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Blue Cross NC
Blue Cross NC
5.001 – 10.000 Angajați
Asigurare de sănătateAsigurăriAsistență medicală
Blue Cross NC este o companie de asigurări de sănătate care oferă planuri de sănătate și servicii conexe pentru persoane și grupuri. Activitatea sa se concentrează pe sprijinirea membrilor pentru a avea acces la acoperire medicală, pe îmbunătățirea rezultatelor de sănătate prin programe și servicii medicale și pe contribuția la bunăstarea comunităților pe care le deservește.
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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.

USStatele Unite ale AmericiiALAlabamaAZArizonaIDIdahoIAIowaKSKansasKYKentuckyLALouisianaMDMarylandMIMichiganMSMississippiMOMissouriNCCarolina de NordOHOhioOKOklahomaPAPennsylvaniaSCCarolina de SudSDDakota de SudTNTennesseeTXTexasUTUtahVAVirginiaWIWisconsinWYWyoming
89.174 $ – 142.679 $ / an
HibridNormă întreagăNivel mediuSeniorLimbă Obligatorie: englezăDezvoltator de business intelligence
CloudSQL

Descriere

  • 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

Cerințe

  • 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

Beneficii

  • 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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