Senior Health Care Analyst - Policy Development and Reimbursement Strategy - HEA000VN
DESCRIPTION/RESPONSIBILITIES:
Responsible for planning, organizing, directing, implementation, and leading department assignments. Position operates within broad objectives to ensure optimum utilization of manpower and budget. Research, compile and analyze appropriate and relevant data and make recommendations for operational improvements.
Leads in the research, analysis, identification and evaluation of data from assigned problems to evaluate existing and potential trends and issues. Possess and maintain an extensive comprehensive knowledge of BCBSM business, products, programs (including provider data, networks, etc.), corporate organizational structure (including functional responsibilities), and basic research principles/methodologies. Manage and monitor multiple projects simultaneously by establishing project plans and objectives to ensure goal attainment within defined parameters. Develop lines of communication to discuss/review results of analysis to management via reports/presentations and assist management in implementing programs that provide solutions. Investigate, review, recommend, communicate and implement solutions which identify problems/root cause of issues. Identify and resolve challenges in order to fulfill key corporate objectives and respond to the demand of change management and initiate actions needed to plan, organize and control team activities. Independently develop and plan, reports, papers and/or other materials in a clear and concise manner. Provide expertise and guidance to unit and corporate staff as required. Acts as liaison between corporate business areas and participates in group or committee discussions. Other duties may be assigned.
Essential Duties and Responsibilities
* Research, analyze, identify, and evaluate data from assigned problems to evaluate existing and potential trends and issues.
* Possess and maintain a comprehensive understanding and knowledge of BCBSM business, products, programs (including provider data, networks, etc.), corporate organizational structure (including functional responsibilities), and basic research principles/methodologies.
* Assist in the management and monitoring of multiple projects simultaneously by establishing project plans and objectives to ensure goal attainment within defined parameters.
* Communicate results of analysis to management via reports/presentations and assist management in implementing programs that provide solutions.
* Recommend, communicate, and implement solutions to identified problems/root cause of issues.
* Provide expertise and guidance to unit and corporate staff as required.
* Represent and participate in group or committee discussions.
* Other duties may be assigned.
EOE/Minority/Female/Disabled/Veteran
All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, protected veteran status or status as an individual with a disability.
