Sr Insights Analyst - Risk Adjustment

Job Description

What You'll Do

• Objects, SAS, SQL, Crystal Reports) for use in gathering statistical data, ensuring that the most efficient procedures are used to access, investigate and analyze data
• Develop, analyze, report and interpret complex data for ongoing activities/projects while ensuring that all data are accurate and available to meet established deadlines
• Support and manage complex applications systems on many platforms and manage code migrations and changes between different application environments
• Maintain and coordinate existing cross-functional programs, and create and develop new programs
• Monitor and perform in-depth analysis of data for customers to determine areas of improvement or where investigation is needed
• Identify complex trends and make recommendations to business areas to effectively assist them with decision making on operational or other business issues
• Engineer efficient report generation process by optimizing back-end data ingestion, manipulation and profiling
• May ensure appropriate security and privacy for all data that contains PHI fields and resolve all security and privacy issues in the data
• Present findings and recommendations to all levels of leadership
• May represent department on project teams and process optimization efforts that require analysis, interviews, procedure design, documentation and implementation
• Develop, maintain, and monitor reports on system security to ensure user access is appropriate for the specific division
• Provide ongoing user support for ad hoc reporting, questions, queries, and problem support
• Serve as a mentor/coach for less experienced employees
• Work collaboratively with customers to complete effective needs analyses to successfully provide analytic support and problem solving assistance to business areas
• Serve as the point person for internal and external stakeholders

What You'll Bring (Hiring Requirements)

• Bachelor's degree or advanced degree (where required)
• 5+ years of experience in related field
• In lieu of degree, 7+ years of experience in related field

Nice to Have

• Experience in Risk Adjustment
• Healthcare data experience
• Value based healthcare experience

Salary Range

At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets,  licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. 

*Based on annual corporate goal achievement and individual performance.