Senior or Principal Healthcare Risk Adjustment Data Analyst job in Eagan
Eagan, Minnesota - MN Blue Cross and Blue Shield of Minnesota
Job Ref: | R0004365 |
Employer: | Blue Cross and Blue Shield of Minnesota |
Sector: | Health Insurance |
Qualifications: |
Part Qualified Actuary
Fully Qualified Actuary |
Software: |
Excel
Oracle Python R SAS SQL Tableau |
Job Type: | Full Time |
Salary and Benefits: | Competitive |
Remote: | No |
Location | |
Country: | United States |
State/Province/County: | Minnesota - MN |
City: | Eagan |
Post Code: | Not specified |
Map: | |
Description | |
About Blue Cross Blue Cross and Blue Shield of Minnesota is one of the most recognized and trusted health care brands in the world with 2.5 million members. We're committed to reinventing health care to improve health for our members and the community. We hope you'll join us. This position is posted at a hierarchy and can be hired at either the Senior Healthcare Risk Adjustment Analyst level or Principal Healthcare Risk Adjustment Analyst level. The identified candidate will be hired at a level commensurate with their skills. Senior Healthcare Risk Adjustment Analyst How Is This Role Important to Our Work? This position supports Enterprise Risk Adjustment, a newly-created organization responsible for optimizing risk adjustment revenue through closing gaps in coding and care delivery across Blue Cross Medicare, Medicaid, and Exchange populations.Specifically, this position is responsible for business intelligence and analytics related to Enterprise Risk Adjustment.This position uses business intelligence, analytic, and data science techniques to improve risk adjustment results for these populations. This includes obtaining data from various internal sources, understanding relevant differences between each data source, designing and structuring files for analysis, and performing and interpreting descriptive, bivariate, and multivariate analyses.This position also will also be responsible for designing, conducting, and communicating analytics and research projects that support Enterprise Risk Adjustment.Content areas for this position will span:ERA Program Analytics: Answers the question of whether we are focused on the right members, the right types of gaps in coding and care, how much we have accomplished, what opportunities remain, and estimates the value of those opportunities in order to drive risk adjustment strategy and meet our revenue targets.Intervention and Pilot Test Analytics: Analytic and measurement support to inform pilot test/intervention design to ensure rigor in outcomes evaluation; evaluate pilot tests/interventions with respect to gap closure and ROI; and inform decisions about pilot/intervention modification and scale-up.Provider-Focused Analytics: Analytic and reporting support to understand provider performance on gaps in coding and care delivery and enable provider coaching.The Senior Healthcare Analyst analyzes complex data and information to provide meaningful results, identifying success factors and improvement opportunities, suggesting potential solutions, and helping internal customers set strategic directions.The position should bring proven data analytics skills and a spirit of creativity and problem-solving to deepen insights into the factors that drive health care quality.The Senior Healthcare Analyst filling this position must be highly skilled from project design through implementation and have strong communication skills.The Senior Healthcare Analyst will work collaboratively in a team environment. A Day in the Life:
Nice to Have:
Required Skills and Experiences:
Principal Healthcare Risk Adjustment Analyst How Is This Role Important to Our Work? This position will support Enterprise Risk Adjustment (ERA), a Stella Program responsible for optimizing risk adjustment revenue through closing gaps and risks in coding and care delivery across Blue Cross' Medicare, Medicaid, and ACA populations. Specifically, this position is responsible for business intelligence and analytics related to Enterprise Risk Adjustment. The applicant will achieve success using a combination of traits and skills including industry knowledge of risk assessment and risk adjustment knowledge domains, data and programming savvy, math and statistical abilities, and a spirit of creativity and problem-solving to deepen insights into the factors that drive health care quality and risk adjustment outcomes. A successful applicant will work independently as well as collaboratively with cross-functional teams to initiate, plan, and lead analysis from conceptual development to conclusion. The position will lead efforts with coworkers, internal business partners, and leadership to clarify requirements, analyze complex data, and produce and present meaningful and defensible results, including the identification of success factors and barriers, improvement opportunities, proposing solutions, and informing strategic decisions. The individual will also drive action based on the results obtained. The Risk Adjustment Data Analyst Pr will represent the department on both internal and external initiatives. They may also lead project teams. The incumbent will lead efforts to define meaningful contributions that will influence strategic decision-making and the optimization of Stars/Risk/Quality analytics at Blue Cross Blue Shield of Minnesota. A Day in the Life:
Nice to Have:
Required Skills and Experiences:
Role Designation: Hybrid Remote Role designation definition: Teleworking is working full time remote. Hybrid is a combination of working onsite and remotely. Onsite is full-time onsite. Make a difference Blue Cross is an Equal Opportunity and Affirmative Action employer that values diversity. All qualified applicants will receive consideration for employment without regard to, and will not be discriminated against based on race, color, creed, religion, sex, national origin, genetic information, marital status, status with regard to public assistance, disability, age, veteran status, sexual orientation, gender identity, gender expression, or any other legally protected characteristic. Reasonable Accommodation for Job Seekers with a Disability: If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to talent.acquisition@bluecrossmn.com. All roles require a high school diploma (or equivalency) and legal authorization to work in the U.S. Blue Cross® and Blue Shield® of Minnesota and Blue Plus® are nonprofit independent licensees of the Blue Cross and Blue Shield Association. |
ref: (R0004365) 8 days ago
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