**Resp & Qualifications** **PURPOSE:** The purpose of a Sr. Data Analyst is to find meaning in data as a thought leader so that the derived knowledge can be used to make informed decisions and assist the organization in making better business decisions for our government program lines of businesses. This role is within the Payment Integrity area and would support government programs claims. **ESSENTIAL FUNCTIONS:** + Engages in data exploration using various programming languages (reading and writing code), requiring advanced knowledge of multiple database structures. + Collect, analyze, and interpret data to glean insights, and develop business appropriate recommendations. + Research and analyze data flow across complex data ecosystem including operational and analytical data platforms. + Serve as an expert resource supporting data questions and issues from stakeholders and driving to resolution. + Lead in the design, development, validation and delivery of data to provide insight into business decisions. + Manage the collection of business and technical requirements from Stakeholders to deliver data driven solutions. Produces technical documentation that is consistent with professional standards. + Be a resource and mentor to junior level staff. **SUPERVISORY RESPONSIBILITY:** Position does not have direct reports but is expected to assist in guiding and mentoring less experienced staff. May lead a team of matrixed resources. **QUALIFICATIONS:** **Education Level:** Bachelor's Degree in Data Science, Mathematics, Computer Science, Statistics, Business or related field OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience. **Experience:** 5 years' experience in an analytical/quantitative role. **Preferred Qualifications:** + Experience in Healthcare Industry specifically in **Medicare and Medicaid** claims data. + Hands on experience with Big Data/NoSQL Platforms with experience delivering production projects at scale. + **Medicare and Medicaid** claims data experience is highly recommended. **Knowledge, Skills and Abilities (KSAs)** + Quantitative ,analytical and problem solving skills. + Knowledge and understanding of analytical tools , languages ,applications, platforms. + Excellent communication skills both written and verbal. + Ability to learn quickly and take direction. + Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging. **Salary Range:** $81,648 - $162,162 **Salary Range Disclaimer** The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilites of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Payment Integrity **Equal Employment Opportunity** CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. **Where To Apply** Please visit our website to apply: www.carefirst.com/careers **Federal Disc/Physical Demand** Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs. **PHYSICAL DEMANDS:** The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted. **Sponsorship in US** Must be eligible to work in the U.S. without Sponsorship #LI-CT1 REQNUMBER: 20311

**Resp & Qualifications**
**PURPOSE:**
The purpose of a Sr. Data Analyst is to find meaning in data as a thought leader so that the derived knowledge can be used to make informed decisions and assist the organization in making better business decisions for our government program lines of businesses. This role is within the Payment Integrity area and would support government programs claims.
**ESSENTIAL FUNCTIONS:**
+ Engages in data exploration using various programming languages (reading and writing code), requiring advanced knowledge of multiple database structures.
+ Collect, analyze, and interpret data to glean insights, and develop business appropriate recommendations.
+ Research and analyze data flow across complex data ecosystem including operational and analytical data platforms.
+ Serve as an expert resource supporting data questions and issues from stakeholders and driving to resolution.
+ Lead in the design, development, validation and delivery of data to provide insight into business decisions.
+ Manage the collection of business and technical requirements from Stakeholders to deliver data driven solutions. Produces technical documentation that is consistent with professional standards.
+ Be a resource and mentor to junior level staff.
**SUPERVISORY RESPONSIBILITY:**
Position does not have direct reports but is expected to assist in guiding and mentoring less experienced staff. May lead a team of matrixed resources.
**QUALIFICATIONS:**
**Education Level:** Bachelor's Degree in Data Science, Mathematics, Computer Science, Statistics, Business or related field OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.
**Experience:** 5 years' experience in an analytical/quantitative role.
**Preferred Qualifications:**
+ Experience in Healthcare Industry specifically in **Medicare and Medicaid** claims data.
+ Hands on experience with Big Data/NoSQL Platforms with experience delivering production projects at scale.
+ **Medicare and Medicaid** claims data experience is highly recommended.
**Knowledge, Skills and Abilities (KSAs)**
+ Quantitative ,analytical and problem solving skills.
+ Knowledge and understanding of analytical tools , languages ,applications, platforms.
+ Excellent communication skills both written and verbal.
+ Ability to learn quickly and take direction.
+ Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.
**Salary Range:** $81,648 - $162,162
**Salary Range Disclaimer**
The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilites of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).
**Department**
Payment Integrity
**Equal Employment Opportunity**
CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
**Where To Apply**
Please visit our website to apply: www.carefirst.com/careers
**Federal Disc/Physical Demand**
Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.
**PHYSICAL DEMANDS:**
The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.
**Sponsorship in US**
Must be eligible to work in the U.S. without Sponsorship
#LI-CT1
REQNUMBER: 20311

**Resp & Qualifications** **PURPOSE:** The main purpose of a data analyst is to find meaning in data so that the derived knowledge can be used to make informed decisions and assist the organization in making better business decisions. will conduct independent data mining, analysis and reporting. Participate in the design, development, validation and delivery of data to provide insight into business decisions. Collect, analyze, and interpret data to glean insights, and suggest business appropriate recommendations for complicated, high level regulatory inquiries and assist to demonstrate compliance with state and federal requirements related to Mental Health Parity. **ESSENTIAL FUNCTIONS:** + Engages in data exploration using various programming languages (reading and writing code), requiring knowledge of multiple database structures + Supports stakeholder in gathering business and technical requirements to deliver data driven solutions + Produces technical documentation that is consistent with professional standards. + Research and analyze data flow across data ecosystem including operational and analytical data platforms + Serve as a knowledgeable resource supporting data questions and issues from stakeholders. + Collect, analyze, and interpret data to glean insights, and suggest business appropriate recommendations + Participate in the design, development, validation and delivery of data to provide insight into business decisions. **QUALIFICATIONS:** **Education Level:** Bachelor's Degree in Data Science, Mathematics, Computer Science, Statistics, Business or related field OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience. **Experience:** 3 years of data analysis or relevant work experience. **Preferred Qualifications** : + Hands on experience with Big Data/NoSQL Platforms with experience delivering production projects at scale. + Experience in health care industry. + Knowledge of Mental Health Parity NQTL and QTL regulations and application in operations. **Knowledge, Skills and Abilities (KSAs)** + Quantitative, analytical, and problem-solving skills. + Knowledge and understanding of analytical tools, languages, applications, platforms. + Excellent communication skills both written and verbal. + Ability to learn quickly and take direction. Salary Range: $70,848 - $140,712 **Salary Range Disclaimer** The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilites of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Mental Health Parity Compliance **Equal Employment Opportunity** CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. **Where To Apply** Please visit our website to apply: www.carefirst.com/careers **Federal Disc/Physical Demand** Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs. **PHYSICAL DEMANDS:** The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted. **Sponsorship in US** Must be eligible to work in the U.S. without Sponsorship. #LI-LJ1 REQNUMBER: 20266

The Performance and Agility Office within IT is seeking a talented Data Analyst III to join our team at Blue Cross Blue Shield of Michigan. This Data Analysis III role will serve as a subject matter expert on a wide range of data and develop reports to help solve business problems and enable decision making across the enterprise. Key responsibilities include, but are not limited to: * Creating and implementing a data and reporting strategy with clear objectives and goals * Performing ad hoc data analysis and summarizing observations and recommendations * Collaborating with customers and other subject matter experts to understand their reporting needs * Assisting with the development of a standard reporting catalog with user friendly definitions * Preparing and presenting to a variety of stakeholders, including executive leadership Specific Requirements: * Extensive experience with Microsoft Power BI, Tableau, or other related business intelligence reporting tools * Ability to create, maintain, and analyze databases using Microsoft Excel * Working experience with Planview, including a solid understanding of its database schema and reporting features * Ability to write complex queries using SQL Server * Knowledge of Atlassian Jira is a plus * Ability to interface with customers and provide technical support * Experience with the Scaled Agile Framework (SAFe) is preferred Develop medium to highly complex logical database designs, logical data models and relational data definitions in support of corporate and customer information systems requirements. Work closely with customers, vendors, business analysts and application development project teams to resolve information flow and content issues. Work on enterprise-wide complex projects/issues/enhancements as a team member or lead. Participate in the development of short and long term information architecture strategies, support and participate in the strategic planning process. Build data migration strategies. Provide support for master data management (MDM) system development, implementation and maintenance. Participate in establishing governance for metadata management across the enterprise. Develop metadata integrity processes. Participate in the governance activities associated with ensuring compliance with the enterprise information/data architecture. Work with IT teams to ensure compliance. Perform regular audits of data. Work with business and vendor partners, and project delivery leads to determine business data intelligence needs. Interpret and document the data needs for the business. Analyze program needs and translate them into data warehousing and data mart requirements. Work in partnership with data architects to design the common customer view of information. Create and implement detailed specifications for metadata repository solutions. Manage the data dictionary. Define, document, and maintain all data definitions, data sources, business meaning and usage of information. Develop single source data strategy. Research internal and external data sources for new data and better sources of data feeds. Identify and validate opportunities to share/reuse existing data/information. Direct the production of regular reports and analysis on data. Create a framework for representing the data elements including the entities, relationships and attributes. Recognize and resolve conflicts between models, ensuring that data models are consistent with the enterprise model (e.g., entity names, relationships and definitions). Support the effort for high level modeling of key program processes and key data entities. Ensure integration of the project logical data model into the enterprise conceptual data model and that physical models align with the logical data model. Develop solutions and recommendations for improving data integrity issues. Analyze data issues and works with development teams for problem resolutions. Identify problematic areas and conduct research to determine the b

About Blue Cross

Blue Cross and Blue Shield of Minnesota is one of the most recognized and trusted health care brands in the world with 2.5 million members. We're committed to reinventing health care to improve health for our members and the community. We hope you'll join us.

How Is This Role Important to Our Work?
This role sits on our Market Competitiveness team within Provider Relations, supporting price transparency initiatives, specifically machine-readable file deliverables. The Market Competitiveness Data Analyst evaluates provider reimbursement data, systems, and business processes to identify opportunities for improvement and to support data clean-up efforts and data integrity initiatives. This position assists in identifying issues, gathering, analyzing, and interpreting a wide variety of data, and presenting results and recommendations to management and other stakeholders. This role may represent the department/division on corporate projects, coordinate stakeholder (internal or external) data needs, and may be the project lead on routine projects.
A Day in the Life:
Monitors and oversees the monthly business process to produce publicly available machine-readable files with the support of external vendors, the market competitiveness team and other business partners.
Identifies issues to be researched, determines affected areas, estimates the impact, and assists in resolution and business enhancements.
Acts as a subject matter expert on special projects and initiatives. The role will vary depending on the project but could include project lead, subject matter expert, or contributor.
Navigates systems to research, analyze, interpret, and derive pertinent information from data and organize it methodically, logically, and concisely to translate into actionable next steps.
Receives assistance/direction from either management, principal(s), or senior(s) team members.
Nice to Have:
Bachelor's degree.
MS Office
Experience working in the managed care/healthcare insurance industry.
Experience with Structured Query Language (SQL).
Experience with Testing Strategies, Data Gathering Analysis.
Required Skills and Experiences:
3+ years of related professional experience. All relevant experience including work, education, transferable skills, and military experience will be considered.
Demonstrates oral/written communication skills to effectively communicate business information to technical audiences.
Able to work on multiple priorities, deadlines, and adapt to change.
Highly motivated self-starter with strong analytic, problem-solving, and organizational skills and acute attention to detail.
Demonstrates the ability to cultivate and maintain strong relationships both within the organization and with external partners.
Assists in evaluating and interpreting complex data solutions based on technical, business, and industry knowledge.
Make A Difference

Blue Cross is an Equal Opportunity and Affirmative Action employer that values diversity. All qualified applicants will receive consideration for employment without regard to, and will not be discriminated against based on race, color, creed, religion, sex, national origin, genetic information, marital status, status with regard to public assistance, disability, age, veteran status, sexual orientation, gender identity, gender expression, or any other legally protected characteristic.

Reasonable Accommodation for Job Seekers with a Disability: If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to talent.acquisition@bluecrossmn.com.

All roles require a high school diploma (or equivalency) and legal authorization to work in the U.S.

Blue Cross and Blue Shield of Minnesota and Blue Plus are nonprofit independent licensees of the Blue Cross and Blue Shield Association.

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Data Analyst Blue Cross Blue Shield Association Jobs

Senior Data Analyst RemoteDecember 15, 2024

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