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February 23, 2009
Accreditation Research Analyst
0900174 -- Accreditation Research Analyst
The mission of the Medical Informatics Division (MI) is to support all BCBST business units by conducting research, and developing tools and processes that improve the outcomes, quality, access to, cost and utilization and management of health care. MI achieves this mission through analysis and health services and other types of research designed to (1) improve clinical practice, (2) improve BCBST's ability to provide access to and deliver high quality, high-value health care, and (3) provide policy makers with the ability to assess the impact of system changes on outcomes, quality, access, cost, and use of health care resources. The candidate chosen for this position will serve to support the mission of the MI division.
Primary Duties and Responsibilities:
The incumbent will work closely with consultants, scientists, and business unit staff to support the MI mission through the following major activities:
• Quality and Outcomes Improvement, Management and Research Initiatives
• HEDIS
• Surveys
• EPSDT/ TENNderCARE
• Epidemiological/Geospatial Studies, Evaluations, Investigations, and Surveillance Programs
• Research Studies
• Statistical Analyses
• Report and Tool Development
1. Use prior experience in the development and maintenance of above-mentioned activities and programs.
2. Keep up with the latest research and development in these areas and apply it appropriately.
3. Be responsible for maintaining production of reports related to the above-mentioned activities, conduct analyses, and provide recommendations based on data contained in the report.
4. Produce visual explanations and conduct research studies related to the above-mentioned activities.
5. Present reports/analyses internally and externally to appropriate professional forums.
6. Serve on related committees and workgroups.
7. Provide mentoring to junior staff and consulting to business users/senior staff.
Qualifications
• Minimum acceptable qualifications include a bachelor's degree in a quantitative/research discipline and four or more years of data analyses or research experience in a managed healthcare environment or an advanced degree in a quantitative/research discipline and two or more years of data analyses or research experience in a managed healthcare environment
• Have experience in the application of modern statistical design and analytical techniques to health-related data; have experience using SAS, including data extraction, data preparation and working with large databases
• Have experience working with geographic information system (GIS) and/or spatially oriented data is a plus
• Have knowledge of MS Office products
• Prior exposure to clinical concepts/coding and familiarity with regulatory guidelines and requirements (NCQA, CMS, EQRO, URAC etc.) is essential
• Must have proven problem solving ability and experience in managing multiple assignments with critical deadlines
• Excellent communication and presentation skills, both verbal and written are essential.
• Teamwork and leadership qualities are desirable.
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