Demo

Health Information Data Scientist

Blue Cross Blue Shield of Kansas
Topeka, KS Full Time
POSTED ON 1/17/2025
AVAILABLE BEFORE 4/17/2025

This job was posted by : For more information, please see : What youll doDevelop, implement, and maintain data systems and processes to support divisional medical management, provider quality, reporting, and data retrieval needs.Analyze healthcare data using statistical and data mining techniques to identify patterns, develop models, and provide strategic insights for corporate and Medical Affairs initiatives.Work with business users at all levels to understand their requirements and translate them into analytical models and automated processes.Present data-driven insights in clear, visually appealing formats for internal stakeholders and senior management.Support the resolution of complaints and issues related to overutilization, underutilization, billing practices, and provider patterns through data analysis and reporting.Propose and implement new analytics solutions to address business needs and optimize data processes.Collaborate with subject matter experts, data stewards, IT, and business analysts to prepare internal and external data for analysis.Participate in corporate projects and committees affecting data systems, health analytics, and utilization reporting.Contribute to the development of policies and procedures related to medical, reimbursement, and administrative matters, including new procedures and cost containment programs.Monitor new healthcare trends, technologies, and data sources to assess impacts on medical management and delivery systems (e.g., value-based programs, provider quality, interoperability).Maintain expertise in vendor analytics software and work with IT resources to optimize data processing, input, and output.Lead the corporate Ad Hoc Client Committee and coordinate changes to the corporate Data Warehouse and delivery of data to clients (e.g., Kansas Health Insurance Information System).Serve as a technical resource for divisional staff on data systems, health analytics, and provider / insured contracts, policies, and procedures.Provide training on data system capabilities and post-payment health analytics methodologies.Ensure achievement of objectives for the Health Analytics department, Medical Affairs division, and organizational goals.Initiate and coordinate system improvements to increase data efficiency and effectiveness.Support the development and implementation of systems and standards for health analytics and data reporting.What you needKnowledge / Skills / AbilitiesAbility to identify and make sense of rich data sources, manage large amounts of data, merge datasets, ensure consistency of datasets, graphically portray data to gain insights, build statistical models, understand data and model shortcomings, and effectively communicate findings.Must possess advanced analytical, problem solving, and research skills.Adept at programming with SQL and capable of learning computer programming languages.Ability to understand the capabilities, limitations, and characteristics of the corporate data systems and build relationships with subject matter experts throughout the company.Ability to work with statistical software applications, such as R, SAS, Python, or Minitab.Ability to work with data visualization tools, such as Tableau.Skilled with Microsoft Excel, Access, and Word.Ability to understand and build solutions that recognize a variety of distinct data reporting requirements.Ability to create and maintain databases and produce actionable insight and visualization capabilities from those data sources for management reporting and process improvement.Must effectively use interpersonal and communications skills with tact and diplomacy. This position maintains interaction with internal and external customers of all levels of staff.Must have excellent writte and oral communication skills, with the ability to convince and defend the reasonability of research findings and process designs to a wide array of both technical and non-technical persons.Must maintain and grow knowledge, skills, and abilities in data analytics and technologies to support the data needs of the department, division, and corporation.Ability to make decisions using independent judgment and creativity to resolve issues and overcome roadbloc

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