Health Care Analyst

Departmental Preferences:

• Advanced knowledge of risk adjustment

• Proficient with SQL development, Tableau, Python and data analytics

SUMMARY: 

Responsible for identifying, collecting, analyzing, and maintaining data to evaluate issues that support 

prospective business decisions. Coordinate projects for senior management.

RESPONSIBILITIES/TASKS: 

• Research, analyze, identify, and evaluate data from assigned problems to evaluate existing and 

potential trends and issues.

• Possess and maintain a comprehensive understanding and knowledge of BCBSM business, 

products, programs (including provider data, networks, etc.), corporate organizational structure 

(including functional responsibilities), and basic research principles/methodologies.

• Assist in the management and monitoring of multiple projects simultaneously by establishing project 

plans and objectives to ensure goal attainment within defined parameters.

• Communicate results of analysis to management via reports/presentations and assist management in 

implementing programs that provide solutions. 

• Recommend, communicate, and implement solutions to identified problems/root cause of issues. 

• Provide expertise and guidance to unit and corporate staff as required. 

• Represent and participate in group or committee discussions.

• Provides technical, data, and software support.

• Leads and participates, with some direction, in data solutions projects.

• Provides design, programming, testing, validation, and data expertise for simple and moderately 

complex projects and ad hoc requests.

• Presents data and solutions to internal and/or external customers in a logical way.

• Provides documentation, data support, and analysis for usage of departmental sandbox.

• Standardizes, cleans, and shares data.

• Creates and maintains data-centric product solutions, including third party program integrations.

• Supports various reporting activities and continuously strives toward automation.

• Completes ad hoc data and analytic requests as assigned.

• Competent in SAS (Base, Macro, Graph, Email); Visio; Visual Basic for automation in Excel, Visio, 

Access, PowerPoint; SQL (Oracle, SQL/Server); ETL into Oracle; system tools (Windows/Linux 

command line coding, scheduling programs in both); creation of file structures (flat, delimited, etc.).

This position description identifies the responsibilities and tasks typically associated with the performance 

of the position. Other relevant essential functions may be required.

EDUCATION OR EQUIVALENT EXPERIENCE:

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. Relevant combination of 

education and experience may be considered in lieu of degree. Certification or progress toward 

certification is highly preferred and encouraged.

EXPERIENCE:

Four (4) or more years of experience in related field required.

SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED:

• Strong communication skills are required to understand, interpret, and communicate ideas.

• Strong knowledge and use of existing software packages (PowerPoint, Excel, Word, etc).

• Working knowledge of data languages such as SAS or SQL.

• Strong analytical, organizational, planning and problem solving skills.

• Ability to effectively interface with employees at all levels.

• Understand and apply statistical inference.

• Other related skills and/or abilities may be required to perform this job.

• ETL experience is highly preferred.

WORKING CONDITIONS:

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

The qualifications listed above are intended to represent the minimal skills and experience levels associated with performing the duties and responsibilities contained in this position description. The qualifications should not be viewed as absolute standards, but as general guidelines that should be considered with other position-related criteria.

PAY RANGE: Actual compensation decision relies on the consideration of internal equity, candidate's skills and professional experience, geographic location, market, and other potential factors. It is not standard practice for an offer to be at or near the top of the range, and therefore a reasonable estimate for this role is between $71,800 and $120,200.

EEO Statement: 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. 

Candidates are hired on an "at will" basis. Nothing herein is intended to create a contract.