Health Data Analyst I/II

Health Data Analyst

Our Health Data Analysts play a critical role in maintaining and enhancing the accuracy, integrity, and compliance of Blue Cross of Idaho's Provider Directory. This position is responsible for analyzing provider data, identifying trends and discrepancies, supporting regulatory requirements, and delivering insights that improve provider data quality and member access to care. The Health Data Analyst partners with operational, compliance, and clinical teams to ensure provider directory information is accurate, timely, and aligned with organizational goals for quality, efficiency, and regulatory compliance.

This role reports to the Manager, Provider Analytics and collaborates with a wide range of Blue Cross of Idaho teams, external vendors, and business stakeholders to support provider directory operations, reporting, compliance initiatives, and process improvement efforts.

Qualifications

We're looking for a Health Data Analyst with:

Level I:

Experience: 2 years' data analysis

Level II:

Experience: 4 years' data analysis

Education for Level I/II: Bachelor's Degree Finance, Information Systems, Business, or related field; or equivalent work experience (Two years' relevant work experience is equivalent to one-year college)

What Your Day May Look Like

• Access data warehouse and data marts to produce and/or develop relevant data and reports to support revenue and payment systems meeting industry requirements
• Perform various types of analysis and research, i.e. Provider accuracy, utilization, financial, compliance, product performance, group cost containment, corporate cost containment, risk, etc.
• Collaborate with business functional subject matter experts to validate findings and provide insights and recommendations specific to the scope of the analysis.
• Analyze business systems data to fulfill information requests by reviewing production processes, data models, and data-entry procedures where standard reports are needed, but not available.
• Identify variation and outliers in healthcare provider networks and/or services and participate in identifying and implementing solutions in collaboration with internal stakeholders and external vendors.
• Oversee provider directory compliance, stakeholder engagement, and UAT activities to ensure directory-related processes, enhancements, and regulatory requirements are successfully implemented.
• Manage vendor relationships and partner with internal stakeholders to support vendor oversight, performance monitoring, issue resolution, and strategic initiatives.
• Participate in the development, maintenance and ongoing staff education of data and reporting standards for the organization.
• Teamwork & communication
• Ability to be a self-starter, while balancing multiple tasks, meeting benchmarks, government and industry deadlines
• Microsoft Office

We'd love it if our Health Data Analyst also has:

• Tableau knowledge
• Health Insurance/Healthcare knowledge
• Knowledge of Provider Directory requirements
• Knowledge of Compliance, requirements, procedures

As of the date of this posting, a good faith estimate of the current pay range is, level I: $66,353 - $92,894 and level II: $78,064 - $117,095. The position is eligible for an annual incentive bonus (variable depending on company and employee performance).

The pay range for this position takes into account a wide range of factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, travel requirements, internal equity, business or organizational needs, and alignment with market data. At Blue Cross of Idaho, it is not typical for an individual to be hired at or near the top range for the position. Compensation decisions are dependent on factors and circumstances at the time of offer.

We offer a robust package of benefits including paid time off, paid holidays, community service and self-care days, medical/dental/vision/pharmacy insurance, 401(k) matching and non-contributory plan, life insurance, short and long term disability, education reimbursement, employee assistance plan (EAP), adoption assistance program and paid family leave program.

We will adhere to all relevant state and local laws concerning employee leave benefits, in line with our plans and policies.

Reasonable Accommodations

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.