Data Analysis Manager - Palmetto GBA

BlueCross BlueShield of South Carolina•Columbia, SC

1d•Onsite

About The Position

Palmetto GBA is one of the nation’s largest providers of high-volume claims and transaction processing, contact center operations, and technical services to the federal government and other commercial customers. Our core business is providing services to CMS Medicare beneficiaries, providers, and health plans. Palmetto GBA is one of the few Medicare contractors with experience in all Medicare business segments – Medicare Part A, Medicare Part B, Durable Medical Equipment (DME), Home Health and Hospice (HHH), and Medicare Advantage (MA) Part C and Part D. This broad experience base offers CMS a contractor with unique expertise and the ability to offer customized, creative, and proven solutions to complex problems. Description Position Summary Manages a team of analysts in the accurate and timely retrieval, compilation, and distribution of data reports routinely used by internal departments and customers to make critical business decisions. Analysis may include medical costs and trending for senior management, clinical measures, limited underwriting, and provider and operations based analytics. May serve as lead of senior executive committee that analyzes medical costs and trends, assist in hospital negotiations in order to achieve network discounts, or ensure return on investment and productivity goals are met for the assigned area. This is an onsite position (5 days a week). This position will be responsible for: Managing large projects Supervising a team of more than 20 staff members, supported by two Clinical Supervisors Data Analysis and Data Accuracy Scheduling and reviewing audits Working with and educating providers Updating the website

Requirements

Required Education: Bachelor's in a job related field (No degree equivalency)
Required Work Experience: 5 Years Progressively responsible healthcare data analysis and reporting experience.
Excellent verbal and written communication, organizational, and decision making skills.
Excellent presentation and analytical or critical thinking skills.
Good judgment.
Extensive knowledge of statistical concepts.
Ability to use complex mathematical calculations.
Proficient spelling, grammar, and punctuation.
Microsoft Office.
Excellent knowledge of mainframe systems and database design.

Nice To Haves

A minimum of 2 years in a management level position
Data analysis experience
Experience with Medicare
Experience working in a healthcare environment
Experience with QC of documents
Experience managing large projects

Responsibilities

Oversees activities of analysts in the assigned area.
Monitors the reporting process, and maintains area specific data.
Ensures reports are completed timely and correctly.
Responds to inquiries from customers and internal areas often working together with staff to handle requests.
Processes complex analytic requests, typically clinical in nature.
Runs and analyzes reports and statistics as needed.
Coordinates with information systems department to implement/troubleshoot data transfer to customers.
Participates in or leads various committees and work groups.