Provides technical, data, and analytical support to customer departments such as Quality, Value Partnerships, Hospital Contracting, Care Management, Risk Adjustment, and HCV.
Leads or participates in projects where data solutions are needed.
Provides programming and data expertise for simple and moderately complex projects and ad hoc requests.
Presents data and solutions to internal and external customers in a clear, logical way.
Supports programs serving more than 4 million BCBSM beneficiaries using administrative claims and supplemental data.
Supports corporate initiatives including EMR Connectivity, PGIP, Risk Adjustment, STARS, and NCQA/HEDIS.
Standardizes, harmonizes, cleans, and shares data across the organization and with external customers.
Creates and maintains data-centric product solutions, including third-party program integrations.
Supports reporting activities and works to make reports more efficient and easier to consume.
Completes assigned ad hoc data and analytical requests.
Partners with IT and Clinical Data Strategy to maintain and enhance EMR clinical data in the informatics environment.
Bachelor’s degree in Computer Science, Information Systems, Business, Mathematics, Healthcare Information Technology, or a related field required; master’s degree preferred.
Minimum 4 years of experience.
Advanced SQL skills.
Working knowledge of Microsoft Excel, Visio, Access, and PowerPoint.
Programming and analytics experience with Databricks, SQL, Tableau, Visual Basic, and Business Objects.
Ability to explain complex technical solutions to non-technical audiences, both verbally and in writing.
Strong understanding of data warehousing and data mining concepts, including ETL, datamart design, fact tables, dimension tables, star schemas, and snowflake schemas.
Ability to recognize patterns, quantify issues, and identify solutions.
Ability to standardize, harmonize, clean, prepare, and use data for datasets, reporting, and analysis.
Basic understanding of population health management concepts preferred.
Knowledge of healthcare terminology, plan and benefit design, operational principles, and administrative claims data, including ICD-9/10 and HCPCS.
Preferred experience with EMR/EHR clinical data, C-CDA documents, data mapping, validation, reconciliation, root cause analysis, HL7, CCDA, FHIR, and cloud-based data platforms.
Location
Detroit, Michigan, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
1 month ago