CareFirst BlueCross BlueShield
Data Analytics Manager (Hybrid) - Quality, STARS & Risk
Baltimore, MD
May 6, 2025
Full Job Description

Resp & Qualifications

PURPOSE: 
Purpose of the Manager, Data Analytics is to execute business objectives with data and ensure alignment with the vision of the company specific to Quality, Stars and Risk Adjustment. Individual will organize the technology, processes and financial resources necessary to address the current and future analytics needs of the business. Provides thought leadership and acts as a subject matter expert in the designing and recommending of appropriate analytical approaches and methodologies. Provides management responsibility into data-driven insights that inform the business's strategic direction.

We are looking for an experienced people leader in the greater Baltimore/Washington metropolitan area who is willing and able to work in a hybrid model. The incumbent will be expected to work a portion of their week from home and at least two days a week at a CareFirst location based on business needs and work activities/deliverables that week.


ESSENTIAL FUNCTIONS:

  • Manage a team with a focus on the development of analytics capabilities across the company, including self-service capabilities through technology implementation, best practices and training. Ensure team members serve as a trusted advisor to clients on analytics and data.
  • Interpret statistical analyses and help clients derive meaning from them.
  • Develop and deliver presentations and reports of analytic findings.
  • Develop hypotheses and research questions to address clients' needs. Conduct a wide range of quantitative, qualitative, and mixed-methods analyses to answer clients' research questions.
  • Develop analytic frameworks and select appropriate analytic methods to answer clients' research questions.
  • Partner with stakeholders to understand data requirements and with internal and/or external resources to develop tools and services such as segmentation, modeling, dashboard development, decision aids, and business case analysis to support the organization.
  • Uses multiple data sets to create reports and data presentations, and eventually creating data dashboards, for leadership and managerial use.



QUALIFICATIONS:

Education Level: Bachelor's Degree Computer Science, Information Systems or related field OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

Experience: 5 years Progressive experience relating to data analytics/data analysis. 1-year Supervisory experience or demonstrated progressive experience.

Licenses/Certifications
Data Management\Certified Analytics Professional (CAP) Upon Hire Preferred
Data Management\MapR Certified Data Analyst Upon Hire Preferred



Preferred Qualifications:

  • Government Programs Stars and Risk Adjustment regulatory and operational experience
  • Commercial & Government Programs NCQA's HEDIS Operations and submissions with support for accreditation. 
  • Master's Degree
  • Conceptual data and cloud architecture - understands major native data components in Azure and/or AWS and there relationships and use cases.
  • Mastery of relational database theory include SQL and at least one major RDBMS
  • Well versed in Big Data scenarios and applications.
  • Experience with multiple analytics delivery tools, methods, and platforms including PowerBI and/or Tableau.
  • Understanding of Advanced Analytics use cases and the applications of AI/ML for predictive analytics.

 
Knowledge, Skills and Abilities (KSAs)

  • Strong quantitative and qualitative skills.
  • Knowledge and understanding of analytical tools, such as SAS, Excel, SQL.
  • Excellent communication skills both written and verbal.
  • Ability to train others.
  • Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.


    Salary Range: $126,800 - $235,373

    Salary Range Disclaimer

    The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilites of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

    Department

    Data and Analytics, Stars Risk

    Equal Employment Opportunity

    CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer.  It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

    Where To Apply

    Please visit our website to apply: www.carefirst.com/careers

    Federal Disc/Physical Demand

    Note:  The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on health care programs.

    PHYSICAL DEMANDS:

    The associate is primarily seated while performing the duties of the position.  Occasional walking or standing is required.  The hands are regularly used to write, type, key and handle or feel small controls and objects.  The associate must frequently talk and hear.  Weights up to 25 pounds are occasionally lifted.

    Sponsorship in US

    Must be eligible to work in the U.S. without Sponsorship.

    #LI-HS1

    PDN-9ed7d6fc-f0da-4b2c-9bf1-07da6d31b937
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Data Analytics Manager (Hybrid) - Quality, STARS & Risk
CareFirst BlueCross BlueShield
Baltimore, MD
May 6, 2025
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