Resp & Qualifications

PURPOSE: 
The main purpose of a Quality Data Management Lead Analyst is to oversee vendors providing clinical data to ensure integrity, accuracy, and compliance with regulatory standards.   This role will manage the entire data lifecycle for supplemental data ingestion, drive coordination across multiple teams, and implement process improvements where necessary to ensure timely quality HEDIS reporting.  The Lead Analyst will act as a single point of accountability for data vendor relationships, escalate issues promptly, and implement quality monitoring plans where applicable to mitigate risk and ensure accuracy. 

We are looking for an experienced professional in the greater Baltimore/Washington metropolitan area who is willing and able to work in a hybrid model. The incumbent will be expected to work a portion of their week from home and a portion of their week at a CareFirst location based on business needs and work activities/deliverables that week.

ESSENTIAL FUNCTIONS:

• Engages in data exploration using various programming languages (reading and writing code), requiring advanced knowledge of multiple database structures.
  
  
• Collect, analyze, and interpret data to glean insights, and develop business appropriate recommendations.
  
  
• Serve as an expert resource supporting data questions and issues from stakeholders and driving to resolution.
  
  
• Research and analyze data flow across complex data ecosystem including operational and analytical data platforms.
  
  
• Manage the collection of business and technical requirements from stakeholders to deliver data driven solution.  Produces and reviews technical documentation that is consistent with professional standards.
  
  
• Lead in the design, development, validation and delivery of data to provide insight into business decisions.
  
  
• Act as a mentor to all team members.
  
  

SUPERVISORY RESPONSIBILITY:
Position does not have direct reports but is expected to assist in guiding and mentoring less experienced staff. May lead a team of matrixed resources.


QUALIFICATIONS:

Education Level: Bachelor's Degree in Data Science, Mathematics, Computer Science, Statistics, Business 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.

Experience: 8 years experience in an progressively responsible analytical/quantitative role.

Preferred Qualifications:

• Experience in healthcare industry.
• Hands on experience with Big Data/NoSQL Platforms with experience delivering production projects at scale.
• Strong communication, leadership and analytical skills. 
• Strong project management skills and ability to manage multiple and diverse stakeholders and leadership roles.

Knowledge, Skills and Abilities (KSAs)

• Quantitative ,analytical  and problem solving skills. 
• Knowledge and understanding of analytical tools , languages, applications, platforms.
• Excellent communication skills both written and verbal.
• Ability to learn quickly and take direction.

Salary Range: $99,144 - $196,911

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).

Department

Data and Analytics, Stars Risk

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.

Where To Apply

Please visit our website to apply: www.carefirst.com/careers

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.

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