, or SPSS.
Demonstrated ability to manage multiple projects with overlapping timetables.
Customer relationship skills; ability to gain the confidence of customers through achievement of business objectives
Ability to influence others and to drive timely decision making.
Experience with performance based quality measures in the evaluation of hospitals, physicians, or other healthcare providers
Experience with or understanding of claims evaluation (e.g. coding, groupers, claims adjustment)
Experience in leading collaboration with clinicians, other team members and business partners.
Demonstrated leadership ability to identify data required to solve a given problem, organize data and identify major findings, lead development and testing of hypotheses, and develop creative, innovative resolutions.
People Management
Yes
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Blue Cross Blue Shield Association is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, national origin, age, gender identity, disability, veteran status, genetic information or any other legally protected characteristics.