Senior Health Data Analyst

Please email HR_Talent_AcquisitionTeam@bcbsri.org if you are a candidate seeking a reasonable accommodation for the application and/or interview process.

Schedule: Remote

Compensation:$92,700 - $139,100

Jump into the new world of health insurance:

At Blue Cross & Blue Shield of Rhode Island (BCBSRI), our business is healthcare. But our focus is on improving lives. Be part of a team that is large enough to make a difference but small enough to be innovative. Work in a rapidly changing field. Take a chance to be creative. Move outside the status quo. Shape new ideas with the power of a national brand behind you.

Join others who know diversity is strength:

We appreciate and celebrate everything that makes us unique: age, national origin, citizenship status, perspectives, experiences, physical or mental disability, military status, race, ethnicity, religion, gender, sexual orientation, gender identity and/or expression. Our diversity strengthens us as an organization and helps us better serve an increasingly diverse Rhode Island population.

Why this job matters:

Extract and analyze health care data for specific studies and corporate initiatives. Lead data-intensive projects and serve as a technical resource to department staff and management on all technical issues. Work with management of operational areas to assist them in accumulating data to meet their needs. Provide advice to management regarding effective techniques to analyze and report on data to display the most effective result.

What you will do:

• Extract and analyze health care data for specific studies and corporate initiatives; lead and plan data intensive projects and department initiatives.
• Serve as a technical resource and mentor to less experienced staff on data and programming issues.
• Conduct special data extraction and analysis studies. Summarize results and provide recommendations where appropriate.
• Design, implement, and maintain various databases as assigned; develop reporting capabilities and ensure data quality and documentation is adequate.
• Serve as departmental representative on various committees and at meetings with other departments on various projects and corporate initiatives. Represent the organization at external meetings.
• Identify areas where operational efficiency can be improved through enhanced automation. Collaborate with technical staff on implementation of enhancements. Communicate necessary changes and enhancements to all internal/external customers.
• Provide recommendations and input to new contract provisions for performance guarantees. Respond to various Requests for Implementation as requested by marketing staff. Perform special studies as needed.
• Perform other duties as assigned.

What you need to succeed:

• Bachelor's degree in Computer Science, Mathematics, Economics or related field; or an equivalent combination of education and experience
• Five or more years of health data analysis, business analysis, software application, database design, and technical documentation experience, preferably in the health insurance industry
• Knowledge of claims processing and membership processing for all BCBSRI lines of business
• Knowledge of ICD coding and the CMS risk adjustment programs for Medicare Advantage and the ACA markets
• Strong foundation of Alteryx, SQL and/or Python programming, data visualization tools (PowerBI preferred) and database software (Snowflake)
• Knowledge of general mathematical principals
• Working knowledge of Microsoft Excel and Windows
• Strategic and critical thinking skills
• Strong analytical skills
• Strong business acumen and political savvy
• Strong negotiation skills
• Strong written and verbal communication skills
• Strong problem-solving skills
• Ability to work effectively with a wide variety of people in individual and group settings
• Strong organizing skills, with the ability to prioritize and respond to shifting deadlines
• Strong time management skills
• Ability to manage diverse and deadline-oriented workflow

The extras:

• Knowledge of applied statistics
• Knowledge of econometric modeling
• Knowledge of Risk Adjustment programs (ACA and MA)

Location:

BCBSRI is headquartered in downtown Providence, conveniently located near the train station and bus terminal. We actively support associate well-being and work/life balance and offer the following schedules, based on role:

• In-office: onsite 5 days per week
• Hybrid: onsite 2-4 days per week
• Remote: onsite 0-1 days per week. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia

At Blue Cross & Blue Shield of Rhode Island (BCBSRI), diversity and inclusion are central to our core values and strengthen our ability to meet the challenges of today's healthcare industry. BCBSRI is an equal opportunity, affirmative action employer. We provide equal opportunities without regard to race, color, religion, gender, age, national origin, disability, veteran status, sexual orientation, genetic information and gender identity or expression.
The law requires an employer to post notices describing the Federal laws prohibiting job discrimination based on race, color, sex, national origin, religion, age, equal pay, disability, veteran status, sexual orientation, and genetic information and gender identity or expression. Please visit https://www.eeoc.gov/employers/eeo-law-poster to view the "EEO is the Law" poster.