Health Data Analyst I or II
About The Position
Our Health Data Analysts play a meaningful role at Blue Cross of Idaho by supporting provider contracting and reimbursement strategies through advanced analytics, forecasting, and process automation. This role is responsible for answering ad hoc business questions related to modeled reimbursement rates, developing and maintaining models that forecast contracted rates for provider contracts, and leveraging SQL and Python to automate existing analytical and reporting processes. Health Data Analysts perform research, analysis, and modeling of complex healthcare data, evaluate utilization and cost trends, and present actionable insights and recommendations that support contract strategy. This role will report to the Manager Provider Analytics and interacts with various departments across Blue Cross of Idaho.
Requirements
- Experience (Level I): 2 years’ data analysis
- Experience (Level II): 4 years' data analysis
- Bachelor’s Degree Finance, Information Systems, Economics, Math or related field; or equivalent work experience (Two years’ relevant work experience is equivalent to one-year college)
Nice To Haves
- Modeling experience
- Health Insurance/Healthcare knowledge
- STEM degree
Responsibilities
- Answer ad hoc questions on modeled rates, provider reimbursement, and contract performance.
- Develop forecasting models for Contracted Rates.
- Analyze claims, utilization, and financial data to support contracting decisions.
- Partner with contracting teams to provide insights and recommendations.
- Automate reporting, modeling, and data workflows using SQL, Excel and Python.
- Build custom datasets, tools, and reports to support business needs.
- Identify reimbursement trends, anomalies, and opportunities for improvement.
- Maintain and enhance analytical methodologies and reporting standards.
- Present findings and recommendations to stakeholders and leadership.
- Demonstrate strong communication, collaboration, and problem-solving skills.
- Manage multiple priorities and deliver results in a fast-paced environment.
- Utilize SQL, Python, and Microsoft Office to support data-driven decision-making.
Benefits
- paid time off
- paid holidays
- community service and self-care days
- medical/dental/vision/pharmacy insurance
- 401(k) matching and non-contributory plan
- life insurance
- short and long term disability
- education reimbursement
- employee assistance plan (EAP)
- adoption assistance program
- paid family leave program
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
