Job post for MASUG

BlueCross and BlueShield of Tennessee
Description:

• Design, write, test and document computer programs, subroutines, and scripts to meet project objectives
• Analyze requirements for new and existing computer systems
• Maintain existing computer programs
• Resolve production computer system problems
• Re-engineer business functions by evaluating requests for service, questioning existing policies, procedures, workflows, etc., to ensure that the best systems are identified and implemented

As a project leader, the Analyst/Programmer is responsible for creating and carrying out the project plan. This includes:

- Coordinating all project activity in order to fulfill requirements within the deadline

- Interacting with staff of all levels in the user community in order to define business needs

- Conducting/documenting meetings with all levels of staff and management.

- Analysis and design of automated business solutions

- Cost/benefit analysis

- Writing technical program specifications

- Programming and testing of computer programs

- System Implementation

- System Maintenance

- Availability for production problem resolution
Qualifications:

• Bachelor’s degree in computer science or equivalent technical experience is required.
• 3 to 6 years systems analysis and programming experience with an expert working knowledge of C# and SQL. Knowledge and experience in C/C++, VB.NET, Java, Javascript, PHP, and PERL a plus.
• Demonstrated proficiency in written and oral communication skills is required.
• Demonstrated leadership, analysis, design, and project management skills is required.

Please apply via our career site at:

https://www.bcbst.com/about/careers/openings/

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.

Please apply via our career site at:

https://www.bcbst.com/about/careers/openings/