Job Information
Independence Blue Cross, LLC Senior Data Insights & Reporting Analyst - 240742 in Philadelphia, Pennsylvania
Senior Data Insights & Reporting Analyst - 240742
DESCRIPTION/RESPONSIBILITIES: The Senior Data Insights & Reporting Analyst independently analyzes, extracts, refines, and interprets claims data for actionable insights. Provides recommendations for data driven payment integrity functions. Ensures consistent running of audit tools and systems while providing support to auditors with data driven issues. Uses self-directed decision making and problem solving that directly impacts financial outcomes and results.
Key Responsibilities: * This position will support Payment Integrity and Audit functions * Data Analysis and Reporting - execute complex algorithms, review data sets, independently problem solve and research data anomalies * Provide recommendations and collaborate with payment integrity team on audit outcomes and improved data clarity * Training - Trains and guides other business and technical associates on system enhancements, payment integrity functional updates and audit tool requirement * Support ongoing payment integrity functions and provide technical assistance with audit data * Coordinates claim, reporting and audit system testing requiring knowledge and experience in various systems * Communicates autonomously with payment integrity team and management, communicates enhancements, implements system corrections and updates * Conduct data analysis in support of a variety of analytic and business solutions * Create and produce forecasts, reports, ad hoc requests, dashboards, etc. * Interpret data, analyze results and opportunities * Develops reports and deliverables for management and communicates with all levels of stakeholders
Job Requirements: * Bachelor's degree in Business, Finance, Information Systems/Science, related field or equivalent work experience * 5+ years of relevant experience, healthcare, payment integrity or health insurance a plus * Intermediate level experience with Tableau, SQL, and other data systems * Good communication skills, analytical skills, Microsoft Office Suite, data visualization * Proven ability to apply quantitative and/or qualitative research and data analysis techniques to improve operational processes * Ability to interact with business and data management functions * Strong problem-solving skills * Excellent communication skills, both written and verbal * Passionate about producing high quality deliverables and communicating results to management * Must be competent in Excel (vlookups, tables, formulas, etc), Sql experience, Tableau, Powerpoint * Solves complex problems; takes a new perspective on existing solutions
"Hybrid" model which consists of Associates working in the office 3 days a week (Tuesday, Wednesday & Thursday) and remotely 2 days a week (Monday & Friday). This role is designated as a role that fits into the "Hybrid" model. While associates may work remotely on our designated remote days, the work must be performed in the Tri-State Area of Delaware, New Jersey or Pennsylvania.
Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.
Equal Opportunity Employer-minorities/females/veterans/individuals with disabilities/sexual orientation/gender identity