Responsible for identifying, collecting, analyzing, and maintaining data to evaluate issues that support prospective business decisions. Coordinate projects for senior management.

• Research, analyze, identify, and evaluate data from assigned problems to evaluate existing and potential trends and issues.
• Possess and maintain a comprehensive understanding and knowledge of BCBSM business, products, programs (including provider data, networks, etc.), corporate organizational structure (including functional responsibilities), and basic research principles/methodologies.
• Assist in the management and monitoring of multiple projects simultaneously by establishing project plans and objectives to ensure goal attainment within defined parameters.
• Communicate results of analysis to management via reports/presentations and assist management in implementing programs that provide solutions.
• Recommend, communicate, and implement solutions to identified problems/root cause of issues.
• Provide expertise and guidance to unit and corporate staff as required.
• Represent and participate in group or committee discussions.

• Bachelor's Degree in Business Administration, Economics, Health Care, Information Systems, Statistics or other related field is required. Master's Degree in related field preferred.
• Four (4) or more years of experience in related field required.
• Strong communication skills are required to understand, interpret, and communicate ideas.
• Strong knowledge and use of existing software packages (PowerPoint, Excel, Word, etc).
• Working knowledge of data languages such as SAS or SQL.
• Strong analytical, organizational, planning and problem solving skills.
• Ability to effectively interface with employees at all levels.
• Understand and apply statistical inference.
• Other related skills and/or abilities may be required to perform this job.

Departmental Summary / Preferences:

- Subject Matter knowledge: preference for a candidate with a background in the following areas: behavioral health (mental

LMSW, LPC, LLP is highly preferred.

health and substance use services), utilization management, claims, data analysis, provider network evaluation.

- Analysis of clinical data to evaluate program effectiveness

- Participate in the development of qualitative and quantitative assessment process to determine program “fit� into

overall strategy

- Monitor provider onboarding to ensure adherence to process and that key operational partners are included

- Analyze and present data and recommendations for future innovative programs and partnerships

- Ability to effectively collaborate with data analytics and communicate analysis using comparison data, status reports and

ongoing monitoring of programs

- Oversee contracting and onboarding of Autism Evaluation Centers

- Maintain ongoing relationships with network providers

- Admissions, Discharge, and Transfer pilot coordinator

- Provider assigned presentations as a subject matter expert in behavioral health

- Provide technical and written reporting assistance to Quality Management team

- Participate in the investigative process related to provider complaints.

- Development and oversight of initiatives aimed at improving HEDIS scores.

All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability.