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Risk Adjustment Data Analyst
Blue Cross and Blue Shield of NebraskaHealthcare Analytics role at BCBSNE analyzing healthcare data to evaluate program performance. Developing reports and recommendations to inform Risk Adjustment strategy and planning.
Posted 7/10/2026full-timeFlorida, Iowa, Kansas, Minnesota, Montana, New York, North Dakota, Texas • 🇺🇸 United StatesMid-LevelSeniorWebsite
Tech Stack
Tools & technologiesAzureSQL
About the role
Key responsibilities & impact- Analyze healthcare claims, pharmacy, lab, and Risk Adjustment submissions data to evaluate intervention and program performance.
- Develop, maintain, and present reports that measure intervention ROI, incremental conditions captured, risk score impact, revenue impact, and other key Risk Adjustment performance metrics.
- Partners with internal teams to support Risk Adjustment analytics needs, intervention planning, reporting enhancements, and issue resolution.
- Stay current on healthcare analytics, Risk Adjustment trends, tools, methodologies, and regulatory considerations; recommend process or reporting improvements where appropriate.
- Provide analytic solutions on ad-hoc requests with little oversight by senior analysts.
Requirements
What you’ll need- Bachelor’s degree or equivalent
- 3+ years’ experience in data or statistical analysis
- Experience with managing and analyzing data for Government programs (Medicare Advantage, Commercial ACA)
- Experience working with healthcare-related data, such as claims, encounters, provider data, CMS files, EDGE response files, or similar datasets.
- Proficiency in SQL and data analytics.
- Experience with Microsoft Azure DataBricks.
- Advanced Excel skills.
- Strong analytic skills to construct impactful findings from the extraction, manipulation and understanding of various types of data.
- Successful experience working in a cross-functional environment.
- Experience effectively communicating with stakeholder groups.
Benefits
Comp & perks- Flexible work arrangements
- Professional development opportunities
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Data AnalysisStatistical AnalysisData ManagementRisk Score Impact EvaluationIntervention ROI MeasurementData ExtractionData ManipulationHealthcare Claims AnalysisProvider Data AnalysisCMS Files Analysis
Soft Skills
Analytic SkillsCross-Functional CollaborationEffective Communication