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Blue Cross Blue Shield of Massachusetts Sr. Healthcare Data Analyst in Boston, Massachusetts

Ready to help us transform healthcare? Bring your true colors to blue.

BCBSMA is seeking a new Sr. Healthcare Data Analyst to join the elite Business & Account Analytics Division!Why Blue Cross Blue Shield of Massachusetts?With almost 3 million members and roughly 50% of the market share, Blue Cross Blue Shield of Massachusetts (BCBSMA) is a not for profit health insurance company in Massachusetts committed to making quality health care affordable. A career at BCBSMA offers many opportunities to make an impact on one of the biggest issues facing the U.S economy: health care cost. Growth opportunities, new challenging assignments, and coaching are available to help you on your career path.Why the Business & Account Analytics Department?The Business & Account Analytics team executes innovative analytics to inform corporate strategy in critical areas including competitiveness, affordability, profitability, provider payment reform and health care policy. As an analyst on the Business & Account Analytics team, you will work with a rich dataset and a robust well-established Enterprise Data Warehouse to identify emerging drivers of health care trend and cost, market pressures, and profitability. In a constantly evolving health care system, you will have the opportunity to design compelling visualizations and build innovative models to influence and analyze new products, provider payment structures, and health care delivery mechanisms that will lower cost and improve the quality of care provided to our members.

Key Responsibilities:

  • Work with IT and various areas to support APCD on-going development for the State of MA, RI, and VT data submissions. Quality check the data, trouble shoot issues and document logic changes.

  • Ensure data accuracy and comply with all reporting requirements from State and Federal regulatory bodies.

  • Ability to review data specifications from various regulatory sources and translate them from the EDW into working datasets.

  • Recognize data-related problems, recommend potential solutions, and implement those solutions.

  • Lead and expand the reporting and analytics that drive insights and actions in support of key internal and external constituents. Ensure data for BHI for the cost transparency tool is accurate for dissemination.

  • Evaluate the financial impact of proposed regulations and complete other ad-hoc analytics related to external agencies in order to inform company position on the proposals, influence decision-making, and provide financial inputs to various processes.

  • Support risk adjustment data submission and error resolution.

  • Work with other medical cost projects as assigned.

Qualifications:

  • SAS/SQL experience required. Other experience with the use of software for data analysis, extraction, and manipulation (e.g., Python, R), data visualization (e.g., Tableau) and analytic automation (e.g. scripting, macros) preferred.

  • Attention to details and ability to focus on the reasonability of the results

  • Time management skills to execute on a variety of projects under specific time restraints

  • Ability to work collaboratively with a variety of business partners, including non-technical and technical staff

  • Strong written and oral communication skills in a variety of settings

  • Creative problem solving skills

  • Exceptional analytical skills and technical expertise

  • The ability to manage priorities

  • Strong customer focus

Education and Experience:

  • Bachelor’s degree required with a focus in Math, Business, Healthcare or related field strongly preferred

  • A minimum of 3 years of experience preferably in healthcare or related industry

  • Solid understanding and knowledge of healthcare data systems, including healthcare delivery, reporting and analytics.

LocationBostonTime TypeFull time

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.

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