Manager, Data Analytics - ID/STRAT & Program Evaluation (Hybrid)

CareFirst BlueCross BlueShield; Baltimore (MD); Hybrid; USD 127,360 - 236,412; Full time

Job summary

CareFirst BlueCross BlueShield is seeking a Manager, Data Analytics to lead a cross-functional team focused on Member Identification, Attribution, Data Extracts, and Population Health Management. The role blends analytics leadership with data governance to drive insights for affordability, quality, and member experience.

Remote-friendly within the Baltimore/Washington area, with periodic on-site meetings. Must have healthcare analytics background and experience building high-performing teams to

Qualifications

• 5 years progressively responsible data analytics experience with at least 1 year in a supervisory role.
• Prior healthcare analytics experience is required.
• Bachelor's degree in Computer Science, Information Systems or related field (or 4 additional years of relevant work experience).
• Preferred certifications: CAP and MapR Data Analyst.

Responsibilities

• Lead analytics, reporting and data governance for ID/STRAT, attribution, data extracts, population health, predictive modeling and program evaluation.
• Develop analytic frameworks and methodologies to address client questions.
• Partner with stakeholders to translate data requirements into tools like dashboards and segmentation.
• Communicate findings through presentations and data visualizations to leadership.

Skills

Quantitative & Qualitative skills

Excellent communication

Ability to train others

Education

Bachelor's Degree in Computer Science, Information Systems or related field

4 years relevant work experience in lieu of degree

Tools

PowerBI

Tableau

SQL

Azure

AWS

Job description

Purpose

Purpose of the Manager, Data Analytics is to execute business objectives with data and ensure alignment with the vision of the company. Individual will organize the technology, processes and financial resources necessary to address the current and future analytics needs of the business. Provides thought leadership and acts as a subject matter expert in the designing and recommending of appropriate analytical approaches and methodologies. Provides management responsibility into data-driven insights that inform the business's strategic direction.

We are looking for an experienced professional to live and work remotely from within the greater Baltimore/Washington metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for meetings, training and/or other business-related activities.

In this role, the primary responsibility will be to manage a team of individuals supporting the analytics, reporting and data governance activity for work related to Member Identification/Stratification (ID/STRAT), Attribution/Program Assignment, Data Extracts/Sharing, Population Health Management, Predictive Modeling and Program Evaluation. In addition, we will look to this individual to help support items like AI implementations, partnerships with our IT/Data Management teams, vendor support (ex: Milliman MedInsights) and other related functions.

We are looking for individuals that have experience not only in these domains but also experience in building and managing high-performing analytics teams that can deliver work consistently and transparently to our business partners, both internal and external. As such, prior healthcare analytics experience is a must; we are not looking for generalists who may have an IT background and various credentials like Scrum, Agile, etc. as this experience will not meet our needs.

If you have the right experience and an interest in working at CareFirst to make meaningful, measurable differences in our members' lives, especially in terms of affordability, quality and member experience,

Essential Functions

• Manage a team of individuals supporting the analytics, reporting and data governance activity for work related to Member Identification/Stratification (ID/STRAT), Attribution/Program Assignment, Data Extracts/Sharing, Population Health Management, Predictive Modeling and Program Evaluation. Manage a team with a focus on the development of analytics capabilities across the company, including self-service capabilities through technology implementation, best practices and training. Ensure team members serve as a trusted advisor to clients on analytics and data.
• Interpret statistical analyses and help clients derive meaning from them.
• Develop and deliver presentations and reports of analytic findings
• Develop hypotheses and research questions to address clients' needs. Conduct a wide range of quantitative, qualitative, and mixed-methods analyses to answer clients' research questions.
• Develop analytic frameworks and select appropriate analytic methods to answer clients' research questions.
• Partner with stakeholders to understand data requirements and with internal and/or external resources to develop tools and services such as segmentation, modeling, dashboard development, decision aids, and business case analysis to support the organization.
• Uses multiple data sets to create reports and data presentations, and eventually creating data dashboards, for leadership and managerial use.

Supervisory Responsibility

This position manages people.

Qualifications

Education Level

Bachelor's Degree in Computer Science, Information Systems or related field OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

Licenses/Certifications Upon Hire Preferred

• Data Management\\Certified Analytics Professional (CAP) or
• Data Management\\MapR Certified Data Analyst

Experience

5 years Progressive experience relating to data analytics/data analysis. 1-year Supervisory experience or demonstrated progressive experience.

Preferred Qualifications

• Master's Degree
• Conceptual data and cloud architecture - understands major native data components in Azure and/or AWS and their relationships and use cases
• Mastery of relational database theory include SQL and at least one major RDBMS
• Well versed in Big Data scenarios and applications
• Experience with multiple analytics delivery tools, methods, and platforms including PowerBI and/or Tableau
• Understanding of Advanced Analytics use cases and the applications of AI/ML for predictive analytics
• Experience in building and managing high-performing analytics teams that can deliver work consistently and transparently to our business partners, both internal and external
• Prior healthcare analytics experience is a must

Knowledge, Skills And Abilities (KSAs)

• Strong quantitative and qualitative skills.
• Knowledge and understanding of analytical tools, such as SAS, Excel, SQL.
• Excellent communication skills both written and verbal.
• Ability to train others.
• Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.

Salary Range

$127,360 - $236,412

Salary Range Disclaimer

The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

Equal Employment Opportunity

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Federal Disc/Physical Demand

Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

Physical Demands

The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.

Sponsorship in US

Must be eligible to work in the U.S. without Sponsorship