Advanced Analytics Analyst

Company: Blue Cross and Blue Shield of Massachusetts Inc.
Location: Boston
Posted on: February 15, 2025

Job Description:

Healthcare Data SAS Analyst (HEDIS)Healthcare Data SAS Analyst (HEDIS)Apply locations BostonTime type: Full timePosted on: Posted 3 Days AgoJob requisition id: R07598Ready to help us transform healthcare? Bring your true colors to blue.Position Summary:Network Performance Improvement SAS Analysts are responsible for providing data and reporting used to measure quality metrics in support of contracting strategies. This includes the development and maintenance of data and reporting programs used to support provider arrangements, including risk contracts such as the Alternative Quality Contract (AQC) and expansion into other products/providers (PPO, Medicare, Small Group and Hospital).Key Accountabilities:

• Provide expertise in electronic clinical data capture and the development of electronic clinical data reporting and analysis.
• Development of SAS programs which measure quality metrics used in the measurement & evaluation of providers engaged in incentive programs & other quality based contracts.
• Troubleshoot production reporting issues, identify root causes and implement necessary coding updates.
• Work with complex health care data to develop and produce standard ad hoc reports and analysis including attribution and clinical data collection and reporting.
• Analyze and investigate Quality data as it relates to HEDIS and other pertinent data to identify areas of improvement.
• Assist with research, development, monitoring, and reporting of special projects as requested.
• Responsible for developing and documenting project and programming requirements for new and changing quality reporting applications, maintaining proper documentation and back-up for all reporting and data applications.Qualifications:
  • Proficiency in writing maintainable, supportable, well-documented SAS code.
  • Strong quality control ethic, ability to assess accuracy of output at report level as well as investigate potential issues at a granular level.
  • Two plus years of experience programming HEDIS or HEDIS-like measures.
  • Strong focus on data manipulation and ability to drive results to completion with minimal supervision.
  • Ability to extract, cleanse, integrate medical and pharmacy claims and membership data from various platforms and sources.
  • Creative problem-solving skills with strong verbal and communication skills.
  • Excellent customer focus and ability to work effectively in cross-functional teams.Education/Relevant Experience:
    • 3+ years' SAS programming experience required.
    • 3+ years' experience analyzing healthcare claims data.
    • Prior experience working with medical and pharmacy claims data at either a health plan, provider group or health data vendor preferred.
    • Development and use of PC applications for data analysis (specifically spreadsheet and database systems (MS Excel, MS Access).
    • Strong knowledge of healthcare delivery systems, provider risk and incentive programs. BA/BS required. Master preferred.Minimum Education Requirements:High school degree or equivalent required unless otherwise noted above.LocationBostonTime TypeFull timeSalary Range: $76,500.00 - $93,500.00This job is also eligible for variable pay.We offer a comprehensive package of benefits including paid time off, medical/dental/vision insurance, 401(k), and a suite of well-being benefits to eligible employees.WHY Blue Cross Blue Shield of MA?We understand that the confidence gap and imposter syndrome can prevent amazing candidates from applying, so please don't hesitate to apply. We'd love to hear from you. You might be just what we need for this role or possibly another one at Blue Cross Blue Shield of MA.As an employer, we are committed to investing in your development and providing the necessary resources to enable your success. Learn how we are dedicated to creating an inclusive and rewarding workplace that promotes excellence.At Blue Cross Blue Shield of Massachusetts, we believe in wellness and that work/life balance is a key part of associate wellbeing.
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Keywords: Blue Cross and Blue Shield of Massachusetts Inc., Boston , Advanced Analytics Analyst, Professions , Boston, Massachusetts