Schedule: Remote

Compensation: $90,500 - $135,700

Jump into the new world of health insurance:

At Blue Cross & Blue Shield of Rhode Island (BCBSRI), our business is healthcare. But our focus is on improving lives. Be part of a team that is large enough to make a difference but small enough to be innovative. Work in a rapidly changing field. Take a chance to be creative. Move outside the status quo. Shape new ideas with the power of a national brand behind you.

Join others who know diversity is strength:

We appreciate and celebrate everything that makes us unique: age, national origin, citizenship status, perspectives, experiences, physical or mental disability, military status, race, ethnicity, religion, gender, sexual orientation, gender identity and/or expression. Our diversity strengthens us as an organization and helps us better serve an increasingly diverse Rhode Island population.

Why this job matters:

Independently lead the extraction and analysis of health care data for specific studies and corporate initiatives. Lead data intensive projects and serve as a technical resource to department staff and management on technical issues; develop new analyses and reporting metrics to assist management with decision making. Train and mentor less experienced staff. Develop and improve automated processes to increase the efficiency and accuracy of work products.

What you will do:

• Initiate and lead data intensive projects; translate quantitative findings into practical insights through the interpretation of data, trends and other sources. Prepare project results or recommendations for a wide range of audiences using written reports and presentation exhibits/graphics.

• Perform complex analytical work of health care data. Utilize data to provide insights about customers and prospects to support the growth of various market segments.

• Conduct special data extraction and analysis studies. Summarize results and provide recommendations where appropriate.

• Work with partners to understand project needs, assess options and deliver/communicate results.

• Serve as departmental representative on various committees and at meetings with other departments on various projects and corporate initiatives.

• Design, implement, and maintain various databases as assigned; develop reporting capabilities and ensure data quality and documentation is adequate.

• Identify areas where operational efficiency can be improved through enhanced automation. Collaborate with technical staff on implementation of enhancements. Communicate necessary changes and enhancements to all internal/external customers.

• Perform other duties as assigned.

What you need to succeed:

• Bachelor's degree in Computer Science, Mathematics, Economics, or related field; or an equivalent combination of education and experience
• Seven to ten years health data analysis, business analysis, software application, database design, and technical documentation experience, preferably in the health insurance industry
• Knowledge of claims processing and membership processing for all BCBSRI lines of business
• Knowledge of CPT-4 and ICD-9 coding and covered benefits
• Understanding of SAS programming, spreadsheet, and database software and other application development tools
• Knowledge of general mathematical principals
• Working knowledge of Microsoft Office
• Working knowledge of PowerBI
• Strong business acumen and political savvy
• Ability to lead and manage projects
• Ability to collaborate while dealing with complex situations
• Ability to think creatively and to drive innovation
• Ability to motivate, lead and inspire a diverse group to a common goal/solution with multiple stakeholders
• Ability to convert business strategy into action-oriented objectives and measurable results
• Strong negotiating, influencing, and consensus-building skills
• Ability to mentor, coach and provide guidance to others

The extras:

• Knowledge of applied statistics
• Knowledge of econometric modeling
• Knowledge of marketing analytic principles and modeling
• Experience utilizing competitive intelligence

Location:

BCBSRI is headquartered in downtown Providence, conveniently located near the train station and bus terminal. We actively support associate well-being and work/life balance and offer the following schedules, based on role:

• In-office: onsite 5 days per week
• Hybrid: onsite 2-4 days per week
• Remote: onsite 0-1 days per week*.

*-Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Florida, Georgia, Louisiana, North Carolina, Oklahoma, South Carolina, Texas, Rhode Island, Massachusetts, Connecticut and Virginia

• Blue Cross & Blue Shield of Rhode Island, 500 Exchange Street, Providence, Rhode Island, United States of America