Job Description

DUTIES : Wellmark of South Dakota Inc. seeks a Jiva Health Services Analytics Consultant based out of our office at 1331 Grand Avenue, Des Moines, IA 50309. This is a hybrid position whereby the employee will work both from home and from the aforementioned office address. Hence, the employee must live within a reasonable commuting distance of the aforementioned office address.

Responsible for developing control and monitoring reporting & conducting business optimization analysis for Health Services programs (e.g. care management and utilization management) utilizing JIVA data. Extract, integrate analyze, and interpret data from internal and external data sources, to develop intelligence packaging that draws conclusions and supports recommendations that will help to achieve business goals. Collaborate with team and key business stakeholders to ensure critical business objectives are met by following the analytics lifecycle within assigned domains. Work cross-functionally with business stakeholders to identify risk and provide solutions that drive data-enabled decisions. Participate in or conduct discovery sessions and stakeholder interactions to gain business understanding and identify business problem. Understand the project objectives and gather requirements to build a preliminary plan. Research and gather appropriate data from various sources. Source, extract, assemble, collate, and consolidate data needs for the business. Profile and prepare data for analysis of health services programs (e.g., care management and utilization management) utilizing Jiva data. Auditing programs to ensure Jiva functions as business expects. Creating analyses that connects Jiva to Facets showing the downstream impacts of health services programs. Creating dynamic visualizations in PowerBI for operational, strategic, and optimization decisions for health services programs from Jiva data. Build and execute models to analyze business outcomes, using tables, graphs, and charts, as well as algorithms, forecasts, and trends. Interpret results, identify key findings to quantify business value. Develop a narrative to summarize and convey findings to stakeholders. Make recommendations based on findings. Create, update, and maintain a production schedule for reporting and ensure reports and presentations are completed on schedule. Manage multiple projects simultaneously and support corporate process improvement initiatives, meeting aggressive timeframes. Collaborate with peers to identify reporting objectives and develop reports and analyses that meet their need and drive Wellmark’s value proposition for stakeholders. Wrangle data from a wide variety of data sets and assemble into normalized and enriched data assets that enables new insights, solutions, and visualizations. Perform and document data profiling, quality assessment, source consolidation, aggregation, and other data manipulation efforts, to understand data formats, source systems, file sizes, etc. Create, update, and maintain documentation and procedures for sourcing, analyzing, and preparing internal reporting and presentations. Ensure the highest quality and integrity of data sources. Other duties as assigned.

Qualifications

REQUIREMENTS:

Bachelor’s degree in Statistics, Business Analytics or related.

24 months of experience in Job offered or related;

Experience must include: Two (2) years of experience in data or statistical analysis, including data collection, joins, analysis, statistics and/or data presentation; two (2) years of experience in analyzing and pulling Jiva data; two (2) years of experience in Health Care Insurance conducting business process optimization analysis; two (2) years of experience in Microsoft Power BI, SAS, and SQL; two (2) years of experience in analyzing EMR/lab data; and experience in business intelligence or analysis platforms.

OTHER: Employer: Wellmark of South Dakota Inc. Job Site: 1331 Grand Avenue, Des Moines, IA 50309. 40 hours per week.

Additional Information

All your information will be kept confidential according to EEO guidelines.

_ _ An Equal Opportunity Employer__

The policy of Wellmark Blue Cross Blue Shield is to recruit, hire, train and promote individuals in all job classifications without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or any other characteristic protected by law.

Applicants requiring a reasonable accommodation due to a disability at any stage of the employment application process should contact us atcareers@wellmark.com

Please inform us if you meet the definition of a "Covered DoD official".