Research Analyst - Hybrid (PA/NJ/DE)

Blue Cross and Blue Shield Association

Philadelphia, PA

JOB DETAILS
SKILLS
Actuarial Skills, Analysis Skills, Benchmarking, Computer Programming, Cost Control, Data Analysis, Data Management, Data Quality, Data Sets, Detail Oriented, Financial Reporting, Healthcare, Leadership, People Management, Performance Analysis, Performance Management, Presentation/Verbal Skills, Project Tracking, Project/Program Management, Quality Assurance, Quality Control, Quality Management, R Programming Language, Reporting Skills, SQL (Structured Query Language), ServiceNow, Tableau, Time Management, Value Analysis
LOCATION
Philadelphia, PA
POSTED
17 days ago

Our organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals. If this describes you, we want to speak with you. You can help us achieve our vision to lead nationally in innovating equitable whole-person health.

The Research Analyst will be responsible for reporting and analysis of Value Based Programs:

  • Develop and maintain domain-specific knowledge of all Value Based Programs, including episode grouper logic for methodologies currently in use as well as those being considered for future state.
  • Develop reporting and analysis for Value Based programs, incorporating benchmarks into analysis.
  • Identify opportunities for medical cost savings and quality improvement. Develop an analytical story from the opportunities to share with providers.
  • Identify opportunities for efficiencies in reporting and analysis, interacting effectively with the technical team to move reports to production as appropriate.
  • Support the development and maintenance of provider reporting portal including regular quality control of new and existing reports.
  • Communicate regularly with the Actuarial team and the Pay for Performance Managers to ensure that each team responds to requests for the VBP providers in a timely fashion, using the Service Now tool for tracking the progress of all requests.
  • Skilled in presenting to both internal and health system executives, summarizing performance results and analytic findings.
  • Provide ad hoc reporting and analysis services
  • Provide guidance and support to other analysts, managing project timelines, monitoring and ensuring data integrity, evaluating results, summarizing findings.
  • Ensure sound analytical methods.
  • Other duties as required.

Qualifications

  • Advanced degree in business, health care, or related quantitative area desired, undergraduate degree required.
  • One to three years' experience analyzing large datasets, demonstrable technical experience and data management skills including data development, data extraction, transformation, QA, and analytic skills.
  • Demonstrated skill in advanced programming (R, SQL) with large datasets; working knowledge of visualization tools (e.g. Tableau) required.
  • Strong attention to detail to assure quality control in reporting.
  • Strong demonstrated skills in carrying out analytic projects, along with writing and speaking skills.
  • Demonstrated leadership qualities that include presenting complex information in a way that is easy to understand.

Hybrid

Independence has implemented a "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.

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.

About the Company

B

Blue Cross and Blue Shield Association

At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry. We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.
COMPANY SIZE
2,000 to 2,499 employees
INDUSTRY
Insurance
WEBSITE
https://www.bcbs.com/about-us/careers