Medical Informatics Analyst – Business Analyst Advanced

Company:
Blue Cross Blue Shield of Michigan

Industry:
Health Insurance and Health Care

Level:
Non-Manager

Job Family:
Health Care Management

Compensation:
Competitive Total Compensation Package

When you think of Blue Cross Blue Shield of Michigan for health insurance, you can know you're getting much more. We're a company founded on a tradition of affordable, quality health care for everyone, improving the present and investing in the future.
We offer:
Plans for employers and individuals that meet today’s needs, budgets and lifestyle
The largest network of doctors and hospitals in the state
Lower health care costs Higher quality health care
Grants and programs that promote better health throughout Michigan

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

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

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Position Summary

Provides technical, data and analytical support to customer departments such as Quality, Value Partnerships, Hospital Contracting, Care Management, Risk Adjustment and HCV.

Management

Leads or participates, with some direction, in projects where data solutions are necessary. Provides programming 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.

Analysis

Provides data support and analysis for programs supporting over 4 million BCBSM beneficiaries using administrative claims and supplemental data. Provides analysis and data support for various corporate departments including Quality, Risk Adjustment, Value Partnership, Care Management, and Hospital Contracting, in support of major corporate initiatives such as EMR Connectivity, PGIP, Risk Adjustment, STARS and NCQA/HEDIS.

Solutions

Standardizes, harmonizes, cleans and shares data with others in the organization as well as external customers. Creates and maintains data-centric product solutions, including third party program integrations such as, HEDIS, risk scores andPGIP incentives l. Supports various reporting activities and continuously strives to make them more efficient and easier for the customers to consume. Completes ad-hoc data and analytic requests assigned.

Works with IT and Clinical Data Strategy to maintain and enhance our EMR Clinical Data in the Informatics environment.

Education

Bachelors Degree in Computer Science, Information Systems, Business, Mathematics, Healthcare Information Technology or similar degree required. Master's Degree preferred.

Experience

Minimum 4 years of experience. Ability to use advanced functions in SQL or SAS or SPSS programming.

Knowledge

Solid working knowledge of Microsoft tools and software (i.e., Excel, Visio, Access, PowerPoint). Competency in programming concepts such as Visual Basic, Business Objects, .Net, MDX, C++, or COBOL. Knowledge of data warehousing and data mining concepts including but not limited to ETL, datamart design, fact tables, dimension tables, data views within data marts/data warehouses, olap, rolap, and data models such as star schemas and snowflake schemas.

Skills

Must possess the ability to help others think critically and share complex technical solutions to non-technical audiences both orally and in writing. Must be able to translate thoughts and ideas from non-data customers into data-centric solutions. Ability to recognize data patterns, quantify potential issues and identify solutions. Ability to standardize, harmonize, clean, prepare and use data for developing datasets, reporting and analysis.

Departmental Preferences

Experience working with EMR/EHR clinical data, including encounters, diagnoses, procedures, medications, labs, vitals, immunizations, and clinical documents.

Experience with EMR platforms CCDA data such as Epic, Oracle Health/Cerner, athenahealth, eClinical

Works. Knowledge of C-CDA documents, including clinical data extraction, mapping, transformation, validation, and…