Resp & Qualifications

PURPOSE: 
The position supports one of the Care Management teams in our Health Services Division. The incumbent plays an important role in helping to shape and execute the reporting strategy for data collected.  Helps drive critical business decisions by analyzing metrics and designing reports.  Communicates results to stakeholders and provides suggestions based on findings. We are looking for an experienced professional to work remotely from within the greater Baltimore/Washington DC metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for meetings, training and/or other business-related activities.

ESSENTIAL FUNCTIONS:

• Collaborates with stakeholders to understand data needs to create reports that meets the needs of the Care Management department. Identifies functional requirements through process analysis, review of documents and procedures, and interviews and meetings with stakeholders.  Occasionally works alongside Developers and the System Architects to use the requirements to design the system concept of operations from both business and technical perspectives.
• Analyzes data and develops observations and findings based on analysis. Creates and test reports utilizing feedback and revisions into reporting products. Conducts quality control, communicates findings, and obtains sign-off from stakeholders to implement reports into production.
• Prepares ad-hoc analysis, research moderately complex issues, and develops reports in support of reporting requirements, analyzes and interprets data, and makes recommendations to improve reporting processes.
• Works in collaboration with another Requirements/Business Analysts to conduct discussions in interviews and workgroups to capture and to develop requirements.  Analyzes the requirements and manages the requirement changes. Supports business operations development and develops standard operating procedures.
• May work alongside Developers and Architects to use the requirements to design the system concept of operations from both business and technical perspectives.

SUPERVISORY RESPONSIBILITY:
Position does not have direct reports but is expected to assist in guiding and mentoring less experienced staff. May lead a team of matrixed resources.

QUALIFICATIONS:

Education Level: Bachelor's Degree in Business Administration or Related field OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

Licenses/Certifications Upon Hire Preferred:

• Data Management\Certified Analytics Professional (CAP).

Preferred Qualifications:

• Experience working in healthcare industry and/or healthcare payor organization. Proven track record of turning data into meaningful analysis, presenting to business stakeholders, and driving value for the business. Experience developing Return on Investment (ROI) and present to stakeholders and management.  Ability to see the big picture and to focus on details when necessary.

Knowledge, Skills and Abilities (KSAs)

• Strong research and investigative skills.
• Proficient in Microsoft Office programs.
• Ability to maintain effective interpersonal relationships.
• Excellent communication skills both written and verbal.
• Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.

Salary Range: $48,600 - $96,525

Travel Requirements/Estimate Amount: In-office rarely for training or software/hardware issues estimated once or twice per year.

Salary Range Disclaimer

The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilites of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

Department

Care Management

Equal Employment Opportunity

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer.  It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Where To Apply

Please visit our website to apply: www.carefirst.com/careers

Federal Disc/Physical Demand

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.

PHYSICAL DEMANDS:

The associate is primarily seated while performing the duties of the position.  Occasional walking or standing is required.  The hands are regularly used to write, type, key and handle or feel small controls and objects.  The associate must frequently talk and hear.  Weights up to 25 pounds are occasionally lifted.

Sponsorship in US

Must be eligible to work in the U.S. without Sponsorship

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