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Wellmark Blue Cross and Blue Shield · 2 months ago

Healthcare Data Analytics & Reporting Consultant (Open to hiring at Senior level)

Des Moines, IA, USA

Full-time

Hybrid

Mid, Senior Level

4+ years exp

Wellmark Blue Cross and Blue Shield is a mutual insurance company focused on the well-being of its members. They are seeking a Healthcare Data Analytics & Reporting Consultant to lead discussions with clients, providing strategic recommendations and comprehensive reports based on complex datasets to improve member experiences and reduce healthcare costs.

Financial ServicesHealth InsuranceInsurancePersonal Health

No H1B

U.S. Citizen Only

Responsibilities

Support the Account Management team in creating and maintaining relationships with representatives of employer groups by identifying, initiating, and establishing appropriate internal and external contacts and sources needed for information sourcing. Serve as an interface between stakeholders, Account/Broker Managers, Underwriting, Health Management, Network Administration and senior leadership to identify and address issues impacting the health care trends and population health status of stakeholders

Maintain collaborative relationships with other internal and external stakeholders to communicate Wellmark’s value proposition to external stakeholders and present utilization, financial, and clinical information clearly and accurately. Support the execution and delivery of business intelligence and reporting performance guarantees

Interpret, and summarize financial or clinical data from multiple sources to conduct comprehensive, collaborative analysis. Produce concise compilation of the analysis, providing implications and recommendations as appropriate to key decision makers. Develop opportunity projections and determine the attractiveness of targeting various opportunities to support strategic decision making as it relates to medical trend

Utilize integrated data from multiple internal and external resources to effectively address business questions/problems in a way that demonstrates value to stakeholders (both internal and external) by making customized recommendations regarding benefit designs, product offerings and clinical/wellness programs that will help stakeholders achieve their goals. Data may include, but is not limited to, utilization and cost trends, industry variation, ROI, risk assessments and benchmarks quality measures, population health, and various models for payment or risk

Work collaboratively to develop comprehensive analytical view of actionable trend drivers and predict future trend from the perspective of impacts due to provider reimbursement, member health, misuse/overuse/underuse of services, patient demographics, benefit plan design, and shifts in place of service including geographic analysis

Support stakeholders in monitoring progress towards goals by demonstrating the comprehensive impact of recommendations (i.e., illustrate and explain results of Return on Investment and/or program evaluation analyses)

Guide and collaborate with the Data Analytics & Reporting team in meeting the reporting needs of stakeholders by obtaining voice of the customer feedback through project participation, reporting and data analysis

Consult others on the development, design, and implementation of data initiatives, such as the data warehouse, data consumption layer, etc

Assess the current and prospective accounts’ health care benefit needs and decision-making processes by meeting regularly with Sales staff and representatives of employer groups to review short and long term goals and planning needs

Monitor and research healthcare industry activities and trends to evaluate and address current and emerging issues. Provide consultation and produce executive summaries that will indicate the pulse of the external environment

Other duties as assigned

Qualification

Data visualizationData analysisInsurance industry experienceReport writingSQLSASBusiness ObjectsAnalytical skillsConsultative skillsInterpersonal skillsPresentation skillsDetail oriented

Required

Bachelor's Degree in related field or direct and applicable work experience

4+ years of Insurance, Financial Services, or similar corporate experience, including: Interpretation of cost trends, financial and/or clinical data, and assessment of benchmark data involving large, complex datasets

Report writing/analysis and data visualization. Technical proficiency with tools such as: Access, Crystal, Report Smith, Business Objects, SAS, SQL Geo Access analysis tools, RFP Machine, or relational databases

7+ years of Insurance, Financial Services, or similar corporate experience, including: Advanced interpretation of cost trends, financial and/or clinical data, and assessment of benchmark data involving large, complex datasets. Development and delivery of recommendations to key/senior decision makers

Ability to serve as business owner and subject matter expert

Highly effective analytical skills, business intuition, and demonstrated proficiency in distilling large amounts of information into the most relevant insights

Consultative skills demonstrated by the ability to make recommendations to stakeholders, members, key employer groups and/or providers regarding benefit designs, product offerings, and clinical/wellness programs. Balances subject matter expertise and business acumen with strong understanding of the customer

Ability to manage customer relationships, including effective interpersonal, verbal and written communication skills. Strong presentation skills and the ability to influence others to achieve business results

Ability to build and sustain relationships with stakeholders, decision-makers and internal staff based on competence, trust and mutual respect

Proven ability to be highly detail oriented

Travel required between 20-30%

Preferred

Bachelor's Degree in STEM or a related quantitative discipline – e.g., Finance, Accounting

Master's Degree

Health insurance, health care, or related industry experience, including understanding of delivery systems, managed care concepts, reimbursement, contracting, claims processing and/or medical policy