Clinical Informatics Analyst

Company Name:
Blue Cross Blue Shield of North Carolina
Major Responsibilities
Provide consultative, analytical, and reporting support to customers on various projects; conducts ad hoc analysis as directed by management to include the evaluation of operational, clinical, disease management, quality, and general business programs and processes with a specific focus on commercial group experience. With management guidance, design and/or implement inferential data modeling techniques, solve business problems through analysis and communicate the outcomes of analysis to customers, business owners and BCBSNC management.
Perform all aspects of data analysis and evaluation, to include:
some data acquisition and data management,
intermediate SAS, SQL, Business Objects, and Crystal programming,
quantitative and qualitative data analysis,
interpretation and synthesis of outcomes and conclusions,
group expense and utilization trending,
prepare documentation and communication of results to inform recommendations for business owners and management.
Provide analytical support and ad hoc analysis including design and database queries to extract necessary data and compile into an appropriate report format to effectively communicate results to business owners and management.
Provide direction and/or consultation on statistical methodology to customers as appropriate.
Use business knowledge to determine project requirements, resolve business issues and identify changes or barriers to success.
Work collaboratively with teammates to validate and guide the work of less experienced analysts in the department.
Interface directly with customers to negotiate requirements (understand customer needs and provide consultation on options to best meet expressed need) with customers to ensure optimal value and timely delivery.
In order to effectively support customer base, incumbent will learn and understand how disease management and care management programs are administered at BCBSNC. Incumbent will learn and understand the basics of the Sales account management process.
Maintain statistical models to support business area operations.
Use quasi-experimental and observational research methods to answer business questions.
Master's degree in biostatistics, epidemiology, quantitative social science, computer science, math, statistics, or finance and 1 year of data management experience and analyzing large data sets in a business environment.
If no degree, 5 years of data management experience and proven track record of analyzing large data sets, synthesizing data, compiling data into reports, and communication of findings to stakeholders.
Additional Critical Skills & Knowledge Needed for Job
Experience in the health care industry.
Experience with analytical groupers (i.e. Diagnostic Cost Groupers, , Episodic Treatment Group's).
Prior project management experience.
Intermediate programming in SAS (Base and Stat) / SQL Query Construction) or other programming language.
Documentation of programs and processes (suitable for internal and external communication).
Intermediate understanding of relational database systems and uses.
Intermediate skill with Crystal Reports, Business Objects
Ability to perform independent research
Effective verbal and written communication and presentation skills
Strong Microsoft Office Excel skills
Working knowledge of other Microsoft Office applications (Word, Access, PowerPoint)
Strong time management and organizational skills
Strong problem solving, reasoning, and logic skills
Effective interpersonal skills
Knowledge of coding structures and payment methodologies
Self-motivated and the ability to take initiative
AutoReqId: 12196BR
Job Title: Clinical Informatics Analyst
Business Function: Technical
Department: AandU ACR and GUR
Position Location: Chapel Hill

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