Health Informatics Consultant

Today's healthcare industry -- dynamic and changing at a fast pace. Recruiting talented people can mean the difference between success or failure. At Blue Cross and Blue Shield of Massachusetts, our record of achievement represents a history of hiring the best people we can find, and then challenging them to excel. It's the kind of environment that enables us to give our best to the consumers we serve, and at the same time, work to the potential of those who work for us.

Health Informatics Consultant

Blue Cross Blue Shield of Massachusetts is an Equal Opportunity Employment/Affirmative Action Employer. Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, or any other characteristics protected by law.

Position Summary:
The Health Informatics Consultant supports the strategy of partnering with accounts through a consultative process that offers customized and actionable findings and recommendations in an effort to influence better outcomes for members. As a core participant in the consultative process, this position will play a vital role in analyzing and linking compelling financial, actuarial, clinical, care management and wellness information to provide the basis for account recommendations. In addition, the Consultant will be integral in developing the future strategy of Health Informatics based on emerging marketplace demands.

Major Responsibilities:

Actively participate with the consultative teams (along with representatives from Sales, Underwriting, Account Reporting, Clinical Coordination, and Prevention & Wellness) in crafting the account presentations

Develop analysis of accounts' financial and clinical performance relative to key benchmarks and prior period experience

Suggest and lead drill down analyses to validate preliminary findings, provide additional depth to the account narrative, and address anticipated questions

Perform quality check of final reports, exhibits & analyses prior to account presentations

Participate in delivery of Informatics presentations to accounts

Lead broader financial and actuarial benchmarking initiatives

Provide input and support in defining the emerging Informatics strategy

Facilitate enhancements to the Informatics reporting and consultative process

Create technical specifications and definitions of new and modified data elements and reports; Monitor and provide periodic updates to the IT staff on key actuarial factors and trends

Qualifications:

Creative problem solving skills and strategic thinking ' ability to blaze new trails

Outstanding quantitative skills and aptitude

Solid project management skills and flexibility to juggle multiple responsibilities and deadlines

Well-developed written and oral communication skills

Effectiveness and comfort working as a team leader, participant and individual contributor

Ability to build and maintain positive working relationships with technical and non-technical staff at all levels

Strong PC skills and technical proficiency

Commitment to professional and personal development

Education/Relevant Experience:

BA/BS required

Minimum of 5 years of relevant healthcare experience in an analytical capacity (i.e. actuarial, underwriting, employee benefits consulting, health economics or statistics)

Consulting or client-focused experience a plus


BA/BS required

Minimum of 5 years of relevant healthcare experience in an analytical capacity (i.e. actuarial, underwriting, employee benefits consulting, health economics or statistics)

Consulting or client-focused experience a plus