Resp & Qualifications

PURPOSE:
This role will support the business and analytic needs for the Care Management Department to include Commercial Risk, MD Medicaid, DSNP, and Medicare Advantage. Utilizes data analytics and supports a set of business initiatives designed to help extract value from information. Develops data visualizations for analysis, problem solving, and business solutions. This is an exciting opportunity to be part of a team that makes an impact on our members and our communities using analytical thinking, data analysis, business acumen and project management skills to make a difference in healthcare outcomes and clinical operations. We are looking for an experienced professional to work remotely from within the greater Baltimore metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for meetings, training and/or other business-related activities

ESSENTIAL FUNCTIONS:

Provides healthcare analytics support to generate insights in the form of dashboards, metrics, or reports for healthcare solutions
Operates as a thought partner with business leads to perform both proactive and reactive analysis for key stakeholders and derives insights between key metrics and their drivers.
Develops meaningful reports and analysis for health care system entities and presents on findings.
Monitors key performance indicators and balanced scorecards to aid in improved decision-making.
Supports infrastructure that fosters analytical rigor and develops models and tools that drive healthcare strategy.

QUALIFICATIONS:

Education Level: Bachelor's Degree, Statistics, Mathematics, or related field OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience

Experience: 3 years' experience with business intelligence tools, data analytics and/or database management systems.

Licenses/Certifications
Certified Business Intelligence Professional Upon Hire Preferred
Certified Business Analysis Professional (CBAP) Upon Hire Preferred

Preferred Qualifications:

Previous experience working in the healthcare industry and/or healthcare payor organization. Experience and comfort level leading projects and business initiatives.

Knowledge, Skills and Abilities (KSAs)

Ability to translate technical complexities to key business stakeholders.
Ability to learn and understand all areas of operations within the organization.
Ability to think creatively and critically and thrive in a fast-paced environment.
Proficient in business intelligence software, such as PowerBI, Qlik, or Tableau.
Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.

Salary Range: $68,040 - $135,135
Salary Range Disclaimer

The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilites of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).
Department

DSNP Care Management
Equal Employment Opportunity

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Where To Apply

Please visit our website to apply: www.carefirst.com/careers
Federal Disc/Physical Demand

Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on health care programs.
PHYSICAL DEMANDS:
The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.
Sponsorship in US

Must be eligible to work in the U.S. without Sponsorship.
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