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EDUCATION
Bachelor's degree in Health Services Administration, Economics, Business Administration, Public Health, Mathematics, or related field required.
Master's degree desired.
EXPERIENCE
Minimum five (5) years' Medicaid, Medicare, Medicare Stars, Medicare Risk Adjustment, and Government health insurance related data analysis experience required OR applicable Masters in related field with minimum three (3) years' Medicaid, Medicare, Medicare Stars, Medicare Risk Adjustment, and Government health insurance related data analysis experience required. Documentation substantiating analysis experience may be required.
Minimum three (3) 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 required.
Demonstrated proficiency with other PC-based software products including Microsoft Office suite of products - Excel, Word, and PowerPoint required.
Demonstrated experience leading projects.
Demonstrated experience in public speaking. Demonstration of public speaking ability may be required.
SQL, SAS, R, Python, Tableau or other related experience.
Experience with large scale projects preferred.
Strong Background in statistics and statistical modeling preferred.
Government programs and CMS regulations experience preferred.
Knowledge of Project Management Methodologies preferred.
ESSENTIAL SKILLS & ABILITIES
Superior interpersonal and listening skillsExcellent written and oral communicationsAnalytical skills with strong mathematical backgroundAbility to transform information into intelligence.
SkillsResponsibilitiesAdvanced 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 risk scores improvement opportunities., Develops reports, analytics, and dashboards that will define, support and/or forecast risk scores 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.CertificationsSecurity RequirementsThis 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 DutiesSegregation 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.
Employment TypeRegularADA Requirements
1.1 General Office Worker, Sedentary, Campus Travel - Someone who normally works in an office setting or remotely and routinely travels for work within walking distance of location of primary work assignment.
Full Time
Insurance
$72k-98k (estimate)
06/07/2023
05/23/2024
arkansasbluecross.com
TEXARKANA, AR
1,000 - 3,000
1948
$1B - $3B
Insurance
For 70 years, Arkansas Blue Cross and Blue Shield has been a trusted partner to Arkansans by providing reliable insurance plans while also being a valuable community partner. We live here, work here and raise our families here we are dedicated to Arkansas and to you. We work hard to improve the health, financial security and peace of mind to the members and communities we serve. Arkansas Blue Cross and Blue Shield is an Independent Licensee of the Blue Cross and Blue Shield Association.