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Principal Healthcare Analyst
Employer: Blue Cross and Blue Shield of MN
Location: Eagan, Minnesota
Date Posted: 07/20/2007
Expiration Date: 07/23/2007
Degree Required: Bachelors
Major: Biostatistics
Major: Clinical Research
Major: Community Health Education
Major: Epidemiology
Major: Health Care Administration
Major: Health Services Research, Policy & Administration
Major: Public Health - General
Major: Public Health Administration & Policy
Great Benefits!
On-site fitness & daycare facilities
Flexible Hours
2008 Bonus Plan with 20% target
To apply, go on-line at
bluecrossmn.com/public/careers
Job Summary:
This position manages complex data and
information to provide meaningful results which
influence strategic decision-making at Blue
Cross. The incumbent works independently and
guides teams which initiate, plan, and lead
analysis from conceptual development to program
implementation. Responsibilities include data
management, data analysis, and the application
of statistical techniques to evaluate program
effectiveness, identify success factors and
improvement opportunities, suggest potential
solutions, and help business owners set
strategic directions.
Accountabilities:
1) Leads team(s) to develop measurement plans,
analyze data, and report results on health care
utilization, expenditures, outcomes, and
benchmarks.
2) Formulates strategic recommendations and
present findings to management and external
clients.
3) Conducts statistical and health-economic
analysis of projects relating to clinical
quality, disease management, and provider
network projects.
4) Develops methods and integrate tools (e.g.,
ACGs and ETGs) which adjust for current health
status and predict future healthcare utilization
and costs.
5) Serves as a measurement consultant who can
explain complex measurement techniques and
results in layman's terms.
6) Develops project plans, provide direction to
project teams, and coordinate project
activities.
7) Assists co-workers in using data/information
in new and innovative ways.
Required Qualifications:
1) Bachelor degree in Epidemiology, Health
Services Research, Social Sciences, Statistics
or related field, and 5 years of healthcare
analyst experience.
2) Within the 5 years of experience, you must
have 3 years experience in analyzing and
modeling clinical data involving outcomes and
utilization, using various statistical software
and computer programming (SAS, Visual Basic,
DB2, Oracle, etc.)
PLEASE NOTE:
Your on-line required cover letter AND resume
must clearly address how you meet the ''Required
Qualifications'' as stated above. If not clearly
stated in your cover letter AND resume, your
credentials will not be forwarded to the hiring
manager for consideration.
Preferred Qualifications: (Any combination of
these will enhance your candidacy)
1.) Extensive working knowledge of clinical data
quality measurements in a health plan setting
such as HEDIS specification and Pay-for-
Performance concepts preferred.
2.) Proficiency in Microsoft software
applications such as Word, PowerPoint, Excel,
Access.
3.) Demonstrated ability to design, evaluate and
interpret complex data sets.
4.) Strong analytic and problem solving skills
5.) Excellent written and verbal communication
skills and with an ability to interpret and
communicate analytical information to both
individuals and groups in a clear and concise
manner
6.) Demonstrated ability to present complex
technical information to non-technical audiences
and to senior decision-makers
7.) Demonstrated ability to work effectively
both independently and in a team setting with
individuals having diverse professional
backgrounds including business, technical and/or
clinical.
8.) Knowledge of managed care and health care
claims preferred.
9.) Master degree would be a plus
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