Lead Health Informatics Analyst
Company: CareFirst BlueCross BlueShield
Posted on: June 11, 2019
Resp & Qualifications
The HealthCare Analytics Lead Analyst role exists in order to
provide analyses and reporting as part of the HealthCare Analytics
team a group which provides critical support for key corporate
programs, such as the Patient-Centered Medical Home initiative and
Account Reporting. This position requires prior experience in
analytics and/or business reporting in a healthcare environment.
The incumbent will spend the majority of their time with data
management, analysis, and reporting for end users, including all
levels of management in a variety of internal departments such as
Medical & Networks Management, Sales, Marketing, Actuarial,
Strategic Planning and the Office of the CEO well. Analyses and
reporting is also provided to external customers such as providers,
accounts, and regulatory agencies. The incumbent must also have
technical experience using programs to extract, analyze, and manage
data from a variety of disparate data sources and systems. The
incumbent should be able to work independently with minimal
involvement from management and make suggestions to improve the
team s quality and efficiency. The incumbent should be able to
mentor and assist HealthCare Analytics Analysts and
Under the general supervision of a HealthCare Analytics Supervisor
or Manager, the incumbent s accountabilities may include, but are
not limited to, the following:
1. Complete production and ad hoc analyses and reports and review
the analyses of other HealthCare Analytics analysts in support of
major corporate programs, such as Patient-Centered Medical Home
(PCMH), Account Reporting, quality and cost of care, provider
performance, clinical outcomes, and care program operations and
efficiency tracking. This may include some or all of the specific
skills and functions below:
* Independently work with business units and management to
gather/understand business requirements for new project
* Query and analyze claims, operational and vendor data from
various environments CareFirst Business Intelligence platforms such
as Oracle, and SQL Server databases as well as understand the
underlying data structures of each data source.
* Create reports using SQL, SAS, and Microsoft Office applications.
This includes designing and framing out the look and feel of each
report, ensuring that data is presented in a neat, meaningful
format that can be provided to management as well as senior and
* Review the creation of reports and analyses from Senior Analysts
and Technicians prior to submission to management.
* Interpret data and provide analytical commentaries to explain or
highlight significant findings.
* Create documentation and specifications for new production
reports and be able to effectively communicate related
methodologies to business users and other TOS staff.
* Participate in work groups to assist in migrating reports into
production and utilize business and technical knowledge to perform
quality reviews of reports or supporting data in development or
* Periodically represent the department at inter departmental
meetings as needs dictate.
2. Coordinate projects that involve multiple team members and
oversee the gathering of analyses into an accurate, comprehensive
and understandable format. Expand technical and business knowledge
through individual research and on-the-job training. Participate in
Data & Informatics meetings and facilitate information exchange
with people in other departments and/or external customers. Expand
knowledge of the systems, methods, practices, procedures, policies,
regulations followed at CareFirst and develop technical skills
including but not limited to SQL and SAS Enterprise Guide. Mentor
and assist HealthCare Analytics Analysts and Technicians.
3. Contribute to the continual improvement of the department by
developing efficient methods for extracting data from source
systems, automating processes, developing neat and accurate
end-user reports, and expanding the use of new technologies as the
need arises. Generate clear and concise documentation for all
projects. Excellent organizational skills and ability to set
priorities and handle multiple projects concurrently.
4. Perform individual team administrative duties including status
reporting, daily project time reporting, and self/peer/project
The candidate may work on multiple projects and initiatives, or be
allocated to a single project, as business priorities dictate.
Incumbent may be working on corporate initiatives and/or key
corporate imperatives such as: PCMH, Account Reporting, Hospital
Transition of Care, and Provider Efficiency Scoring. Work produced
could have a high level of exposure among all levels of CareFirst
management (including the CEO and Officers) and/or external
providers and Accounts, and could directly or indirectly have
financial impacts (e.g., data ultimately used in calculating
* A college degree in Healthcare, Information Systems, Computer
Science, or a related discipline OR equivalent experience.
Experience must include 5 - 7 years of analytics and/or business
reporting experience in a healthcare or related environment.
* Additionally, this position requires demonstrated proficiency
with multiple reporting applications and tools, including MS Excel,
Access, Word, and SQL/database querying.
* Excellent analytical skills. Must be able to not only extract and
manipulate data but understand what the data represents; to review
information critically and ensure that it is accurate and
reasonable within the context that it is presented.
* The ability to work independently and as part of a team.
* Excellent project management and organizational skills. Must be
flexible and willing to work additional hours as necessary to
complete work during critical deadlines and manage multiple
projects in a fast-paced environment.
* Good oral and written communications abilities; strong
interpersonal skills for customer interfacing.
* Must be able to effectively work in a fast paced environment with
frequently changing priorities, deadlines, and workloads that can
be variable for long periods of time. 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
Department: Business Information Analysis
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
Hire Range Disclaimer
Actual salary will be based on relevant job experience and work
Where To Apply
Please visit our website to apply: www.carefirst.com/careers
Please apply before:7/7/2019
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
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
Keywords: CareFirst BlueCross BlueShield, Reston , Lead Health Informatics Analyst, Professions , Reston, Virginia
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