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    Medical Informatics Analyst, Consultant - Oakland, United States - Blue Cross and Blue Shield Association

    Blue Cross and Blue Shield Association
    Blue Cross and Blue Shield Association Oakland, United States

    1 week ago

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    Description
    Your Role

    The Cost of Healthcare Trendsetters & Pharmacy Support team analyzes and provides emerging healthcare cost trend drivers. The Medical Informatics Analyst IV will report to the Actuarial Manager.

    Your Work


    In this role, you will:

    • Conduct independent analysis of high complexity under minimal supervision and guidance
    • Develop analytical methods so that they may be subsequently delegated for production to Medical Informatics Analysts at lower levels
    • Produce analysis of high complexity under the guidance and direction of the Actuarial Manager
    • Develop documentation and create and execute workplans for analyses of high complexity. Workplans may coordinate the activities of analysts at lower levels and may involve collaboration with more than one team
    • Provide training and mentoring for team members on best practices for analysis and reporting; assist in the development of supplemental analytic training tools and materials; conducts formal training sessions for lower level analysts and analysts in other Departments
    • Have overall responsibility and accountability for leading and managing pharmacy support work products related to target setting, reconciliation, and reporting (internal and/or external) for Pharmacy related programs.
    • Lead and/or support other general program operations work, ranging from savings projection, accrual setting, addressing data issues and developing solutions, executing program renewals/conversions, iterative model design changes, improving and streamlining operations efficiency
    • Direct, coordinate, and/or develop evaluation and financial reporting standards for internal and external reports
    • Lead, coordinate and/or develop strategic, market and competitive analysis
    • Ensure team follows existing, validates, and/or develops new work-flow procedures or policies
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