Health Information Data Analyst
Blue Cross Blue Shield Kansas

The Health Information Data Analyst is responsible for identifying, extracting, organizing, storing, analyzing, reporting, and modeling data in support of Medical Affairs, Provider Relations, and Government Affairs initiatives. The primary focus of the Data Analyst will be responding to business unit analytical and reporting requests and creating actionable and meaningful insights, which impact critical strategic issues and help navigate process improvement and decisions. This position is responsible for designing and maintaining an effective approach for finding valuable insights from large, rich datasets from both internal and external sources. This position will assist in the development of metrics and analytical solutions, ensuring that the latest industry best practices are taken into consideration that are important to divisional stakeholders. Collaborates with subject matter experts and management to select the relevant sources of information.

"This position is eligible to work onsite or hybrid (9 or more days a month on site) in accordance with our Telecommuting Policy. Applicants must reside in Kansas or Missouri or be willing to relocate as a condition of employment."

Are you ready to make a difference? Choose to work for one of the most trusted companies in Kansas.

Why Join Us?

• 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
  
• Balance: paid vacation and sick leave with paid maternity and paternity available immediately upon hire
  
• Inclusive Work Environment: We pride ourselves on fostering a diverse and inclusive workplace where everyone is valued and respected.
  

Compensation
$83,280 - $99,000 annually
Exempt 16

• Blue Cross and Blue Shield of Kansas offers excellent competitive compensation with the goal of retaining and growing talented team members. The compensation range for this role is a good faith estimate, it is estimated based on what a successful candidate might be paid. All offers presented to candidates are carefully reviewed to ensure fair, equitable pay by offering competitive wages that align with the individual's skills, education, experience, and training. The range may vary above or below the stated amounts.
  

What you'll do

• Identify, process, cleanse, and verify internal and external data sources for reporting, dashboard development, and analysis.
  
• Maintain and organize databases, ensuring accuracy by reconciling data across multiple sources.
  
• Extend company data with third-party sources as needed, ensuring data integrity for decision-making.
  
• Develop and maintain reports and visualizations to support data-driven decisions across divisions.
  
• Provide actionable insights and analysis for Medical, Provider, and Government Affairs divisions, addressing strategic questions.
  
• Track and report performance metrics, handle ad-hoc analytics requests, and automate reporting processes.
  
• Analyze and resolve issues related to provider practices, such as over/underutilization and aberrant billing, through data analysis.
  
• Manage file transfers between BCBSKS and external entities, including BCBSA, KDHE, and vendors.
  
• Utilize SQL, Excel, Python, R, Tableau, and SPSS for analyzing internal and external healthcare data.
  
• Implement automated data processes to enhance efficiency.
  
• Participate in the development of policies and procedures for medical, reimbursement, and administrative matters.
  
• Monitor healthcare trends to assess impacts on medical management activities and policies.
  
• Participate in corporate projects and committees related to analytics systems and initiatives.
  
• Maintain expertise in analytics software and seek opportunities to improve data sources and methods.
  
• Stay informed on industry best practices and trends in health analytics.
  
• Lead the corporate Ad Hoc Client Committee and represent Medical Affairs in cross-functional teams.
  
• Serve as a technical resource for staff on data systems, analytics methodologies, and contract policies.
  
• Provide training on data systems and post-payment health analytics to departmental and divisional staff.
  
• Support Health Analytics department objectives and coordinate efforts across internal and external teams.
  
• Recommend changes to improve the operation and organization of health analytics systems.
  

What you need
Knowledge/Skills/Abilities

• Well-developed human relations and interpersonal communication skills with the ability to organize and prioritize activities weekly and monthly as well as the ability to plan, schedule and complete activities on a quarterly basis.
  
• Ability to understand highly technical medical procedures and terminology, data analysis techniques and methodologies, and computer systems concepts and programming applications along with the ability to apply such skills in understanding and developing workable solutions to problems in a complex health care environment.
  
• Requires expert knowledge of provider, claim, and membership data requirements for creation of reporting and business analytics.
  

Education and Experience

• Bachelor's degree in technology, mathematics, statistics, actuarial science, risk management, economics, or related field.
  
• In lieu of a degree minimum eight (8) years progressive in a technology, statistics, actuarial science, applied mathematics, financial economics, data structures and system applications or system mainframe applications in a DB2 environment is required.
  

Benefits & Perks

• Base pay is only one component of your competitive Total Rewards package
  
• Incentive pay program (EPIP)
  
• Health/Vision/Dental insurance
  
• 6 weeks paid parental leave for new mothers and fathers
  
• Fertility/Adoption assistance
  
• 2 weeks paid caregiver leave
  
• 5% 401(k) plan matching
  
• Tuition reimbursement
  
• Health & fitness benefits, discounts and resources
  

Our Commitment to Diversity, Equity, Inclusion, and Belonging

At Blue Cross and Blue Shield of Kansas, we are committed to fostering a culture of diversity, equity, inclusion, and belonging (DEIB), where mutual respect is at the foundation of our workplace. We provide equal employment opportunities to all individuals, regardless of race, color, religion, belief, sex, pregnancy (including childbirth, lactation, and related medical conditions), national origin, age, physical or mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military or veteran status, family or parental status, or any other characteristic protected by applicable law.

We believe that embracing diversity and authentically promoting inclusion, equity, and belonging among our team members is crucial to our collective success. By intentionally recruiting, developing, and retaining a diverse pool of talent, we cultivate an environment where everyone feels valued, heard, and empowered to contribute. Accommodations are available for applicants with disabilities upon request, ensuring an inclusive and accessible hiring process for all.

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