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Horizon Blue Cross Blue Shield Of New Jersey Interview Questions

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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

Let’s say that your company is running a standard control and variant AB test on a feature to increase conversion rates on the landing page. The PM checks the results and finds a .04 p-value.

How would you assess the validity of the result?

Experiment Validity

Horizon Blue Cross Blue Shield Of New Jersey Salaries by Position

Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or DelawareJob Summary:The Risk Adjustment Data Analyst III is a seasoned analyst responsible for playing an active role in submission, monitoring and contributing to the end to end Risk Adjustment Data Submission and Validation within key regulator guidelines for acceptable data submission.The analyst will also be responsible for oversight and participation in the timely completion of projects, including timeline development & maintenance as it pertains to encounter and risk adjustment data.-Collaborate with internal and external stakeholders involved in Risk Adjustment data submission, as well as all other mandatory aspects of Risk Adjustment.-Perform analysis and reporting activities related to risk score calculation, encounter data submission, chart review programs and audits, and related performance metrics per regulatory and health plan guidelines.-Research and document encounter errors in established systems and databases with appropriate statistical trend analysis, perform root cause analysis of encounters processing and submission issues and develop recommendations based on data and industry standards.-Contribute to the creation of technical documents and high level solution designs-Participate in the development, testing and implementation of system specifications-Interact with RA leadership to create predictive models using information obtained from data mining or analysis-Assist in onboarding and coaching of junior analysts. Actively participate in the peer review process by reviewing, providing insight, and verifying work of junior analysts.-Conduct gap analysis, data collection and validation related to Risk Adjustment activities-Contribute to program improvement by designing and implementing business process and system changes, collaborate to resolve encounter data and process issues and manage policy and procedure documentation-Use data from internal and external sources, analyze complex encounter inbound/outbound process issues to provide insight to decision-makers.-Support and participate in internal and external audits as needed.-Produce recurring and ad-hoc reports for business stakeholders for risk adjustment optimization.-Remain informed and updated on industry changes e.g. CMS regulations and changes (EDPS, Risk Adjustment Payment Model Changes).Education/ExperienceBachelor's degree preferred from an accredited college or university preferably in Computer Science, Data Science or other strong analytical field.Master's degree a plusRequires a minimum of five (5) years of experience with programming or analytics, preferably in health care, insurance or related field; clinical and medical claims data and disease diagnostic coding practice a plusExperience with manipulating large amounts of clinical and medical claims data while working in health care industry, insurance or related field.Requires experience using programming and statistical software (e.g., SAS), use of various databases and other data sources, and performing analytics.Additional Licensing, Certifications, RegistrationsSAS, Oracle, or SQL certification a plusKnowledgeAdvanced knowledge in Excel (including pivot tables) and Access requiredAdvanced knowledge of SAS, Oracle or SQL requiredKnowledge of R and Python is a plusKnowledge of risk adjustment programs for Medicare/Medicaid, or risk mitigation programs under ACA, is a plusSkills and AbilitiesStrong analytical, research and problem-solving skills; experience with relational database and techniques.Strong attention to detailWritten and oral communication skillsProficiency in Microsoft software applicationsAbility to perform and interpret a variety of data analysesDemonstrated ability to evaluate and interpret complex dataDemonstrated ability to handle multiple tasks with competing prioritiesTravel (If Applicable)Salary Range:$84,700 - $115,605This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. This range has been created in good faith based on information known to Horizon at the time of posting. Compensation decisions are dependent on the circumstances of each case. Horizon also provides a comprehensive compensation and benefits package which includes:Comprehensive health benefits (Medical/Dental/Vision)Retirement PlansGenerous PTOIncentive PlansWellness ProgramsPaid Volunteer Time OffTuition ReimbursementHorizon will consider reasonable accommodation requests as part of the recruiting and hiring process.Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law.

Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware Job Summary: Responsible for conducting research and root cause analysis for customers with the goal of recommending and implementing new processes and solutions to operational deficiencies. Resolves issues and improves operational performance on a cross-functional/departmental basis. This is a senior level position working independently with guidance only in the most complex situations. Responsibilities: Investigate service related issues to identify root cause of issues; identify and communicate business needs assessments as necessary. Develop forecasting tools using current technology/systems (Access, Excel, Monarch, etc.) Translate business requirements and assist IT with the development of technical specifications. Develop solutions based on data analysis to increase business efficiency. Lead or participate in internal and external project workgroup(s) and presentations. Conduct User Acceptance Testing (UAT) for projects, implementations, system fixes and enhancements, etc. Prepare materials for internal and external audit activities; review audit findings/reports for accuracy and completeness. If appropriate, formulate rebuttal and/or corrective action steps. May coach/mentor less experienced staff, assist in on-boarding of new staff and/or distribute and follow-up on work assignments. Perform other relevant tasks as assigned by management. Disclaimer: This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job. Education/Experience: High School Diploma/GED required. Bachelor degree preferred or relevant experience in lieu of degree. Minimum of seven (7) years' experience in an operational role, or analytical role. Knowledge: Knowledge of Healthcare industry required. Knowledge of Project Management methodologies. May require knowledge of Horizon Blue Cross Blue Shields products and services. May require working knowledge of division operating plan and Horizon operating model. Travel: Some travel may be required. Salary Range: $84,700 - $115,605 This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. This range has been created in good faith based on information known to Horizon at the time of posting. Compensation decisions are dependent on the circumstances of each case. Horizon also provides a comprehensive compensation and benefits package which includes: Comprehensive health benefits (Medical/Dental/Vision) Retirement Plans Generous PTO Incentive Plans Wellness Programs Paid Volunteer Time Off Tuition Reimbursement Horizon will consider reasonable accommodation requests as part of the recruiting and hiring process. Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law.

Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware
Job Summary:
The Risk Adjustment Data Analyst III is a seasoned analyst responsible for playing an active role in submission, monitoring and contributing to the end to end Risk Adjustment Data Submission and Validation within key regulator guidelines for acceptable data submission.

The analyst will also be responsible for oversight and participation in the timely completion of projects, including timeline development & maintenance as it pertains to encounter and risk adjustment data.  -Collaborate with internal and external stakeholders involved in Risk Adjustment data submission, as well as all other mandatory aspects of Risk Adjustment.
-Perform analysis and reporting activities related to risk score calculation, encounter data submission, chart review programs and audits, and related performance metrics per regulatory and health plan guidelines.
-Research and document encounter errors in established systems and databases with appropriate statistical trend analysis, perform root cause analysis of encounters processing and submission issues and develop recommendations based on data and industry standards.
-Contribute to the creation of technical documents and high level solution designs
-Participate in the development, testing and implementation of system specifications
-Interact with RA leadership to create predictive models using information obtained from data mining or analysis
-Assist in onboarding and coaching of junior analysts. Actively participate in the peer review process by reviewing, providing insight, and verifying work of junior analysts.
-Conduct gap analysis, data collection and validation related to Risk Adjustment activities
-Contribute to program improvement by designing and implementing business process and system changes, collaborate to resolve encounter data and process issues and manage policy and procedure documentation
-Use data from internal and external sources, analyze complex encounter inbound/outbound process issues to provide insight to decision-makers.
-Support and participate in internal and external audits as needed.
-Produce recurring and ad-hoc reports for business stakeholders for risk adjustment optimization.
-Remain informed and updated on industry changes e.g. CMS regulations and changes (EDPS, Risk Adjustment Payment Model Changes).
Education/Experience   Bachelor's degree preferred from an accredited college or university preferably in Computer Science, Data Science or other strong analytical field.
Master's degree a plus
Requires a minimum of five (5) years of experience with programming or analytics, preferably in health care, insurance or related field; clinical and medical claims data and disease diagnostic coding practice a plus
Experience with manipulating large amounts of clinical and medical claims data while working in health care industry, insurance or related field.
Requires experience using programming and statistical software (e.g., SAS), use of various databases and other data sources, and performing analytics.
Additional Licensing, Certifications, Registrations   SAS, Oracle, or SQL certification a plus
Knowledge   Advanced knowledge in Excel (including pivot tables) and Access required
Advanced knowledge of SAS, Oracle or SQL required
Knowledge of R and Python is a plus
Knowledge of risk adjustment programs for Medicare/Medicaid, or risk mitigation programs under ACA, is a plus
Skills and Abilities   Strong analytical, research and problem-solving skills; experience with relational database and techniques.
Strong attention to detail
Written and oral communication skills
Proficiency in Microsoft software applications
Ability to perform and interpret a variety of data analyses
Demonstrated ability to evaluate and interpret complex data
Demonstrated ability to handle multiple tasks with competing priorities
Travel (If Applicable)   Salary Range:
$84,700 - $115,605  This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. This range has been created in good faith based on information known to Horizon at the time of posting. Compensation decisions are dependent on the circumstances of each case. Horizon also provides a comprehensive compensation and benefits package which includes:
Comprehensive health benefits (Medical/Dental/Vision)

Retirement Plans

Generous PTO

Incentive Plans

Wellness Programs

Paid Volunteer Time Off

Tuition Reimbursement

Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law. Horizon will consider reasonable accommodation requests as part of the recruiting and hiring process.

Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or DelawareJob Summary:Data analysts are experts with strong understanding of data structures and analysis. They are responsible for ensuring requirements around the accuracy, quality, completeness and timeliness of data are captured and understood. They work hand in hand with Data Modelers, Data Developers, Data Stewards and Business SMEs to ensure the customers data needs are accurately captured, understood and delivered. The Data Analyst II takes a lead role on projects to develop the plan for data analysis and design and ensure the quality of the data specifications delivered to developers.Responsibilities:<ul><li>Profiling data sources to determine suitability for a solution.</li><li>Performing detailed analysis, identifying trends and patterns in data.</li><li>Prepares, develops, analyzes, shapes and delivers reports and presentations in an accurate and timely manner that 'tell a story' including but not limited to current state data assessments, gap analysis, and solution recommendations.</li><li>Performing root cause analysis on data anomalies and working data stewards to resolve issues.</li><li>Facilitating review sessions with business users and other team members.</li><li>Directing and reviewing the work of other Data Analysts on projects.</li><li>Coaching and mentoring of junior analysts.</li><li>Providing estimates for work efforts on projects.</li><li>Development of Data Governance best practices, guidelines and standards.</li></ul>Education/Experience:<ul><li>Bachelor's in Computer Science preferred, or relevant work experience required in lieu of degree.</li><li>Minimum of 8+ years of relevant work experience.</li><li>6+ Years of experience in Data Analysis or data related roles.</li><li>4+ Years of Healthcare experience.</li></ul>Knowledge:<ul><li>Excellent communication, presentation and facilitation skills.</li><li>Experience with Healthcare data formats such as X12, HL7, NCPDP, etc.</li><li>Experience with Industry Data Models such as ADRM, IBM IIW/HPDM or Teradata Healthcare Data Model.</li><li>Experience with Metadata management processes and tools (Data Catalog, Glossary, Lineage, Mapping, etc.).</li><li>Strong knowledge of structured data, such as entities, classes, hierarchies, relationships and metadata.</li><li>Knowledge of, and experience, with database management system (DBMS) physical implementation, including tables, joins and views, specifically Teradata, Oracle, Greenplum, Vertica, etc.</li><li>Knowledge of Big Data concepts and platforms such as Hadoop.</li><li>Knowledge of NoSQL data stores such as MongoDB, Neo4J, Cassandra, Redis, etc.</li><li>Experience with Data Warehouse and Data Marts.</li><li>Extremely strong SQL skills are required.</li><li>Ability to combine data from multiple sources when needed for the analysis.</li><li>Experience with Data Quality & Data Profiling metrics and tools.</li><li>Knowledge and experience with Data Governance processes.</li><li>Writing functional/mapping specifications for extracts and reports.</li><li>Familiarity with the use cases, business purposes and quality of the data.</li><li>Excellent communication and interpersonal skills as well as critical thinking capabilities.</li></ul>Skills & Abilities:<ul><li>Informatica Data Analyst or other similar data analysis and profiling tools.</li><li>Informatica Data Explorer or other similar tools.</li><li>Alation Data Catalog or other similar tools.</li><li>Master Data Management processes and platforms such as Initiate, Informatica MDM, IBM MDM, etc.</li><li>Other DBMS platforms such as SQL Server, MS Access.</li><li>Familiarity with reporting and analytics tools such as SAS, Snowflake, Tableau, Cognos, etc.</li></ul>Salary Range:$94,900 - $129,570This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. This range has been created in good faith based on information known to Horizon at the time of posting. Compensation decisions are dependent on the circumstances of each case. Horizon also provides a comprehensive compensation and benefits package which includes:<ul><li>Comprehensive health benefits (Medical/Dental/Vision)</li><li>Retirement Plans</li><li>Generous PTO</li><li>Incentive Plans</li><li>Wellness Programs</li><li>Paid Volunteer Time Off</li><li>Tuition Reimbursement</li></ul>Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law. Horizon will consider reasonable accommodation requests as part of the recruiting and hiring process.
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Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware Job Summary: The Risk Adjustment Data Analyst III is a seasoned analyst responsible for playing an active role in submission, monitoring and contributing to the end to end Risk Adjustment Data Submission and Validation within key regulator guidelines for acceptable data submission. The analyst will also be responsible for oversight and participation in the timely completion of projects, including timeline development & maintenance as it pertains to encounter and risk adjustment data. -Collaborate with internal and external stakeholders involved in Risk Adjustment data submission, as well as all other mandatory aspects of Risk Adjustment. -Perform analysis and reporting activities related to risk score calculation, encounter data submission, chart review programs and audits, and related performance metrics per regulatory and health plan guidelines. -Research and document encounter errors in established systems and databases with appropriate statistical trend analysis, perform root cause analysis of encounters processing and submission issues and develop recommendations based on data and industry standards. -Contribute to the creation of technical documents and high level solution designs -Participate in the development, testing and implementation of system specifications -Interact with RA leadership to create predictive models using information obtained from data mining or analysis -Assist in onboarding and coaching of junior analysts. Actively participate in the peer review process by reviewing, providing insight, and verifying work of junior analysts. -Conduct gap analysis, data collection and validation related to Risk Adjustment activities -Contribute to program improvement by designing and implementing business process and system changes, collaborate to resolve encounter data and process issues and manage policy and procedure documentation -Use data from internal and external sources, analyze complex encounter inbound/outbound process issues to provide insight to decision-makers. -Support and participate in internal and external audits as needed. -Produce recurring and ad-hoc reports for business stakeholders for risk adjustment optimization. -Remain informed and updated on industry changes e.g. CMS regulations and changes (EDPS, Risk Adjustment Payment Model Changes). Education/Experience Bachelor's degree preferred from an accredited college or university preferably in Computer Science, Data Science or other strong analytical field. Master's degree a plus Requires a minimum of five (5) years of experience with programming or analytics, preferably in health care, insurance or related field; clinical and medical claims data and disease diagnostic coding practice a plus Experience with manipulating large amounts of clinical and medical claims data while working in health care industry, insurance or related field. Requires experience using programming and statistical software (e.g., SAS), use of various databases and other data sources, and performing analytics. Additional Licensing, Certifications, Registrations SAS, Oracle, or SQL certification a plus Knowledge Advanced knowledge in Excel (including pivot tables) and Access required Advanced knowledge of SAS, Oracle or SQL required Knowledge of R and Python is a plus Knowledge of risk adjustment programs for Medicare/Medicaid, or risk mitigation programs under ACA, is a plus Skills and Abilities Strong analytical, research and problem-solving skills; experience with relational database and techniques. Strong attention to detail Written and oral communication skills Proficiency in Microsoft software applications Ability to perform and interpret a variety of data analyses Demonstrated ability to evaluate and interpret complex data Demonstrated ability to handle multiple tasks with competing priorities Travel (If Applicable) Salary Range: $84,700 - $115,605 This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. This range has been created in good faith based on information known to Horizon at the time of posting. Compensation decisions are dependent on the circumstances of each case. Horizon also provides a comprehensive compensation and benefits package which includes: Comprehensive health benefits (Medical/Dental/Vision) Retirement Plans Generous PTO Incentive Plans Wellness Programs Paid Volunteer Time Off Tuition Reimbursement Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law. Horizon will consider reasonable accommodation requests as part of the recruiting and hiring process.

Horizon Blue Cross Blue Shield Of New Jersey Interview Questions

Horizon Blue Cross Blue Shield Of New Jersey Interview Guides

Horizon Blue Cross Blue Shield Of New Jersey Interview Questions

Horizon Blue Cross Blue Shield Of New Jersey Salaries by Position

Horizon Blue Cross Blue Shield Of New Jersey Opening Jobs