PURPOSEOF THE JOB
Managesthe day-to-day activities of the Analytics & Data Science department. Serves as the primary contact and resource for staff. Provides oversight, direction, development, problem resolution, and leadership for the Analytics & Data Science team.
Theteam’s responsibilities include:
- Transformingdata into meaningful and actionable information for various customer segments
- Performingstrategic data analysis to support medical management programs, quality and value-based partnerships, and a strategic and predictable corporate provider reimbursement strategy
- Establishingmeasurement standards
- Identifyingpreviously unknown relationships within data to support analyses of trends and healthcare issues
QUALIFICATIONS
REQUIREDQUALIFICATIONS
RequiredWork Experience
Supervisor
- 3years of experience in data science, data analytics and reporting, or scientific analysis
- 1year of experience in a supervisory or management field and/or project management
Manager
- 5years of experience in data science, data analytics and reporting, or scientific analysis
- 3years of experience in a supervisory or management role
SeniorManager
- 10years of experience in data science, data analytics and reporting, or scientific analysis
- 7years of experience in a management role
RequiredEducation
- Bachelor'sdegree in business, mathematics, statistics, healthcare administration, or a related field of study (All Levels)
RequiredLicenses
RequiredCertifications
PREFERREDQUALIFICATIONS
PreferredWork Experience
Supervisor
- 3years of experience in a management or leadership role
- 1year of experience in the insurance or healthcare field
Manager
- 5years of experience in a management or leadership role
- 3years of experience in the insurance or healthcare field
SeniorManager
- 10years of experience in a management or leadership role
- 7years of experience in the insurance or healthcare field
PreferredEducation
- Master'sdegree in business, mathematics, computer science, or a related field of study (All Levels)
PreferredLicenses
PreferredCertifications
- SASCertification
- TableauCertification
- Associateof the Society of Actuaries (ASA)
ESSENTIALJOB FUNCTIONS AND RESPONSIBILITIES
- Managethe day-to-day operations of the department.
- Administer,interpret, and maintain current working knowledge of required BCBSAZ systems, procedures, forms, and manuals related to the assigned area of responsibility.
- Review,update, and maintain the accuracy of department documentation, computer files, policies, and procedures related to department goals and objectives.
- Keepstaff informed of new or updated standards, systems, procedures, forms, and manuals through staff meetings and verbal and written communications.
- Direct,evaluate, define, and improve quality, quantity, and timeliness standards to achieve individual and department performance goals as defined within department guidelines.
- Provideguidance, motivation, and encouragement to staff.
- Conductperformance evaluations, identify and coordinate training needs, and evaluate and make recommendations regarding employment decisions.
- Consultand coordinate with internal departments, external Blue Plans, business partners, and government agencies.
- Identifyand create appropriate technical solutions to address business issues.
- Monitorexternal economic and healthcare issues affecting trends and prepare succinct, easy-to-understand presentations of results and conclusions.
- Serveas an internal consultant to help define analytical needs and assist end users with interpreting and applying analytical results.
- Explorerelevant data sources to determine which metrics can be produced.
- Preparesuccinct, easy-to-understand presentations of results and conclusions.
- Analyze,interpret, and communicate information, and present results in formats that facilitate decisions and actions.
- Assistwith developing new performance measurement tools and approaches.
- Maintaincurrent knowledge of emerging measurement standards.
- Evaluateanalytical findings to ensure accurate data interpretation and the development of meaningful data-mining results.
- Researchthe latest developments from governmental and national entities, including CMS, NCQA, AHRQ, and Leapfrog, regarding the establishment of metrics used to monitor and/or define provider quality information for the general public.
- Presentresearch findings and recommendations in written and
