Medical Economist/Health Data Analyst
Blue Cross and Blue Shield of Nebraska
full-time
Posted on:
Location Type: Hybrid
Location: Omaha • Florida • Iowa • United States
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About the role
- Provide analytic solutions for enterprise stakeholders via reporting, research, predictive modeling, and BI dashboard development.
- Develop and maintain models for utilization trends.
- Partner with stakeholders to analyze trends in employer group reporting, provider payment methodologies, and care management analytics.
- Gather business requirements, extract and prepare data independently, and deliver high-quality analysis for decision support.
- Serve as a business consultant to multiple areas, leveraging deep understanding of data and operations.
- Actively participate in brainstorming sessions, design reviews, and quality reviews to ensure best practices in analytics and data strategy.
- Provide strategic input on data architecture and analytic standards.
- Lead knowledge-sharing activities and contribute to the Data Integration Community of Practice.
- Present analyses to internal and external stakeholders, translating complex data into clear, actionable insights.
- Tell a compelling story with data to influence strategic decisions.
Requirements
- Bachelor’s degree in Economics, Statistics, Mathematics, Health Care Management, or related field (Master’s preferred).
- 5+ years in healthcare analytics, medical economics, or actuarial analysis.
- Data Access & Integration: Advanced SQL, ETL/ELT pipelines (Azure Data Factory, dbt), PySpark/Spark SQL.
- Cloud & Platforms: Azure Synapse, Databricks, SQL Server; Git for version control.
- Analytics & Econometrics: Python, R, cost-effectiveness analysis, risk adjustment, forecasting.
- BI & Visualization: Power BI (DAX, Power Query), Databricks Dashboards, dashboard design, KPI development.
- Data Governance: Data dictionaries, lineage, HIPAA compliance, quality checks.
- Healthcare Domain Knowledge: Claims data, provider reimbursement models, value-based care, HEDIS/STARS metrics.
- Mastery of Health Insurance Operations knowledge including claims, enrollment, payment mechanisms, care management, employer reporting and the ability to stay current on healthcare industry knowledge.
- Successful experience working in a cross-functional environment.
- Experience effectively communicating with stakeholder groups.
Benefits
- Health insurance
- Retirement plans
- Paid time off
- Flexible work arrangements
- Professional development opportunities
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
SQLETLELTPySparkSpark SQLPythonRDAXPower Querycost-effectiveness analysis
Soft Skills
analytical thinkingcommunicationcollaborationproblem-solvingstorytelling with dataconsultingbrainstormingquality assurancestrategic thinkinginfluencing