Blue Cross Blue Shield of MichiganBM

Data Analyst – Medicare Advantage Stars REMOTE or HYBRID

Blue Cross Blue Shield of Michigan is the largest health insurer in Michigan, serving 4.3 million members with accessible and innovative health care solutions.

Blue Cross Blue Shield of Michigan

Employee count: 5000+

Salary: 62k-104k USD

United States only

The primary focus of this role is to support Star Ratings projection modeling and analytics for Medicare Advantage. The Data Analyst will work with large datasets to generate insights, perform ad-hoc analyses, and assist in monitoring key performance indicators related to CMS Star Ratings.

RESPONSIBILITIES/TASKS:

  • Supports Stars projections through data analysis, modeling scenarios & ensuring accurate Star Ratings forecasts
  • Monitors CMS regulations & incorporates policy updates, ensuring accurate Stars projection model maintenance.
  • Utilizes software tools and programming to query & manipulate Star metrics data for accurate reporting & analytics.
  • Develops and improves workflows and business processes within area(s) to improve customer service, decrease operational costs, and improve overall quality.
  • Identifies and/or analyzes business problems and devise procedures for solutions to the problems.
  • Effectively leads projects in order to produce desired results.
  • Responsible for corporate communication of project results.
  • Recommends and assists with implementing standard policies and procedures.
  • Assures that corporate compliance is communicated, implemented, and monitored on an ongoing basis.
  • Participates in systems testing, develops procedures/controls, and provides recommendations for the ongoing improvement of the updated process.
  • Assists personnel (both internal and external) by answering questions, supplying information, and training.
  • Develops and maintains an effective working relationship with customers.
  • Participates in group or committee discussions.

This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required.

EDUCATION:

Bachelor’s degree in a related field. Continuous learning, as defined by the Company’s learning philosophy, is required. Certification or progress toward certification is highly preferred and encouraged. Experience may be accepted in lieu of degree.

EXPERIENCE:

Two (2) to four (4) years experience in related field. Analyst experience required with proven experience in operational analysis, data analysis, and problem resolution type activities.

SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED:

  • Analytical, organizational, planning and problem solving skills
  • Proficiency in Excel, VBA, SQL, SAS and Python required
  • Experience with Tableau /PowerBi or similar data visualization tools
  • Healthcare industry experience, particularly Medicare Advantage or CMS Star Ratings, strongly preferred
  • Understanding and knowledge of the business, products, programs, corporate organizational structure (including functional responsibilities), and basic research principles/methodologies
  • Ability to plan, organize, direct, and control projects.
  • Excellent written and verbal communication skills.
  • Ability to lead and contribute to process improvement projects.
  • Ability to read and interpret documents such as data flows, process flows, technical diagrams, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.
  • Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.
  • Administer and adhere to corporate and departmental policies, practices and procedures.

WORKING CONDITIONS:

Work is performed in an office setting with no unusual hazards.

PAY RANGE:

Actual compensation decision relies on the consideration of internal equity, candidate’s skills and professional experience, geographic location, market and other potential factors. It is not standard practice for an offer to be at or near the top of the range, and therefore a reasonable estimate for this role is between $62,000 and $103,700

About the job

Apply before

Posted on

Job type

Full Time

Experience level

Mid-level

Salary

Salary: 62k-104k USD

Location requirements

Hiring timezones

United States +/- 0 hours

About Blue Cross Blue Shield of Michigan

Learn more about Blue Cross Blue Shield of Michigan and their company culture.

View company profile

Through groundbreaking technology, we are revolutionizing health care at Blue Cross Blue Shield of Michigan. Founded in 1939, we are proud to be the largest nonprofit health insurer in Michigan and serve over 4.3 million members across the state and nation. Our mission is clear: we are dedicated to providing affordable, innovative products that enhance the health and well-being of our members. With a network of over 35,000 health care providers, we ensure our members have access to quality health care coverage when they need it most.

BCBSM strives to improve health outcomes through partnerships with local communities and health organizations. Our Building Healthy Communities program has positively impacted over 500,000 students in schools across Michigan. Additionally, our Strengthening the Safety Net initiative has contributed over $18 million to support health clinics that serve low-income populations. We believe that everyone deserves access to quality health care, which is why we focus on advancing health equity and reducing health disparities.

Claim this profileBlue Cross Blue Shield of Michigan logoBM

Blue Cross Blue Shield of Michigan

View company profile

Similar remote jobs

Here are other jobs you might want to apply for.

View all remote jobs

13 remote jobs at Blue Cross Blue Shield of Michigan

Explore the variety of open remote roles at Blue Cross Blue Shield of Michigan, offering flexible work options across multiple disciplines and skill levels.

View all jobs at Blue Cross Blue Shield of Michigan

Remote companies like Blue Cross Blue Shield of Michigan

Find your next opportunity by exploring profiles of companies that are similar to Blue Cross Blue Shield of Michigan. Compare culture, benefits, and job openings on Himalayas.

View all companies

Find your dream job

Sign up now and join over 85,000 remote workers who receive personalized job alerts, curated job matches, and more for free!

Sign up
Himalayas profile for an example user named Frankie Sullivan