Settings

📁
Technology
📅
15089 Requisition #
Apply for Job
Share this Job
Sign Up for Job Alerts

“Commercial Analytics” area is comprised of the below three core teams:

 

Risk and Care Analytics
  • Provides analytical support and insights to drive strategy, ensure compliance, and evaluate effectiveness of revenue program initiatives and campaign operations in support of the Affordable Care Act (ACA) Risk Adjustment program
  • Conducts analysis to support clinical care operations (medical and pharmacy), customer segmentation, and actionable results and insights that improve the health of our members
Provider Performance
  • Provides analysis in support of provider contracting strategies/negotiations and financial performance including impact of network acquisitions, terminations, and contractual arrangements
  • Examines and monitors provider performance and trends in support of forecasting, pricing, and product development
Value Based Providers
  • Develops analytics to drive opportunities on alternative payment programs or value based programs, including but not limited to Accountable Care Organization’s and Patient Centered Medical Homes
  • Negotiates/Develops contracts, report on arrangements, and support provider relationships in support of forecasting, pricing, and product development
 
The Data Consultant will develop analyze and provide insight, analysis and reports. In this role you will be accountable for identifying and quantifying key drivers for the Health Business, investigating areas of opportunity, evaluating effectiveness and making recommendations. You will assist the leadership team in evaluating key business drivers. Utilizing strong analytics, technical and communication skills, as well as having deep broad understanding of the business to summarize key findings. This role also serves as a lead on projects and assists other team members by reviewing work, providing training and technical guidance.
 
The Skills You Bring
  • Act as primary Analyst for large projects and proactively identify topics for analysis
  • Analyze or assist in the analysis of processes and programs in achieving stated goals.
  • Write advanced SAS and/or SQL programs for data extraction. Integrate data across multiple areas. Modifies existing programs for data extraction
  • Apply risk adjusters when applicable
  • Accountable for developing insightful and actionable summaries and recommending actions
  • Monitor and evaluate patterns, costs and trends.
  • Recommend new analytical processes; partner with Information Management in the development of new analytical tools such as power pivots and analytical cubes to enhance analytical capabilities.
  • Train team members on analytical tools and techniques. Provide guidance and review work of team members.
 
Required Skills:
  • 6+ years related work experience or equivalent combination of transferable experience and education.
  • Experience using algorithms and inferential statistics.
  • Advanced level experience writing SQL /SAS or related code
  • Advanced Excel skills
  • Experience with health business
  • Bachelor’s degree or equivalent work experience
  • Demonstrated leadership abilities including effective knowledge sharing and conflict resolution
  • Mastery of communicating highly complex information clearly and articulately for all levels and audiences
 
Preferred Skills:
  • Bachelor’s degree Business Analytics, Health Economics or similar program
    Master’s degree in a related field
  • Experience using risk adjusters

My Profile

Create and manage profiles for future opportunities.

Go to Profile

My Submissions

Track your opportunities.

My Submissions
Please try again.

Oops!

Either there was a problem on our end with the action you just performed, or we are currently having technical difficulties with our system. Please try again later.

Internet Privacy Statement |  Terms of Use



We comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability or sex. You may access the Nondiscrimination and Accessibility notice  here.


Language assistance available: Español, Kreyol Ayisien, Tiếng Việt, Português, 中文, français, Tagalog, русский, العربية, italiano, Deutsche , 한국어, Polskie, Gujarati, ไทย, 日本語, فارسی


Generally, the pronouns "our," "we" and "us" used throughout this website are intended to refer collectively to Blue Cross and Blue Shield of Florida, Inc. and its subsidiaries and affiliates. However, where appropriate, the content may identify a particular company; there, any pronouns refer to that specific entity.


Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc., DBA Florida Blue. HMO coverage is offered by Health Options Inc., DBA Florida Blue HMO, an HMO affiliate of Blue Cross and Blue Shield of Florida, Inc. Dental, Life and Disability are offered by Florida Combined Life Insurance Company, Inc., DBA Florida Combined Life, an affiliate of Blue Cross and Blue Shield of Florida, Inc. These companies are Independent Licensees of the Blue Cross and Blue Shield Association.


Florida Blue is an Equal Opportunity Employer - Minorities/Females/Protected Veterans/Disabled.


FB MFT 001 NF 092016© 2017 Blue Cross and Blue Shield of Florida, Inc. DBA Florida Blue. All rights reserve.