Analyst II Quality and Value Based Care - Program Development

Overview

Department Overview

The Quality and Value Based Care area strives to develop a "best in class" service model and experience for our senior population. Our team works closely with other associates and business areas that support Medicare Advantage members in an effort to meet and exceed customer expectations and continue driving toward strategic improvement.

Primary Responsibilities

The Analyst II QVBC will be responsible for supporting and developing the quality improvement, risk adjustment and / or plan performance processes. This includes monitoring and reporting of quality, risk and / or performance indicators, identification of opportunities for improvement, conducting qualitative barrier analysis, collaborating with business areas to identify strategies for improvement and monitoring impact of initiatives. This position will monitor outcomes of key indicators including health status, health outcomes, member experience and operational metrics and have an in depth knowledge of regulatory requirements. The incumbent will work collaboratively with the internal team to support research and analysis and incorporates policies and practices to ensure execution of a sound program to maintain integrity of internal procedures. The incumbent establishes and maintain partnerships with business areas and key personnel.

Summary of Qualifications

• Bachelor's Degree
• Minimum of 3 years of experience in areas such as the healthcare field, quality improvement strategies, regulations related to quality, project management, and / or methods for data analysis techniques and interpretation
• Experience with project management and continuous improvement, along with organizational and analytical skills in order to independently identify and evaluate opportunities for improvement related to Key Quality Indicators (KQIs)
• Provide support on complex project scopes and assist in the creation of work plans to achieve the objectives of projects
• Strong communication skills, both orally and written, along with positive collaboration and excellent interpersonal skills
• Experience handling day to day decisions with minimal guidance
• Experience presenting data or information for the purposes of proposal or decision making
• Experience developing objectives, setting goals and facilitating plans to achieve desired results
• Experience working with management to determine priorities and planning that support direction of a division
• Proficient in Microsoft Word, Excel and Power Point
• Willingness to travel as required for training, collaboration and education purposes
• Proficient in SQL or other programming languages preferred
• Experience using data visualization tools such as Tableau preferred
• Knowledge of quality improvement strategies preferred
• Knowledge of data analysis techniques and interpretation preferred
• Demonstrated proficiency in analyzing healthcare data to identify trends and draw meaningful conclusions preferred
• Experience planning, overseeing, and executing projects that drive cost reduction, quality improvement and operational efficiency preferred
• Working knowledge of the Blue Cross and Blue Shield of Alabama corporate data warehouse or production database preferred

Work Location

The work location for this position will be hybrid (onsite / remote)

Terms and Agreements

By submitting a job application, I attest that all information to the best of my knowledge is true and accurate. Furthermore, I understand that any information provided by me throughout the job application process is subject to verification including, but not limited to work experience, education, assessment (test) and interviews.

We appreciate your interest in Blue Cross and Blue Shield of Alabama 'The Company'. The Company does not discriminate in hiring or employment on the basis of race, color, religion, creed, sex, sexual orientation, gender identity, national origin, age, disability, genetics, status as a disabled or protected veteran, or because of citizenship status in the case of a citizen or intending citizen. No question on this application is intended to secure information to be used for such discrimination.

Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association

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