eleHealth Operational Reporting Data Analyst

We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross.

Residency in or relocation to Louisiana is preferred for all positions.

POSITION PURPOSE

The eleHealth Operational Reporting & Data Analyst will contribute to the organization by identifying and solving problems through data analytics to provide insight and drive decisions within the organization. Responsibilities include working with stakeholders to understand needs, gathering and querying data from various sources, and preparing reports.  Responsibilities also include analyzing data sets to identify patterns and trends as well as creating data visualizations and presenting insights to help translate high-level organizational problems into well-informed potential strategies and solutions.

NATURE AND SCOPE

• This role does not manage people
• This job reports to: Departmental Leadership
• Necessary Contacts: The departmental leadership, and other divisions within BCBSLA.

QUALIFICATIONS

Education

• Bachelor's Degree in Information Management Systems, Computer Science, Analytics and Business Administration or related degree preferred
• Four years of related experience can be used in lieu of a Bachelor’s degree.

Work Experience

• 2 years of experience providing operational reporting required

Skills and Abilities

• Experience in Microsoft Power BI, and Microsoft SQL Server Management Studio (SSMS) is preferred.
• Must demonstrate PC skills including Microsoft Office (e.g., Word, Excel, Outlook, etc.) and related software as other corporate software programs and applications.
• Experience with Medicare Shared Savings Program/Value Based Programs preferred.
• Must demonstrate verbal and communication skills with the ability to interpret and communicate information with tact, diplomacy, patience and professionalism.
• Must have excellent organizational skills.
• Must be able to cohesively work in a team environment to ensure efficient and effective completion of all tasks assigned groups.
• Ability to create tools and data models to aid in the visualization and/or monitoring of performance data (Dashboards, scorecards, etc.);
• Ability to interpret patterns and trends in complex datasets

Licenses and Certifications

• None Required

ACCOUNTABILITIES AND ESSENTIAL FUNCTIONS

• Extracts, manipulates, and analyzes raw data from various sources, as well as developing insights to make business decisions that can reduce the cost of care for clinics and improve healthcare outcomes.
• Independently pulls data, conducts analysis, prepares reports and presents insights into program performance
• Audits internal reporting systems, vendor reporting and provider EMR reports for data validity and accurate attribution.
• Manages provider/group updates in the CMS ACO Management System. Works with CMS Support IT and EMR vendor on resolving identified discrepancies
• Participates in Quality Improvement initiatives and meetings, serves as SME for special projects, and participates in ongoing quality improvement
• Executes projects, deliverables, and measurable results in the context of eleHealth’ s strategic enterprise goals collaboratively within the structure of the entire company
• Attends webinars, workshops, and in-house sessions to receive updated quality reporting information and changes in requirements and/or regulations
• Uses knowledge of HCC risk adjustment to review current procedures for improvement
• Responds to data-related inquiries and provides reporting ad hoc for business operations.
• Monitors recurring reports, gathers data, performs modifications on existing reports, and performs testing for business area to ensure an accurate and reputable process.
• Other duties as assigned.

Additional Accountabilities and Essential Functions

The Physical Demands described here are representative of those that must be met by an employee to successfully perform the Accountabilities and Essential Functions of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions

• Perform other job-related duties as assigned, within your scope of responsibilities.
• Job duties are performed in a normal and clean office environment with normal noise levels.
• Work is predominately done while standing or sitting.
• The ability to comprehend, document, calculate, visualize, and analyze are required.

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An Equal Opportunity Employer

All BCBSLA EMPLOYEES please apply through Workday Careers.

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Additional Information

Please be sure to monitor your email frequently for communications you may receive during the recruiting process. Due to the high volume of applications we receive, only those most qualified will be contacted. To monitor the status of your application, please visit the "My Applications" section in the Candidate Home section of your Workday account. 

If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact recruiting@bcbsla.com for assistance.

In support of our mission to improve the health and lives of Louisianians, Blue Cross encourages the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free. 

Blue Cross and Blue Shield of Louisiana performs background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner.

Additionally, Blue Cross and Blue Shield of Louisiana is a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results.