"Alerted.org

Resp & Qualifications

We're hiring for a Director, Data Analytics of Health Economics and Reporting at CareFirst!

Over the last few years, we have been busy building the capacity for broader Cost of Care management at CareFirst, and for 2026 and beyond, we are looking for individuals that can help in a variety of analytic domains as a "force multiplier" and enable our Health Services team and broader enterprise with the data and insights needed to build better programs and operations at our plan.

In this role, the primary responsibility will be to manage a team of 20+ individuals supporting the analytics, reporting and data governance activity for domains like Cost of Care, Value-Based Care, Population Health Management and Program Evaluation. In addition, we will look to this individual to help support items like predictive models, AI implementations, data integrations/feeds, partnerships with our IT/Data Management teams, clinical quality/rating, vendor support (ex: Milliman MedInsights) and other related functions.

We are looking for individuals that have experience not only in these domains but also experience in building and managing high-performing analytics teams that can deliver work consistently and transparently to our business partners, both internal and external. As such, prior healthcare analytics experience is a must; we are not looking for generalists who may have an IT background and various credentials like Scrum, Agile, etc. as this experience will not meet our needs.

If you have the right experience and an interest in working at CareFirst to make meaningful, measurable differences in our members' lives, especially in terms of affordability, quality and member experience, please consider applying as we'd love to speak with you. See below for the core job description and additional details about the role.

PURPOSE:

Purpose of the Director, Health Economics and Reporting is to oversee all activities dealing with data and ensure alignment with the business's vision and objectives. 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 professional to live and work remotely from within the greater Baltimore/Washington metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for meetings, training and/or other business-related activities

ESSENTIAL FUNCTIONS:

+ Direct/Manage/Supervise data analysis in support of a variety of analytic solutions.

+ 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.

+ Identify and define both process and data improvements. Ensure compliance with deliverable reporting requirements by performing quality data audits and analysis.

+ Oversee the creation and delivery of high-quality analysis, and work to grow analytics offerings.

+ Ensure data integrity by implementing quality assurance practices.

+ Implement data strategies and manage projects and resources.

+ Act as central repository of approaches, standards and best practices while supporting embedded analytics teams within other benefits functions. Helps coordinate collaboration across the embedded analytics teams when necessary.

SUPERVISORY RESPONSIBILITY:

This position manages people.

QUALIFICATIONS:

**Education Level:** Bachelor's Degree in 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:

+ 8 years Progressive experience relating to data analytics/data analysis.

+ 3 years Management experience.

Preferred Qualifications:

+ 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:** $148,000 - $274,725

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 responsibilities 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

Healthcare Analytics

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 Federal 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-NH2

REQNUMBER: 21724