Blue Cross and Blue Shield of Kansas is looking to transform data into actionable insights and recommendations to meet corporate goals and changing market demands by identifying, extracting, organizing, storing, analyzing, reporting, researching, and modeling data in support of health analytic initiatives. The role aims to reduce the total cost of care by eliminating fraud, waste, and abuse, and identify billing, coding, and utilization patterns, trends, and outliers.
Requirements
- Ability to identify and make sense of rich data sources, manage large amounts of data, merge datasets, ensure consistency of datasets, graphically portray data to gain insights, build statistical models, understand data and model shortcomings, and effectively communicate findings.
- Must possess advanced analytical, problem solving, and research skills.
- Adept at programming with SQL and capable of learning computer programming languages.
- Ability to work with statistical software applications, such as R, SAS, Python, or Minitab.
- Ability to work with data visualization tools, such as Tableau.
- Experience with and understanding of data warehouse structures, data extraction tools, analytics software and methods, and data modeling is required.
- At least three (3) years in technology, statistics, actuarial science, applied mathematics, financial economics, data structures and system applications or system mainframe applications in a DB2 environment is required.
Responsibilities
- Develop, implement, and maintain data systems and processes to support divisional medical management, provider quality, reporting, and data retrieval needs.
- Analyze healthcare data using statistical and data mining techniques to identify patterns, develop models, and provide strategic insights for corporate and Medical Affairs initiatives.
- Work with business users at all levels to understand their requirements and translate them into analytical models and automated processes.
- Present data-driven insights in clear, visually appealing formats for internal stakeholders and senior management.
- Support the resolution of complaints and issues related to overutilization, underutilization, billing practices, and provider patterns through data analysis and reporting.
- Propose and implement new analytics solutions to address business needs and optimize data processes.
- Collaborate with subject matter experts, data stewards, IT, and business analysts to prepare internal and external data for analysis.
Other
- Make a Positive Impact: Your work will directly contribute to the health and well-being of Kansans.
- Family Comes First: Total rewards package that promotes the idea of family first for all employees.
- Dynamic Work Environment: Collaborate with a team of passionate and driven individuals.
- Stability: 80 years of commitment, compassion and community
- Flexibility: options to work onsite, hybrid, or remote available
