Senior Data Insight & Reporting Analyst- Medicare Risk Adjustment
Independence Blue Cross
Sr. Data Insights & Reporting AnalystThe Sr. Data Insights & Reporting Analyst plays a critical role in advancing our provider accurate coding & documentation accuracy strategy across Government Markets. This position supports provider education and insights designed to help primary care practices understand the impact of accurate clinical documentation and coding on patient care, quality outcomes, and health plan performance. Working closely with Population Health, provider partners, team members, and executive leadership, this individual serves as the primary owner of the program's data infrastructure, analytics, reporting, and dashboard development. The role transforms complex claims and clinical data into actionable insights that drive provider engagement and support data-driven decision making. As a key contributor to an evolving program, the analyst will have significant opportunity to innovate, identify new performance measures, and develop creative approaches to visualizing and communicating insights to healthcare providers and senior leaders.Key responsibilities include, but are not limited to:Conducts data analysis for a variety of analytic solutions for leaders, stakeholders, and primary care providers. Capture, develop, and document data definitions, business rules, and data quality requirements. Create and produce reports, ad hoc requests, dashboards, etc.Interprets data, analyzes results, and provides insights to determine operational impact, trends, and opportunities.Must be able to apply critical thinking and analysis to the data and reports that are collected.Collaboratively works to solve complex problems.Tracks Key Performance Indicators and have the ability to understand why metrics are performing the way they are.Required:Bachelor's Degree in Math, Business, Finance, Economics, Actuarial Science or equivalent experience.5+ years of related professional work experience.Advanced SQL knowledge level.Intermediate to advanced Excel, PowerPoint and MS Project knowledge level.Demonstrated strong analytical, communication and interpersonal skills.High level of intellectual curiosity. Enjoys digging in on key questions and finding new ones to answer. Generates immense self-fulfillment from drawing key insights from data.Excellent communication skills, verbally and in documented formats. Able to creatively present data insights in a comprehensive, concise, logical, and easily digested format.Preferred:Master's degree in related field6+ years of experience within the health care industryKnowledge of claims-based analyticsExperience with statistical or programming software (SAS, Python, or R)Experience with Business Intelligence tools (e.g., Tableau, Power BI)IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.
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$180.2k - $355.1k
...adding an Actuarial Senior Manager to our Insights, Innovation & Operate... ...modeling, underwriting, and risk analysis... ...initiativesDevelop and present reports and recommendations... ...-edge technology, data, and a blend of deep... ...experience with risk adjustment mechanisms, group insurance...DataSeniorLocal areaVisa sponsorship$128k - $252.5k
.... As an Actuarial Senior Consultant, you will... ...sector-specific insights and cross-domain perspectives... ...analytics Review Medicare Advantage and Part... ...incurred but not reported (IBNR) modeling... ...-edge technology, data, and a blend of... ...has not been adjusted for the applicable...DataSeniorWork at officeLocal areaVisa sponsorship- Government Markets is seeking a Data Insight & Reporting Analyst to join the Government Markets Reporting Team. This role is responsible for data analysis... ..., and Visio Preferred Experience • Knowledge of Medicare Advantage and CMS Star Ratings IBX is an Equal...DataWork at office
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...Forrester is currently looking for a Senior Analyst to conduct research and deliver strategic advice for risk management leaders and their teams. The... .... The Senior Analyst delivers these insights and recommendations in written reports, presentations, inquiries, guidance...SeniorFull timeFor contractorsRemote work- ...today!Job DetailsThe Senior Principal Product Manager, Data & AI Product Management reports to the VP, Data & AI Product... ...progress, risks, and tradeoffs to stakeholders... ...to gather insights, validate solutions, and... ...financial performance, and adjust plans to ensure product...DataSeniorFull timeLocal area
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...leverage sector-specific insights and cross-domain... ...Review Medicare Advantage (MA) and... ...preparing work plans, reports, presentations, and... ...-edge technology, data, and a blend of deep... ...has not been adjusted for the applicable... ...level employees to senior leaders, we believe...DataWork at officeLocal areaVisa sponsorship- ...Assistant Actuarial I (Medicare) Bring your drive for excellence, teamwork, and customer... ...historical claims and utilization data to support the pricing of benefit differentials... ...D actuarial models. Understanding of risk adjustment and revenue forecasting. Demonstrated...DataWork at officeRemote workMonday to Friday2 days per week3 days per week
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