Program Manager, Clinical Market Analysis & Management

Blue Cross and Blue Shield Association Chicago, IL

Oversees deliverables for clinical market analysis and management in support of the strategic priorities across the various business divisions within Office of Clinical Affairs. Manages the development and implementation of mathematical and statistical modeling of clinical market opportunities and trends, taking into account time-value of money. Manages research evaluation activities and the development of comparative valuation for different clinical market value segments. Provides mathematical and statistical analysis support to senior leadership team in developing market impact and valuation assessments. Reviews mathematical, statistical, and econometric literature, extracts data, conducts methodological appraisals and prepares summary tables, reviews, and data synthesis.


Responsibilities include but are not limited to:

Directs quantitative analysis and evaluation of health care markets in order to provide narrative related to market opportunities, options, and trade-offs for Blue Plans and the members they serve:

* Design and implement quantitative models for market segmentation, hypothesis testing, and machine learning

* Design and implement mathematical and statistical models for the assessment of dynamic health care markets, accounting for time-dependent changes in the state of the clinical market variables

* Design and implement quantitative modeling for assessment and prediction based upon probabilistic distribution of the clinical market

* Conducts comparative analysis of mathematical and statistical methodologies, including linear and nonlinear methods, with detailed analysis of risk and volatility, in support of decision making options for multiple projects across OCA

* Analyze and synthesize various data sources for the development of concise communications, including comparative options reports

* Researches and writes comparative options reports and memos

Edits and writes high profile clinical market value analysis and reports for the Office of Clinical Affairs

* Develop mathematical and statistical computations and graphics utilizing R language

* Develops strategic clinical market value reports in clear, concise, and logical manner in order to present market opportunities of relevance to individual Blue Plan markets

* Captures dynamic and stochastic complexity of the clinical market in order to reveal the opportunities, options, and implementation considerations of relevance to the BCBS Plans

* Communicates effectively to audience of Plan and Association senior management

* Contributes to the mathematical and statistical editing of draft and final clinical market reports

Oversees deliverables for clinical market analysis and management.

* Engage with national peers that are skilled in mathematical and statistical modeling

* Sets and manages schedules of deliverables, monitors production cycle

* Benchmarks effort, cost, and timetables. Assesses gaps and obstacles and proposes applicable and sustainable solutions

* Collaborates with the leadership team in the Office of Clinical Affairs to plan and conduct effective mathematical and statistical modeling of clinical market and options for segmentation

* Advances clinical market analysis methods and approaches by providing clear, concise, and logical communication on an ongoing basis and at key junctures

* Develops and maintains economic frameworks, research designs, and insights to ensure future economic research teams can utilize

* Maintains communications with peers at economic associations to learn and apply best practices related to statistical modeling and predictive analytics


Required Basic Qualifications:

* Master degree in a field of applied data science or experience equivalent

* Minimum 5-7 years experience in a complex environment requiring multiple deliverables and timelines

* Ability to handle large data sets in proprietary environments

* Ability to create mathematical and statistical models for hypothesis testing and machine learning, including non-linear, dynamic, and stochastic models

* Demonstrated mastery of mathematical and statistical analytic software, including Stata and Mathematica

* Ability to design and create mathematical and statistical computation and graphics using R and Python languages

Preferred Basic Qualifications:

* PhD in applied data science, such as mathematics, epidemiology, or economics

* Experience engaging with national peers that skilled in mathematical and statistical modeling

* Demonstrated ability to lead quantitative analysis in order to deliver on multiple product lines

* Demonstrated ability to manage divergent deliverables with overlapping timetables in a fast-paced business setting

* Demonstrated ability to edit complex economic and market reports, to achieve technical accuracy, clarity of expression and consistency of presentation and style

* Demonstrates creative thinking and adaptability to manage increasing volume and complexity of workload and variety of users

* Ability to oversee projects, both resources and staff

Equal Opportunity Employer

Blue Cross Blue Shield Association is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, national origin, age, gender identity, disability, veteran status, genetic information or any other legally protected characteristics

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