Prepare for and practice interview questions from Blue Cross Blue Shield Of Massachusetts.

Blue Cross Blue Shield Of Massachusetts Interview Questions

Blue Cross Blue Shield Of Massachusetts Interview Guides

You are testing hundreds of hypotheses with many t-tests. What considerations should be made?

What is a key disadvantage of the F-test when compared to multiple t-tests?

What is a key disadvantage of the F-test when compared to multiple t-tests?

Hundreds of Hypotheses

You are testing hundreds of hypotheses with many t-tests. What considerations should be made?

In an A/B test, how can you check if assignment to the various buckets was truly random?

In an A/B test, which of the following is a common method to determine if the assignment to the test groups was truly random?

In an A/B test, which of the following is a common method to determine if the assignment to the test groups was truly random?

Random Bucketing

Suppose there exists a new airline named Jetco that flies domestically across North America. Jetco recently had a study commissioned that tested the boarding time of every airline, and it came out that Jetco had the fastest average boarding times of any airline.

What factors could have biased this result, and what would you look into?

What could potentially bias the average boarding time in favor of an airline that only flies domestically?

What could potentially bias the average boarding time in favor of an airline that only flies domestically?

Boarding Times Bias

A new airline came out as the fastest average boarding times compared to other airlines.  What factors could have biased this result and what would you look into?

Blue Cross Blue Shield Of Massachusetts Salaries by Position

<h3>Qualifications</h3><ul><li>Student currently pursuing coursework in Data Science, Statistics, Actuarial Science, Economics, Business, Finance or other related path required</li><li>Demonstrated interest and aptitude in pursuing a data science, analytics or finance career path</li><li>Ability to work independently and as a member of a team, required</li><li>Ability to present information in an easy to understand format both written and verbal</li><li>Proficiency with Microsoft Word, Excel, and PowerPoint required</li><li>Ability to work in the US without sponsorship now, and in the future, required</li><li>High school degree or equivalent required unless otherwise noted above</li></ul><h3>Responsibilities</h3><ul><li>Research and develop new methodologies of analyzing and visualizing claim data and trends</li><li>Determine the magnitude and drivers of behavioral health claims in light of COVID-19 and increased telehealth usage</li><li>Explore and predict future high cost claimants</li><li>Evaluate potential new programs offered to members and determine the financial ROI</li><li>Create a model to identify members with major chronic conditions to support plan and account analytics</li><li>Update and provide enhancements for a reporting tool leveraging BCBSA data to understand drivers of claim trend compared to other Blue Cross Plans</li></ul><h3>Benefits</h3><ul><li>Comprehensive package of benefits including paid time off, medical/dental/vision insurance, 401(k), and a suite of well-being benefits to eligible employees</li><li>This job is also eligible for variable pay</li></ul><h3>Internship Details</h3>Internship duration: 6/3/24 - 8/16/24Blue Cross Blue Shield is excited to offer rising college seniors an eleven-week virtual summer internship. To realize a different future for healthcare, we need a different kind of workforce. One that unites diverse backgrounds, cultures, and perspectives to help us disrupt, innovate, and break through.What we need:The Blue Cross Blue Shield of Massachusetts (BCBSMA) Analytic and Data Science Summer Internship is designed to provide those interested in pursuing a data driven career with the opportunity to spend the summer working on challenging projects in a professional environment.Over the 11-week internship, each intern will be supervised by various associates from multiple teams in the analytic space.What you'll do:Sample Project Work (Including Recent Past Years):<ul><li>Research and develop new methodologies of analyzing and visualizing claim data and trends</li><li>Determine the magnitude and drivers of behavioral health claims in light of COVID-19 and increased telehealth usage</li><li>Explore and predict future high cost claimants</li><li>Evaluate potential new programs offered to members and determine the financial ROI</li><li>Create a model to identify members with major chronic conditions to support plan and account analytics</li><li>Update and provide enhancements for a reporting tool leveraging BCBSA data to understand drivers of claim trend compared to other Blue Cross Plans</li></ul>WHY Blue Cross Blue Shield of MA?We understand that the confidence gap and imposter syndrome can prevent amazing candidates coming our way, so please don’t hesitate to apply. We’d love to hear from you.
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Ready to help us transform healthcare? Bring your true colors to blue. What we need:As a key leadership position within the Digital Product & UX team, the Senior Manager of Digital Product Management is responsible for steering digital initiatives toward achieving meaningful business outcomes. This role involves leading a team of product owners and product testers, ensuring that digital products and experiences deliver value and drive key business results. This position is responsible for managing all aspects of product management for BCBSMA’s Digital Assets, including leading a team of individuals to drive the long-term strategic direction of these capabilities, and optimize online member acquisition & engagement. A critical leadership role on the Digital Product team, this person will lead the team that supports enhancements to the customer experience. This leader will work closely with the business, management, marketing, and EIT teams to drive deliver improvements to digital capabilities and enhance the online member experience. This role is responsible for participating in the planning and tactical implementation of initiatives for the various BCBSMA Digital channels to ensure a seamless customer experience, while maximizing online engagement. Your Day to Day:<ol><li>Lead the Digital Product & UX team in defining and executing the strategic vision for digital products, ensuring alignment with overarching business goals and customer outcomes.</li><li>Actively contribute to the development of the product roadmap and strategic direction for digital capabilities, focusing on achieving desired business outcomes rather than just delivering features.</li><li>Translate business objectives and marketing insights into actionable digital strategies that drive measurable outcomes.</li><li>Collaborate with business management and marketing teams to ensure digital initiatives align with key performance indicators (KPIs) and desired results.</li><li>Partner with the UX team to integrate customer experience insights into strategic planning, ensuring that digital products are designed to solve real customer problems and deliver value.</li><li>Oversee the execution of monthly, quarterly, and annual digital projects, ensuring that these initiatives enhance the customer experience, maximize online engagement, and deliver tangible benefits.</li><li>Use customer feedback and performance data to continually refine and optimize the digital product portfolio, focusing on achieving meaningful outcomes.</li><li>Recruit, manage, and mentor a high-performing team of product owners and product testers, fostering a culture of innovation, creativity, and continuous improvement.</li><li>Set clear objectives for the team that are focused on achieving outcomes and provide guidance and support to help them meet these goals.</li><li>Develop and maintain robust metrics and dashboards to measure the impact of digital initiatives on business outcomes. Provide regular analysis of trends and key performance indicators to managers, executives, and key business stakeholders.</li><li>Use insights from performance data to drive continuous improvement and adjust strategies to better achieve desired results.</li><li>Champion a high standard for innovation and efficiency within the team, ensuring that digital solutions not only meet quality standards but also drive significant business value.</li><li>Encourage experimentation and adoption of best practices that enhance the effectiveness of digital products and services.</li><li>Foster strong cross-functional relationships with stakeholders across the organization to ensure alignment and collaboration on digital initiatives.</li><li>Communicate the strategic vision and progress of digital products effectively to all relevant parties, ensuring that the focus remains on achieving impactful outcomes.</li></ol> We're Looking for:<ol><li>Direct experience working in the Healthcare industry.</li><li>8 years formal product management experience at a large organization.</li><li>6 years directly managing a team.</li><li>8 years online and/or e-commerce marketing and effective site merchandising, B2C/B2B eCommerce, leading product management and business analysis for eCommerce websites.</li><li>Experience in formal business requirement creation, business case creation.</li><li>Intermediate to Advanced Excel, PowerPoint, and Miro.</li><li>Understanding of web design/development concepts and processes.</li><li>Intermediate experience in common web development standards and tools.</li><li>Experience in Website Management and Analysis.</li><li>Understanding of Performance Analysis.</li></ol> What You Bring:<ol><li>BA/BS Degree.</li><li>5-8 years relevant experience.</li><li>Health Insurance/managed care industry experience preferred.</li><li>Proven ability to define and deliver products that achieve specific, measurable outcomes.</li><li>Strong understanding of Agile methodologies and experience working in Agile development teams.</li><li>Excellent communication and interpersonal skills, with the ability to influence and inspire cross-functional teams and stakeholders.</li><li>Analytical mindset with experience using data to drive decision-making and measure product success.</li><li>Ability to prioritize and manage multiple initiatives in a fast-paced, dynamic environment.</li><li>Passion for technology, customer experience, and delivering high-impact digital products.</li></ol> What You'll Gain:You will be part of a dynamic team that embraces an outcome-focused mindset, where we prioritize understanding our customers' needs and align our Digital Product roadmap to deliver delightful experiences that solve their needs and challenges in the moments that matter. We leverage technology to deliver coherent, contextual, and connected customer solutions that resonate with our customers, solve their real problems, and generate tangible outcome-focused value for both customers and the organization. We strive to be a dynamic and multifaceted team that leverages a blend of strategic thinking, creativity, and a deep understanding of both technology and user behavior to navigate the complexities of our digital portfolio successfully with a focus on transparency. Minimum Education Requirements:High school degree or equivalent required unless otherwise noted above. Location: BostonTime Type: Full time Salary Range: $134,190.00 - $164,010.00 This job is also eligible for variable pay. We offer a comprehensive package of benefits including paid time off, medical/dental/vision insurance, 401(k), and a suite of well-being benefits to eligible employees. WHY Blue Cross Blue Shield of MA? We understand that the confidence gap and imposter syndrome can prevent amazing candidates from coming our way, so please don’t hesitate to apply. We’d love to hear from you. You might be just what we need for this role or possibly another one at Blue Cross Blue Shield of MA. The more voices we have represented and amplified in our business, the more we will all thrive, contribute, and be brilliant. We encourage you to bring us your true colors, your perspectives, and your experiences. It’s in our differences that we will remain relentless in our pursuit to transform healthcare for ALL. At Blue Cross Blue Shield of Massachusetts, we believe in wellness and that work/life balance is a key part of associate wellbeing. For more information on how we work and support that work/life balance visit our "How We Work" page.
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Ready to help us transform healthcare? Bring your true colors to blue. What We Need Lead Data Engineer is a staff member of Operational Data Solutions Delivery team. This role will lead solutioning and implementation of data and integration needs of digital & omni-channel platforms at BCBSMA This role will work closely with other technology partners to build highly available, scalable and distributed data platforms using open source frameworks to process high volume, high velocity, and wide variety of structured and unstructured data. Strong focus on defining and executing data solutions with cloud (AWS) first strategy to deliver unparalleled consumer experience. Other responsibilities include designing and delivering data engineering solutions, ETL/ELT pipelines on multi-terabyte SQL/NoSQL databases, data warehouse environments. Strong communication skills with an ability to help business define requirements, articulate business requirements as technical architecture is also essential to this role. This role is eligible for our Flex persona. Your Day to Day + Leads end to end implementation of data & analytics solutions as per BCBSMA business needs. + Delivers solutions & integrations across on-prem & multi-cloud data & analytics platforms. + Designs & builds frameworks for various common data engineering processes like ingestions, mastering, data cleansing, and data masking. + Change agent for implementing data engineering best practices to BCBSMA environment. + Collaborates with vendors, architects, scrum masters, product managers/owners, peers, QA engineering in scoping out & delivering data & analytics solutions. + Helps grow and mentors team members on the fine art of data engineering and software abstractions. + Deliver data architecture and solutions for critical strategic portfolio projects in collaboration with business and IT stakeholders. + Ability to collaborate and partner with business domain leads, data scientists, product owners, enterprise architects and other functional leads to deliver world class data solutions. + Build and manage a team of data engineers supporting different applications. + Manage technical delivery for projects, designs processes, manage and drive execution with help of consultants and associates. + Define and deliver consistent data engineering standards, methodologies, guidelines & techniques. + Diagnose and address complex problems, including performance issues, scale and drive to resolution to meet business initiatives. + Assist data analysts and end users across all functional areas in identifying long-term, strategic data needs for the enterprise, defining how the data is related to the business processes and developing a conceptual and functional model of the data. + Assist and advocate for bringing new technologies for data management, governance, and usage. + Work hands on with emerging technologies during software evaluations, PoCs and pilots. *This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties. Were Looking for: + Bachelors degree in computer science, Technology, or related field. + 6+ years of data engineering experience. + 4+ years of experience with SQL or NoSQL databases like Snowflake, Postgres, Oracle, MongoDB + 2+ years of experience with cloud platforms like AWS, Azure, Google + Minimum of 1 year managing or leading an engineering team. + Certification in cloud platforms and/or data/analytics technology is required. + Healthcare experience preferred. + Minimum 5 years of experience with ETL/ELT design and development using tools like IICS, AWS Glue, Talend, Databricks, Oracle Data Integrator (ODI) or equivalent. + Minimum 3 years of experience with programming languages such as Node.js, Python, Java or Scala. + Minimum 2 years of experience with building applicating with serverless architecture on AWS platforms using Athena, Glue, Kafka, EC2, Lamda, Kenesis. + Minimum 2 years of experience with large-scale data processing platforms such as Spark, EMR, and/or HPC computing experience with e.g. Apache Aurora, Slurm. + Experience working with RESTful API and general service-oriented architectures. + Experience with DevOps, Continuous Integration and Continuous Delivery technologies is desirable. + AWS Solution Architect certification (associate & above) is highly desirable. + Excellent verbal and written communication skills. What You Bring: + Bachelors degree or higher in Computer Science or related field. + 6+ years of data engineering experience + 4+ years of experience with SQL or NoSQL databases like Snowflake, Postgres, Oracle, MongoDB + 2+ years of experience with cloud platforms like AWS, Azure, Google + Healthcare experience preferred + AWS Certifications is preferred It is our mission at Blue Cross Blue Shield of Massachusetts to foster a culture that enables associates to do their best work while living happy and healthy lives. That's why we offer you a variety of ways to support your best physical, emotional, financial, and social well-being. For more information on our benefit offerings, visit https://careers.bluecrossma.org/us/en/benefits #LI-Hybrid Minimum Education Requirements: High school degree or equivalent required unless otherwise noted above LocationBostonTime TypeFull time Salary Range: $127,620.00 - $155,980.00 The job posting range is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the posted range, and the range may be modified in the future. An employees pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs and affordability. This job is also eligible for variable pay. We offer comprehensive package of benefits including paid time off, medical/dental/vision insurance, 401(k), and a suite of well-being benefits to eligible employees. Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Companys sole discretion, consistent with the law. WHY Blue Cross Blue Shield of MA? We understand that the confidence gap (https://www.theatlantic.com/magazine/archive/2014/05/the-confidence-gap/359815/) and imposter syndrome (https://www.braintreepayments.com/blog/overcoming-imposter-syndrome/) can prevent amazing candidates coming our way, so please dont hesitate to apply. Wed love to hear from you. You might be just what we need for this role or possibly another one at Blue Cross Blue Shield of MA. The more voices we have represented and amplified in our business, the more we will all thrive, contribute, and be brilliant. We encourage you to bring us your true colors, , your perspectives, and your experiences. Its in our differences that we will remain relentless in our pursuit to transform healthcare for ALL. As an employer, we are committed to investing in your development and providing the necessary resources to enable your success. Learn how we are dedicated to creating an inclusive and rewarding workplace that promotes excellence and provides opportunities for employees to forge their unique career path by visiting our Company Culture (https://careers.bluecrossma.org/us/en/culturepage) page. If this sounds like something youd like to be a part of, wed love to hear from you. You can also join our Talent Community (https://careers.bluecrossma.org/us/en/jointalentcommunity?applyType=JTC) to stay in the know on all things Blue. At Blue Cross Blue Shield of Massachusetts, we believe in wellness and that work/life balance is a key part of associate wellbeing. For more information on how we work and support that work/life balance visit our "How We Work (https://careers.bluecrossma.org/us/en/how-we-work) " Page. Voted as the highest in member satisfaction among Massachusetts commercial health plans by JD Power , Blue Cross Blue Shield of Massachusetts is a community-focused, tax-paying, not-for-profit health plan headquartered in Boston. We have been a market leader for over 75 years, and are consistently ranked among the nation's best health plans. Our daily efforts are dedicated to effectively serving our 2.8 million members, and consistently offering security, stability, and peace of mind to both our members and associates. Our Commitment to You We are committed to investing in your development and providing the necessary resources to enable your success. We are dedicated to creating a refreshing and rewarding workplace that promotes excellence and provides opportunities for employees to forge their unique career path. We take pride in our diverse, community-centric, wellness-focused culture and believe every member of our team deserves to enjoy a positive work-life balance. Blue Cross Blue Shield of Massachusetts is an Equal Employment / Affirmative Action Employer. Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or expression, or any other characteristics protected by law. Blue Cross Blue Shield of Massachusetts will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with Blue Cross Blue Shield of Massachusetts's legal duty to furnish information.

Ready to help us transform healthcare? Bring your true colors to blue. What We Need Lead Data Engineer is a staff member of Operational Data Solutions Delivery team. This role will lead solutioning and implementation of data and integration needs of digital & omni-channel platforms at BCBSMA This role will work closely with other technology partners to build highly available, scalable and distributed data platforms using open source frameworks to process high volume, high velocity, and wide variety of structured and unstructured data. Strong focus on defining and executing data solutions with cloud (AWS) first strategy to deliver unparalleled consumer experience. Other responsibilities include designing and delivering data engineering solutions, ETL/ELT pipelines on multi-terabyte SQL/NoSQL databases, data warehouse environments. Strong communication skills with an ability to help business define requirements, articulate business requirements as technical architecture is also essential to this role. This role is eligible for our Flex persona. Your Day to Day + Leads end to end implementation of data & analytics solutions as per BCBSMA business needs. + Delivers solutions & integrations across on-prem & multi-cloud data & analytics platforms. + Designs & builds frameworks for various common data engineering processes like ingestions, mastering, data cleansing, and data masking. + Change agent for implementing data engineering best practices to BCBSMA environment. + Collaborates with vendors, architects, scrum masters, product managers/owners, peers, QA engineering in scoping out & delivering data & analytics solutions. + Helps grow and mentors team members on the fine art of data engineering and software abstractions. + Deliver data architecture and solutions for critical strategic portfolio projects in collaboration with business and IT stakeholders. + Ability to collaborate and partner with business domain leads, data scientists, product owners, enterprise architects and other functional leads to deliver world class data solutions. + Build and manage a team of data engineers supporting different applications. + Manage technical delivery for projects, designs processes, manage and drive execution with help of consultants and associates. + Define and deliver consistent data engineering standards, methodologies, guidelines & techniques. + Diagnose and address complex problems, including performance issues, scale and drive to resolution to meet business initiatives. + Assist data analysts and end users across all functional areas in identifying long-term, strategic data needs for the enterprise, defining how the data is related to the business processes and developing a conceptual and functional model of the data. + Assist and advocate for bringing new technologies for data management, governance, and usage. + Work hands on with emerging technologies during software evaluations, PoCs and pilots. *This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties. Were Looking for: + Bachelors degree in computer science, Technology, or related field. + 6+ years of data engineering experience. + 4+ years of experience with SQL or NoSQL databases like Snowflake, Postgres, Oracle, MongoDB + 2+ years of experience with cloud platforms like AWS, Azure, Google + Minimum of 1 year managing or leading an engineering team. + Certification in cloud platforms and/or data/analytics technology is required. + Healthcare experience preferred. + Minimum 5 years of experience with ETL/ELT design and development using tools like IICS, AWS Glue, Talend, Databricks, Oracle Data Integrator (ODI) or equivalent. + Minimum 3 years of experience with programming languages such as Node.js, Python, Java or Scala. + Minimum 2 years of experience with building applicating with serverless architecture on AWS platforms using Athena, Glue, Kafka, EC2, Lamda, Kenesis. + Minimum 2 years of experience with large-scale data processing platforms such as Spark, EMR, and/or HPC computing experience with e.g. Apache Aurora, Slurm. + Experience working with RESTful API and general service-oriented architectures. + Experience with DevOps, Continuous Integration and Continuous Delivery technologies is desirable. + AWS Solution Architect certification (associate & above) is highly desirable. + Excellent verbal and written communication skills. What You Bring: + Bachelors degree or higher in Computer Science or related field. + 6+ years of data engineering experience + 4+ years of experience with SQL or NoSQL databases like Snowflake, Postgres, Oracle, MongoDB + 2+ years of experience with cloud platforms like AWS, Azure, Google + Healthcare experience preferred + AWS Certifications is preferred It is our mission at Blue Cross Blue Shield of Massachusetts to foster a culture that enables associates to do their best work while living happy and healthy lives. That's why we offer you a variety of ways to support your best physical, emotional, financial, and social well-being. For more information on our benefit offerings, visit https://careers.bluecrossma.org/us/en/benefits #LI-Hybrid Minimum Education Requirements: High school degree or equivalent required unless otherwise noted above LocationBostonTime TypeFull time Salary Range: $127,620.00 - $155,980.00 The job posting range is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the posted range, and the range may be modified in the future. An employees pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs and affordability. This job is also eligible for variable pay. We offer comprehensive package of benefits including paid time off, medical/dental/vision insurance, 401(k), and a suite of well-being benefits to eligible employees. Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Companys sole discretion, consistent with the law. WHY Blue Cross Blue Shield of MA? We understand that the confidence gap (https://www.theatlantic.com/magazine/archive/2014/05/the-confidence-gap/359815/) and imposter syndrome (https://www.braintreepayments.com/blog/overcoming-imposter-syndrome/) can prevent amazing candidates coming our way, so please dont hesitate to apply. Wed love to hear from you. You might be just what we need for this role or possibly another one at Blue Cross Blue Shield of MA. The more voices we have represented and amplified in our business, the more we will all thrive, contribute, and be brilliant. We encourage you to bring us your true colors, , your perspectives, and your experiences. Its in our differences that we will remain relentless in our pursuit to transform healthcare for ALL. As an employer, we are committed to investing in your development and providing the necessary resources to enable your success. Learn how we are dedicated to creating an inclusive and rewarding workplace that promotes excellence and provides opportunities for employees to forge their unique career path by visiting our Company Culture (https://careers.bluecrossma.org/us/en/culturepage) page. If this sounds like something youd like to be a part of, wed love to hear from you. You can also join our Talent Community (https://careers.bluecrossma.org/us/en/jointalentcommunity?applyType=JTC) to stay in the know on all things Blue. At Blue Cross Blue Shield of Massachusetts, we believe in wellness and that work/life balance is a key part of associate wellbeing. For more information on how we work and support that work/life balance visit our "How We Work (https://careers.bluecrossma.org/us/en/how-we-work) " Page. Voted as the highest in member satisfaction among Massachusetts commercial health plans by JD Power , Blue Cross Blue Shield of Massachusetts is a community-focused, tax-paying, not-for-profit health plan headquartered in Boston. We have been a market leader for over 75 years, and are consistently ranked among the nation's best health plans. Our daily efforts are dedicated to effectively serving our 2.8 million members, and consistently offering security, stability, and peace of mind to both our members and associates. Our Commitment to You We are committed to investing in your development and providing the necessary resources to enable your success. We are dedicated to creating a refreshing and rewarding workplace that promotes excellence and provides opportunities for employees to forge their unique career path. We take pride in our diverse, community-centric, wellness-focused culture and believe every member of our team deserves to enjoy a positive work-life balance. Blue Cross Blue Shield of Massachusetts is an Equal Employment / Affirmative Action Employer. Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or expression, or any other characteristics protected by law. Blue Cross Blue Shield of Massachusetts will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with Blue Cross Blue Shield of Massachusetts's legal duty to furnish information.

Ready to help us transform healthcare? Bring your true colors to blue. What We Need: Reporting to the Senior Manager of Account Reporting & Analytics, the Business Analyst is a key member of larger dynamic team responsible for all BCBSMA Account reporting needs. The analyst is responsible for a variety of customer facing activities including the set-up and support of Stop Loss reporting, the set-up of large data files for external customers, the oversight of user access of the BlueInsights reporting tool including adding new and maintaining existing users, and running other ad hoc cost & use reporting for our Accounts. The Analyst is responsible for supporting the end-to-end process of these key reporting offerings, identifying process improvements, performing analysis of the reports, and providing input for setting and maintaining a high level of service. A critical frontline role that supports both Sales and external customers with questions and requests related to our Stop Loss product and reporting, as well as, the BlueInsights reporting tool. The Analyst will function as a key point of contact for customers such as accounts, sales, brokers, consultant, third party vendors and Stop loss carriers which requires a high level of professionalism and customer service in fast paced environment. The Analyst is responsible for documenting processes and business requirements for changes needed, working with our vendors, Enterprise Technology associates, sales AE's and AM's, Account Service Consultants and Underwriting to discuss issues and opportunities for improvements, testing and support of changes. Your Day to Day <ul><li>Set-up, develop and maintain financial reporting to support our Stop Loss reinsurance products. Stop Loss reporting is supported within our BlueInsights reporting tool and Connexure (DY Consulting) stop loss system that you will be trained on.</li><li>You will run, download and provide various standard reporting from BlueInsights</li><li>You will oversee the monthly updates and maintenance of the Stop Loss tracking systems (Connexure) and their supporting databases that produce the monthly reporting for our internal and external stop loss customers. </li><li>You will be the key point of contact and represent BCBSMA, for customers such as accounts, sales, brokers, consultants and Stop loss carriers and will correspond via email or live discussions.</li><li>Manage all requests for data extract files. This includes reviewing data layouts with the account reporting analyst and setting up all SFTP folders through our corporate provisioning team.</li><li>Manage all BlueInsights password resets between external customers, Sales, and our vendor.</li><li>Manage the BlueInsights email Inbox requests from Sales</li><li>Act as liaison with internal teams including Underwriting, Enterprise Technology and Sales, as well as external (vendor) teams to deliver requirements, specifications, and definitions required to support reporting.</li><li>Analyze and troubleshoot system issues and develops recommendations for improvement.</li><li>Support Stop Loss overviews and training consultation pertaining to Stop Loss reporting for internal and external customers.</li><li>Ensure compliance and privacy guidelines are adhered to for access to online data and reporting.</li></ul> We're Looking For: <ul><li>Knowledge of healthcare industry/delivery systems and understanding of the Sales organization.</li><li>Strong analytical and problem-solving skills.</li><li>Strong written and verbal communication skill.</li><li>Ability to balance priorities, meet deadlines and work well under pressure.</li><li>Well organized and able to focus on multiple tasks in a dynamic and fast paced environment.</li><li>Ability to work well and collaborate on a small team</li><li>Customer focused to work with team, intermediaries/business partners, sales and other internal and external customers.</li><li>Proficiency in personal computer and desktop applications.</li><li>Minimum of 3-5 years financial analysis and/or reporting preferred</li></ul> What You Bring: <ul><li>Knowledge of healthcare industry/delivery systems including stop loss business preferred.</li><li>Strong analytical and problem-solving skills.</li><li>Strong written and verbal communication skill.</li><li>Experience with financial analysis and/or reporting</li><li>Well organized and able to focus on multiple tasks in a dynamic and fast paced environment.</li><li>Positive attitude and ability to work well and collaborate on a small team</li><li>Customer focused to work with team, intermediaries/business partners, sales and other internal and external customers.</li><li>Ability to quickly learn and adapt in a fast paced reporting environment</li></ul> It is our mission at Blue Cross Blue Shield of Massachusetts to foster a culture that enables associates to do their best work while living happy and healthy lives. That's why we offer you a variety of ways to support your best physical, emotional, financial, and social well-being. For more information on our benefit offerings, visit https://careers.bluecrossma.org/us/en/benefits #LI-Hybrid Minimum Education Requirements: High school degree or equivalent required unless otherwise noted above Location Boston, HinghamTime Type Full time Salary Range: $68,850.00 - $84,150.00 The job posting range is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the posted range, and the range may be modified in the future. An employee's pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs and affordability. This job is also eligible for variable pay. We offer comprehensive package of benefits including paid time off, medical/dental/vision insurance, 401(k), and a suite of well-being benefits to eligible employees. Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. WHY Blue Cross Blue Shield of MA? We understand that the confidence gap and imposter syndrome can prevent amazing candidates coming our way, so please don't hesitate to apply. We'd love to hear from you. You might be just what we need for this role or possibly another one at Blue Cross Blue Shield of MA. The more voices we have represented and amplified in our business, the more we will all thrive, contribute, and be brilliant. We encourage you to bring us your true colors, , your perspectives, and your experiences. It's in our differences that we will remain relentless in our pursuit to transform healthcare for ALL. As an employer, we are committed to investing in your development and providing the necessary resources to enable your success. Learn how we are dedicated to creating an inclusive and rewarding workplace that promotes excellence and provides opportunities for employees to forge their unique career path by visiting our Company Culture page. If this sounds like something you'd like to be a part of, we'd love to hear from you. You can also join our Talent Community to stay "in the know" on all things Blue. At Blue Cross Blue Shield of Massachusetts, we believe in wellness and that work/life balance is a key part of associate wellbeing. For more information on how we work and support that work/life balance visit our "How We Work" Page.

Ready to help us transform healthcare? Bring your true colors to blue. Under the leadership of the Clinical Pharmacy Account Relationship Manager, the Pharmacy Business Expert is supporting the team pharmacists to work efficiently to achieve team goals and deliverables. This person is responsible for providing administrative support for various pharmacy teams including preparing case management reviews, supporting communications and marketing collateral updates, facilitating various reporting and tracking requests, and special projects as assigned.This role is eligible for the following personas: eWorker, mobile, resident.Your Day to Day:Ensure accuracy in manipulating and maintaining data for projects to mitigate risk of errors and ensure data integrity.Learn and maintain knowledge of BCBSMA systems including CVS CCA and pertinent systems within, JIVA, ADT, IPRO, MHK, as well as other necessary systems.Participate in and/or facilitate internal/external meetings related to team projects and take clear and concise meeting notes.Independently perform research to prepare all necessary information needed for case management pharmacy reviews, including calling provider offices or pharmacies, and reviewing claims and clinical information in available systems.Support regular updating of drug lists for marketing collateral, as well as formulary change and other communications.Provide support to clinical pharmacy account relationship team including reporting, issue management/research, and presentation development as needed.Special projects as assigned.This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.What You Bring:Bachelor's Degree or equivalent working experience.Intermediate to advanced proficiency in standard computational office-suite applications including but not limited to, Microsoft Word, Excel, and Power Point.Experience with effectively manipulating large amounts of data is preferred.6 months project-based experience preferred.We're Looking for:Intermediate to advanced proficiency in standard computational office-suite applications including but not limited to, Microsoft Word, Excel and PowerPoint.Ability to independently collaborate across internal teams.Strong planning, prioritizing, and execution skills as well as the ability to work independently to meet deadlines.Excellent organizational, problem solving and communication skills.Ability to multitask, be detail minded, and be results oriented.Excellent skills in teamwork and team approaches to goal setting and attainment.#LI-REMOTEMinimum Education Requirements:High school degree or equivalent required unless otherwise noted aboveLocationHinghamTime TypeFull timeSalary Range: $66,870.00 - $81,730.00The job posting range is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the posted range, and the range may be modified in the future. An employee's pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs and affordability.This job is also eligible for variable pay.We offer comprehensive package of benefits including paid time off, medical/dental/vision insurance, 401(k), and a suite of well-being benefits to eligible employees.Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.WHY Blue Cross Blue Shield of MA?We understand that the confidence gap and imposter syndrome can prevent amazing candidates coming our way, so please don't hesitate to apply. We'd love to hear from you. You might be just what we need for this role or possibly another one at Blue Cross Blue Shield of MA. The more voices we have represented and amplified in our business, the more we will all thrive, contribute, and be brilliant. We encourage you to bring us your true colors, , your perspectives, and your experiences. It's in our differences that we will remain relentless in our pursuit to transform healthcare for ALL.As an employer, we are committed to investing in your development and providing the necessary resources to enable your success. Learn how we are dedicated to creating an inclusive and rewarding workplace that promotes excellence and provides opportunities for employees to forge their unique career path by visiting our Company Culture page. If this sounds like something you'd like to be a part of, we'd love to hear from you. You can also join our Talent Community to stay "in the know" on all things Blue.At Blue Cross Blue Shield of Massachusetts, we believe in wellness and that work/life balance is a key part of associate wellbeing. For more information on how we work and support that work/life balance visit our "How We Work" Page.

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