Quality Improvement Data Analyst
Horizon Blue Cross Blue Shield of New Jersey
- Hopewell, NJ
- $84,700-115,605 per year
- Permanent
- Full-time
- Analyzes reporting needs, available data, and various methods of data retrieval to develop systems which are responsive to the needs of the Department.
- Develops and maintain production reporting capabilities. Monitor the timely and accurate production and distribution of all standard and special user-generated reports.
- Provides statistical and analytical support to the Department staff. Utilizes SAS, SQL, SOURCE and other statistical based software packages to extract and analyze the data required by the Department for both continuing and special needs.
- Facilitate business requirements and define parameters of more complex analytic projects
- Research and investigate key business problems through quantitative analyses of healthcare cost and quality data.
- Analyze data results from multiple information sources to ensure reporting and analytic requirements are met.
- Develop forecasting tools using current technology/systems.
- Translate business requirements and assist IT with the development of technical specifications.
- Lead or participate in internal and external project workgroup(s) and presentations.
- Conduct User Acceptance Testing (UAT) for projects, implementations, system fixes and enhancements, etc.
- Prepare materials for internal and external audit activities; review audit findings/reports for accuracy and completeness.
- If appropriate, formulate rebuttal and/or corrective action steps. Coach/mentor less experienced staff, assist in on-boarding of new staff and/or distribute and follow-up on work assignments.
- Bachelors in Quantitative Field (i.e. Analytics, Economics, mathematics, Computer Science, Engineering, Public Health, Nursing from an accredited college or university, etc.) preferred or relevant work experience required in lieu of degree .
- Managed Health Care or provider experience preferred, especially in roles that routinely have used clinical data sources to support quality management operations.
- 3-5yrs experience; conducting complex analytics deliverables (i.e. Linear Models and more advanced independent Analytics)
- Requires proficiency with very large data sets and software/coding (i.e. SAS).
- Requires proficiency in MS Office (particularly Excel including formulas, calculations and graphs).
- Requires analytical thinking ability.
- Good written and verbal communication skills are essential. Ability to express analytic thoughts clearly and concisely both verbally and in writing (to various audiences) is required.
- Requires strong interpersonal skills and the ability to interact with all management levels.
- Require ability to make decisions to analytic/data problems that synthesize information from several sources into concrete actions/recommendations for higher level audience.
- Requires the ability to utilize logic in problem solving.
- Requires the ability to coordinate projects.
- Requires the ability to translate business objectives into technical solutions.
- Some travel to Newark and Hopewell locations.