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Data Analyst Medicare Lead

at Arkansas Blue Cross and Blue Shield in Little Rock, Arkansas, United States

Job Description

TAKE THE STEPS TO START YOUR CAREER AT ARKANSAS BLUE CROSS AND BLUE SHIELD.

JOB SUMMARY

The Lead Medicare Data Analyst supports the Medicare Risk Adjustments, Stars or Performance Analytics team by performing insightful analytics, leading data integration efforts, and communicating findings to internal and external business partners. The incumbent must demonstrate a history of producing high-value analytics, working independently, project management, and technical proficiency.

REQUIREMENTS

Minimum Job Requirements

1. Minimum Education Required (either/or):
a. Bachelors degree and seven (7) years experience
b. Masters degree and five (5) years experience

Preferred Field of study: Health Services Administration, Economics, Business Administration, Public Health, Mathematics, or related field.

Experience: Medicare, Medicare Stars, Medicare Risk Adjustment, Government or health insurance related data analysis. Documentation substantiating analysis experience may be required.

2. Four (4) years experience in the application of business analysis or data management and analysis tools including but not limited to, SAS, SQL, AQT, Tableau, and PowerBI.
3. Four (4) years experience with other PC-based software products including Microsoft Office suite of products - Excel, Word, and PowerPoint.
4. Experience leading projects.
5. Experience in public speaking. Demonstration of public speaking ability may be required.
6. Medicare, Medicare Stars and/or HEDIS experience preferred.

Specialized Knowledge & Skills
* Transform information into intelligence* SQL, SAS, Tableau or other related experience* Superior interpersonal and listening skills* Excellent written and oral communications* Analytical skills with strong mathematical background

Preferred Skills:
* Project Management Methodologies* Large scale projects* Strong Background in statistics and statistical modeling* Government programs and CMS regulations experience

SKILLS

Ability to work independently, Critical Thinking

RESPONSIBILITIES

Advanced Excel user, proficient with SAS/SQL capable of creating queries, and able to assist with developing junior analytical colleagues., Collects data to identify business trends, performs root cause analysis of issues or problems, and proposes solutions based on best practices, and current and future needs of the business., Consults with users or decision makers to identify data sources, required data elements, and/or data validation standards., Develop analytics to support and lead performance review sessions with key internal stakeholders that identify trends and quality improvement opportunities., Develops reports, analytics, and dashboards that will define, support and/or forecast stars rating position of Medicare products and provider performance., Integrates data from multiple data sources or functional areas, ensures data accuracy and integrity, and updates data as needed to develop statistics and design methodologies to be used for decision making and support Medicare program., Manages projects of various sizes, maintains deliverable timelines, identifies potential enhancements to workflows and processes., Other duties as assigned.

CERTIFICATIONS

ADA REQUIREMENTS

1.1 General Office Worker, Sedentary, Campus Travel - Someone who normally works in an office setting and routinely travels for work within walking distance of location of primary work assignment

SECURITY REQUIREMENTS

This position is identified as level three (3). This position must ensure the security and confidentiality of records and information to prevent substantial harm, embarrassment, inconvenience, or unfairness to any individual on whom information is maintained. The integrity of information must be maintained as outlined in the company Administrative Manual.

SEGREGATION OF DUTIES

Segregation of duties will be used to ensure that errors or irregularities are prevented or detected on a timely basis by employees in the normal course of business. This position must adhere to the segregation of duties guidelines in the Administrative Manual.

WORKER TYPE

Employee

EMPLOYMENT TYPE

Regular

NUMBER OF OPENINGS AVAILABLE

1

ARKANSAS BLUE CROSS BLUE SHIELD IS AN EQUAL OPPORTUNITY AFFIRMATIVE ACTION EMPLOYER AND IS SUBJECT TO FEDERAL REGULATIONS PERTAINING TO EMPLOYMENT. ARKANSAS BLUE CROSS DOES NOT UNLAWFULLY DISCRIMINATE ON THE BASIS OF RACE, COLOR, RELIGION, SEX, SEXUAL ORIENTATION, GENDER IDENTITY OR EXPRESSION, NATIONAL ORIGIN, AGE, DISABILITY, MARITAL STATUS, VETERAN STATUS, OR ANY OTHER BASIS PROHIBITED UNDER FEDERAL, STATE OR LOCAL LAWS GOVERNING NON-DISCRIMINATION IN EMPLOYMENT IN EVERY LOCATION IN WHICH THE COMPANY HAS FACILITIES. ARKANSAS BLUE CROSS ALSO PROVIDES REASONABLE ACCOMMODATIONS FOR QUALIFIED INDIVIDUALS WITH DISABILITIES IN ACCORDANCE WITH THE AMERICANS WITH DISABILITIES ACT (ADA) AND ANY OTHER STATE OR LOCAL LAWS.

YOU MUST APPLY USING YOUR LEGAL NAME. CURRENT WORKERS/CONTINGENT WORKERS/CONTRACTORS: APPLY WITH YOUR EXISTING WORKER ACCOUNT (WORKDAY) FROM THE ENTERPRISE NETWORK. (DO NOT APPLY FROM THIS SITE - APPLY INTERNALLY ONLY) ?  

Job Details

Company

Arkansas Blue Cross and Blue Shield

Location

601 S. Gaines St
Little Rock, Arkansas 72201
United States

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Job Posting: 2922618

Posted On: May 14, 2021

Updated On: Jun 11, 2021