Principal Healthcare Analyst

How Is This Role Important to Our Work?

Blue Cross Blue Shield of MN is hiring a Principal Healthcare Analyst to support government programs in Quality/HEDIS/Stars initiatives in Eagan, MN. In this role, you will be supporting and guiding the strategic needs of the team through the application of advanced analytics to diverse business questions and initiatives. You will create reliable, accurate and timely data that can be used by the business to solve and drive business solutions by using a combination of traits and skills including industry knowledge, data and programming savvy, and math and statistical abilities. The position will lead efforts cross-functionally to clarify requirements, analyze complex data, and produce and present meaningful and defensible results, including the identification of success factors and barriers, improvement opportunities, proposing solutions, and informing strategic decisions.

You will have at least 7 years of experience in analytics and be proficient in SAS, SQL, and other analytical tools for effective data extraction and interpretation. A background in healthcare and knowledge of healthcare quality analytics (HEDIS, NCQA, CMS, PQA, etc.) is strongly preferred. Experience with PowerBI and automation is also preferred.

A Day in the Life:

• Uses databases for analysis and dissemination of information.

• Performs complex analysis of data.

• Researches, analyzes data, applies statistical methods when appropriate, and provides interpretation of outcomes.

• Identifies issues to be researched, determining affected areas, estimating the impact and contributing to the resolution.

• Leads teams to develop analytic approaches, measurement plans, data analysis, and report results on health care utilization, expenditures, outcomes, and benchmarks.

• Initiates actions to discover new analyses that will contribute to the strategic needs of Blue Cross Blue Shield of Minnesota.

• Works with leadership to understand and interpret the impacts to cost and quality of proposals using relevant data sources and analytic methods.

• Helps drive the implementation of new products and systems by providing actionable information and recommendations that evaluate the impact of the proposed products and systems.

• Represents the division on corporate projects and may have leadership roles on these teams.

• Independently manages issues that may arise on multiple tasks or projects with limited or no management involvement.

• Acts as a resource and/or mentor for other members of the department and company on business issues and may be responsible for training and guidance of other employees.

• Formulates strategic recommendations and present findings to management and external clients.

• Serves as an analytic consultant who can explain complex measurement or analysis techniques and results in layman's terms.

Required Skills and Experiences:

• 7+ years of related (analytics) professional experience. All relevant experience including work, education, transferable skills, and military experience will be considered.

• 5 years experience analyzing and modeling data involving outcomes and utilization, using various statistical software and computer programming (SAS, Visual Basic, DB2, Oracle, etc.).

• Proficiency in Microsoft software applications such as Word, PowerPoint, Excel, Access.

• Demonstrated ability to design, evaluate and interpret complex data sets.

• Demonstrated ability to handle multiple tasks with competing priorities.

• Demonstrated analytic and problems solving skills.

• Excellent written and verbal communication skills, with the ability to interpret and communicate analytical information to both individuals and groups in a clear and concise manner.

• Demonstrated ability to present complex technical information to non-technical audiences and to senior decision-makers.

• Demonstrated ability to work effectively both independently and in a team setting with individuals having diverse professional backgrounds including business, technical and/clinical.

Nice to Have:

• Bachelor's Degree or Master's degree.

• Subject matter expertise in Quality/HEDIS/Stars

• Knowledge of healthcare quality analytics including HEDIS, CMS, NCQA, PQA.

• Experienced with data analysis tools such as SQL, SAS, or similar. Familiar with data warehousing solutions like Amazon Redshift or Teradata.

• Proficiency in scripting languages such as Python or R for automating data processing tasks.

• Demonstrates a strong desire to understand the underlying patterns and insights within data. Always asks "why" and "how" to uncover deeper meanings and connections.

• Proficient in analyzing complex datasets using various tools and methodologies. Comfortable with statistical analysis, data visualization, and interpreting results.

• Proficient with Power BI Service for creating, sharing, collaboration, and managing reports and dashboards across the organization.