Healthcare Statistical Analyst I – IV, VBP

LTHC

Healthcare statistical analyst modeling claims, risk adjustment, and value-based payment data for Excellus BCBS health plans. Supporting projections, reporting, data quality, regulatory analysis, and strategic decisions.

Posted 8/5/2026full-timeRochester • New York • 🇺🇸 United StatesMid-LevelSenior💰 $62,400 - $142,322 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates strong analytical capabilities and proficiency in statistical analysis, data modeling, and financial projections within the health insurance sector. Effectively communicates complex concepts to diverse audiences and collaborates with stakeholders to drive process improvements and strategic initiatives.

Highest-signal resume keywords

Statistical AnalysisSQL ProgrammingData ModelingHealth Insurance KnowledgeProject Leadership

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Statistical AnalysisData ModelingFinancial ProjectionsSQL ProgrammingSAS ProgrammingVBA ProgrammingData MappingTrend AnalysisRisk Score AnalysisClaims Experience Analysis

Soft Skills

Strong Analytical SkillsVerbal CommunicationWritten CommunicationInterpersonal SkillsCollaboration

Tools & Technologies

Microsoft Office SuiteData WarehouseStatistical SoftwareMachine Learning Techniques

Industry Keywords

Health Plan OperationsRisk AdjustmentValue Based PaymentManaged CareRegulatory ComplianceBenefit DesignClaims SavingsFinancial Solvency

Tech Stack

Tools & technologies

SQLVBA

About the role

Key responsibilities & impact

Perform technical services within the actuarial or risk adjustment department supporting Health Plan operations and financial solvency
Monitor current data and environments and model future events
Interact with internal and external partners and regulatory agencies
Monitor trends and communicate opportunities and data insights
Provide statistical information and analysis to support informed leadership decisions
Develop and maintain analyses related to benefit designs, claims experience, Value Based Payment programs, claims savings, and risk adjustment initiatives
Maintain reserve programs, pricing files, benefit relativity tables, trend and risk score analyses, VBP and vendor financial settlements, and ROI work
Create and maintain technical and process documentation, data models, data mapping, and training materials
Develop financial, claims, risk score, trend, utilization, and savings projections and unpaid claim liability estimates
Compile and analyze data, support data quality, and provide recommendations
Improve processes using system and software applications
Reconcile Data Warehouse data with corporate financials or encounter submissions and develop corrective actions
Lead or support projects, process improvements, reporting, dashboards, and strategic initiatives
Conduct exploratory, descriptive, and inferential analysis using statistical and machine learning techniques
Interpret regulatory changes and develop impact analyses for the Health Plan
Collaborate with departments, stakeholders, senior leadership, and external constituents
Travel across the Health Plan service region for meetings and/or trainings as needed

Requirements

What you’ll need

Bachelor’s Degree in Math, Statistics, Economics, Medical Informatics, Actuarial Science, or a relevant field required
Level I: One year of related experience preferred
Level II: Two years of related experience
Level III: Four years of related experience
Level IV: Six years of related experience
Strong analytical skills
Strong verbal and written communication skills
Strong interpersonal skills and ability to collaborate with team members
Ability to prioritize, multitask, and manage multiple simultaneous projects
Intermediate technical skills, including proficiency in Microsoft Office Suite
Programming skills in SQL, SAS, VBA, or similar programming language preferred; proficient programming skills preferred for Level II
Understanding of health insurance, health insurance products, managed care, accounting principles, competitive markets, legislative environments, and regulatory issues affecting Health Plans (Level II)
Ability to work independently and motivation to improve processes (Level II)
Understanding of non-Actuarial functions and their effects on Health Plan operations and financials (Level II)
Ability to perform complex modeling independently (Level III)
Ability to recognize and automate repetitive tasks (Level III)
Ability to communicate analytical findings at the appropriate level of detail (Level III)
Experience leading projects or process improvement initiatives (Level III)
Ability to write and communicate complex concepts (Level III)
Advanced understanding of non-Actuarial functions and their effects on Health Plan operations and financials (Level IV)
Advanced ability to independently communicate analytical findings (Level IV)
Ability to write, communicate, and present complex concepts to actuarial and non-actuarial audiences (Level IV)
Ability to work at a workstation using a computer, keyboard, mouse, and/or phone for three or more hours at a time
Ability to travel across the Health Plan service region for meetings and/or trainings as needed

Benefits

Comp & perks

Participation in group health and/or dental insurance
Retirement plan
Wellness program
Paid time away from work
Paid holidays
Possible remote work opportunity on a case-by-case basis
Equal Opportunity Employer