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Data Analyst - Outreach (DC Medicaid) at CareFirst BlueCross BlueShield in Washington, Washington DC

Posted in Other 30 days ago.

Type: Full Time

Job Description:

Resp & Qualifications

The Health Care Data Analyst/List Coordinator has primary responsibility for fully supporting the companys ongoing health care business objectives for Marketing, Outreach and Health Promotion related to strategic goals and objectives. The incumbent will be responsible for the design and production of reports required by local and federal regulators, as well as internal operational report specification. The role will provide analyses related to measuring performance and status of programs, initiatives, processes and partners. The role will also provide analytical interpretation of data for evaluation of clinical practices to support the development of financial and contractual modeling. Finally, the analyst will have skills in SharePoint to organize, maintain and update files and develop job request intake systems as needed.

Supports the health plan by developing business processes and systems to ensure integrity of the health plan data.
Works with various operational business teams to identify report criteria that will translate to functional specifications that will turn into meaningful reports, and economic outcome metrics for measurement and reporting.
Works with staff in designing, conducting and analyzing data pertaining to Wellness Navigator enrollee information to assess gap-in-care clinical outcomes.
Works to ensure that reports for all jurisdictions are completed in a timely and accurate manner.
Preforms quality reviews on state-required and/or departmental reports related to health care Quality improvement initiatives including HEDIS and disease management programs.
Develops financial outcomes methodologies and metrics related to the company's clinical improvement products and services.
Conducts health data economic analysis for Marketing, Outreach and Health Promotion Departments.
Analyzes provider financial and clinical data to develop and produce performance reports.
Assists with preparation of state-required and/or departmental reports related to health care quality improvement initiatives including HEDIS and disease management programs.
Manages multiple data related projects to completion across multiple departments.
Works with the Information Systems department to further develop data access tools and analyze the functionality of external products.
Assists with development and supports new business applications and assists Senior healthcare analyst with implementation of a technical quality assurance process that ensures that all software development is properly specified, documented, tested, implemented, and feedback received for improvements.
Report to Senior Director, Marketing, Outreach and Health Promotion.

SUPERVISORY RESPONSIBILITY: This job has no supervisory responsibilities.


Required Experience/Skills/Abilities:
Computer proficiency with statistical analysis, spreadsheets, database and basic SQL.
Experience with organizing, developing, maintaining and updating SharePoint, especially developing workflows to create automated emails and job request intake sites.
Good Informatics skills in data/information presentation.
Good oral communication, written presentation and interpersonal skills
Mid-level report creation skills.
Clear understanding of health plan operations, workflows and reporting
Experience in data exploration and preparation with large datasets, and in study design and execution required.
Research experience with quantitative models.
Good analytical skills and multi-tasking capabilities.
Knowledge of Microsoft Access, Microsoft Excel, Crystal Reports and SQL.
Ability to work independently on complex projects and issues and interaction with other departments.
Knowledge of Health Plan data and an understanding of the linkages between data, knowledge and decision support necessary to report outcomes.
Five years of health care quantitative analysis and the application of advanced statistical techniques experience.
Experience with HEDIS and Medicaid reporting preferred.

Advanced degree and/or certifications

*Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.
Full time: 40 hours per week

No travel required

To perform the job successfully, an individual should demonstrate the following competencies:
Analytical | Collects and researches data; Uses intuition and experience to complement data.
Problem Solving | Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics.
Project Management | Communicates changes and progress; Completes projects on time and budget.
Technical Skills | Assesses own strengths and weaknesses; Pursues training and development opportunities; Strives to continuously build knowledge and skills; Shares expertise with others.
Customer Service | Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.
Interpersonal Skills | Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things.
Oral Communication | Speaks clearly and persuasively in positive or negative situations; listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings.
Written Communication | Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Able to read and interpret written information.
Quality Management | Demonstrates accuracy and thoroughness.
Diversity | Shows respect and sensitivity for cultural differences; promotes a harassment-free environment.
Ethics | Treats people with respect; Keeps commitments; inspires the trust of others; Works with integrity and ethically; Upholds organizational values.
Organizational Support | Follows policies and procedures; Completes administrative tasks correctly and on time; supports organization's goals and values; Supports affirmative action and respects diversity.
Strategic Thinking | Develops strategies to achieve organizational goals; Understands organization's strengths & weaknesses; Analyzes market and competition; Adapts strategy to changing conditions.
Judgment | Displays willingness to make decisions; Includes appropriate people in decision-making process; makes timely decisions.
Motivation | Sets and achieves challenging goals; Demonstrates persistence and overcomes obstacles.
Planning/Organizing | Prioritizes and plans work activities; Uses time efficiently; Plans for additional resources.
Professionalism | Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
Quality | Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality.
Adaptability | Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.
Attendance/Punctuality | Is consistently at work and on time; Ensures work responsibilities are covered when absent; Arrives at meetings and appointments on time.
Dependability | Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments; Commits to long hours of work when necessary to reach goals; Completes