Blue Cross Blue Shield of Michigan · 15 hours ago
Sr. Health Care Analyst-Comm Risk Adjustment
600 E Lafayette Blvd, Detroit, MI, 48226, US
Full-time
Onsite
Senior Level
6+ years expBlue Cross Blue Shield of Michigan is seeking a Senior Health Care Analyst specializing in Risk Adjustment. The role involves planning, organizing, and leading departmental assignments while analyzing data to make recommendations for operational improvements.
Health CareHealth Insurance
Responsibilities
Responsible for planning, organizing, directing, implementation, and leading department assignments
Leads in the research, analysis, identification and evaluation of data from assigned problems to evaluate existing and potential trends and issues
Possess and maintain an extensive comprehensive knowledge of BCBSM business, products, programs (including provider data, networks, etc.), corporate organizational structure (including functional responsibilities), and basic research principles/methodologies
Manage and monitor multiple projects simultaneously by establishing project plans and objectives to ensure goal attainment within defined parameters
Develop lines of communication to discuss/review results of analysis to management via reports/presentations and assist management in implementing programs that provide solutions
Investigate, review, recommend, communicate and implement solutions which identify problems/root cause of issues
Identify and resolve challenges in order to fulfill key corporate objectives and respond to the demand of change management and initiate actions needed to plan, organize and control team activities
Independently develop and plan, reports, papers and/or other materials in a clear and concise manner
Provide expertise and guidance to unit and corporate staff as required
Acts as liaison between corporate business areas and participates in group or committee discussions
Qualification
Required
Minimum 3 years SQL experience required
3 years healthcare experience required
Bachelor's Degree in Business Administration, Economics, Health Care, Information Systems, Statistics or other related field is required
Six (6) or more years experience in related experience, typically in two (2) subject areas (e.g. financial analysis, planning, health care economics, health care policy, statistical modeling, business decisions, analysis, or business management)
Excellent analytical, planning, problem solving, verbal and written skills to communicate complex ideas
Excellent knowledge and use of existing software packages (PowerPoint, Excel, Word, etc.)
Strong working knowledge of data languages such as SAS or SQL
Ability to work independently, within a team environment and communicate effectively with employees at all levels
Preferred
Minimum 1 year python experience preferred
1 year Databricks preferred
Risk Adjustment experience preferred
Master's Degree in related field preferred
Company
Blue Cross Blue Shield of Michigan
We commit to being our members’ trusted partner by providing affordable, innovative products that improve their care and health.
5001-10000 employees
H1B Sponsorship
Blue Cross Blue Shield of Michigan has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (66)
2024 (49)
2023 (38)
2022 (58)
2021 (74)
2020 (60)
Funding
Current Stage
Late StageLeadership Team
Daniel J. Loepp
President and CEO
Nancy Wanchik
Vice president & Medicaid CEO
Recent News
2026-01-06
2025-10-15
24-7 Press Release Newswire
2025-10-03
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