Senior Health Care Analyst-Provider Enablement Operations

Responsible for planning, organizing, directing, implementation, and leading department assignments.  Position operates within broad objectives to ensure optimum utilization of manpower and budget.  Research, compile and analyze appropriate and relevant data and make recommendations for operational improvements.

• Leads in the research, analysis, identification and evaluation of data from assigned problems to evaluate existing and potential trends and issues.
• Possess and maintain an extensive comprehensive knowledge of BCBSM business, products, programs (including provider data, networks, etc.), corporate organizational structure (including functional responsibilities), and basic research principles/methodologies.
• Manage and monitor multiple projects simultaneously by establishing project plans and objectives to ensure goal attainment within defined parameters.
• Develop lines of communication to discuss/review results of analysis to management via reports/presentations and assist management in implementing programs that provide solutions.
• Investigate, review, recommend, communicate and implement solutions which identify problems/root cause of issues.
• Identify and resolve challenges in order to fulfill key corporate objectives and respond to the demand of change management and initiate actions needed to plan, organize and control team activities.
• Independently develop and plan, reports, papers and/or other materials in a clear and concise manner.
• Provide expertise and guidance to unit and corporate staff as required.
• Acts as liaison between corporate business areas and participates in group or committee discussions.

"Qualifications"

• Bachelor's Degree in Business Administration, Economics, Health Care, Information Systems, Statistics or other related field is required.  Master's Degree in related field preferred.
• Six (6) or more years experience in related experience, typically in two (2) subject areas (e.g. financial analysis, planning, health care economics, health care policy, statistical modeling, business decisions, analysis, or business management).
• 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.
• Other related skills and/or abilities may be required to perform this job.

Department Summary / Preferences:

1. Manages evaluation of new and existing operational processes for value-based programs 
2. Tracking and reporting of value-based program data and reporting file deliveries monthly in support of value-based contracts 
3. Draft, edit, and post operational provider communications 
4. Support value-based program budget tracking and management 
5. Provide oversight to special projects, programs, and initiatives to ensure successful delivery of business outcomes and the transition to operations across business and IT
6. Experience leading initiative implementation required
7. Understanding of Blue Cross provider value-based and risk programs, including operational processes, and experience working with the provider market required

All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability.