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Blue Cross NC
Blue Cross NC
5,001 – 10,000 Employees
HealthcareHealthcare InsuranceInsurance
Blue Cross NC is a health insurance company that provides health plans and related services for individuals and groups. Its work centers on helping members access healthcare coverage, supporting improved health outcomes through health programs and services, and contributing to the wellbeing of the communities it serves.
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BI Analyst, Federal Employee Program - Blue Cross NC (Hybrid)

Support Blue Cross NC’s Federal Employee Program with claims, clinical, operational, and financial analytics. Build reporting and dashboards that inform care quality, cost management, member engagement, and program performance.

USUnited StatesALAlabamaAZArizonaIDIdahoIAIowaKSKansasKYKentuckyLALouisianaMDMarylandMIMichiganMSMississippiMOMissouriNCNorth CarolinaOHOhioOKOklahomaPAPennsylvaniaSCSouth CarolinaSDSouth DakotaTNTennesseeTXTexasUTUtahVAVirginiaWIWisconsinWYWyoming
$89,174 – $142,679 / year
HybridFull-timeMiddleSeniorEnglish RequiredBusiness Intelligence Developer
CloudSQL

Description

  • Act as an analytics partner for the Federal Employee Program Clinical Operations team
  • Provide business intelligence, operational reporting, financial analysis, and data-informed recommendations
  • Create analytical and reporting solutions for care management, utilization management, quality improvement, member engagement, FEP performance, and executive decisions
  • Work with Clinical Operations, FEP Business Operations, and Quality stakeholders to define needs and deliver analytical solutions
  • Build and maintain dashboards, scorecards, reports, and self-service analytics tools
  • Examine healthcare claims, member, provider, care management, utilization, quality, and operational data
  • Produce recurring and ad hoc operational and financial reports for leadership
  • Apply analytical methods to assess program performance and intervention results
  • Work with business partners, BI Analysts, and Data Scientists to define data requirements, improve data quality, and implement analytical solutions
  • Lead requirements gathering, solution design, and stakeholder review sessions
  • Check data accuracy, reconcile reporting results, and maintain consistent metrics across systems and audiences
  • Present findings, insights, risks, and recommendations through visualizations, presentations, and written briefs
  • Set reporting standards, documentation practices, governance processes, and development methods
  • Coordinate multiple projects and priorities while reporting on status, risks, dependencies, and opportunities

Requirements

  • Bachelor’s or advanced degree where required, or at least five years of related experience in place of a degree
  • At least three years of experience in a related field
  • Strong analytical, problem-solving, and communication abilities
  • Experience supporting Care Management, Utilization Management, Quality Improvement, Population Health, or Federal Employee Program initiatives
  • Knowledge of healthcare claims processing, CPT, HCPCS, ICD-10, DRG, Medical Cost Groupers, and HEDIS
  • Experience tracking clinical program outcomes, quality performance, member engagement, utilization trends, cost of care, and operational metrics
  • Experience assessing healthcare interventions and analyzing program effectiveness
  • Experience using Snowflake
  • Experience developing AI agents
  • Proficiency in business analysis, business data analytics, business intelligence, cloud applications, data warehousing, statistical models, and SQL

Benefits

  • Annual incentive bonus tied to corporate goal achievement and individual performance
  • 401(k) plan with employer matching
  • Paid time off
  • Health benefits
  • Wellness programs

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