Sr. Health Care Analyst //MI

Location: DETROIT, MI
Date Posted: 02-14-2018
Sr. Health Care Analyst
Detroit, MI
  • 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.
  • 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.
Employment Qualifications:
  • 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. 
  • Seven years’ experience in a related field, typically in two subject areas (financial analysis, health care economics, health care policy, statistical modelling, business decisions, systems 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 Dashboard metrics using Excel, Access, and SAS tools.
  • Excellent analytical, planning, problem solving, verbal, and written skills to communicate complex ideas.
  • Logical thinking to include the analysis of government initiatives and contracts.
  • Excellent knowledge and use of existing software packages (PowerPoint, Excel, Word, etc.).
  • Strong working knowledge of data languages such as SQL and other data analysis approaches.
  • Ability to work independently, within a team environment, and communicate effectively with employees at all levels. 
Key Business Solutions, Inc.
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