Large Claims Analytics Consultant #1355

Wellmark Blue Cross and Blue Shield-posted 9 months ago
Full-time
Hybrid • Des Moines, IA
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Wellmark of South Dakota Inc. seeks a Large Claims Analytics Consultant based out of our office at 1331 Grand Avenue, Des Moines, IA 50309. This is a hybrid position whereby the employee will work both from home and from the aforementioned office address. Hence, the employee must live within a reasonable commuting distance of the aforementioned office address.

  • Gather, manipulate, and analyze member claims data to identify trends and provide actionable insights for large claims.
  • Perform time-series forecasting and causal inference to support decision-making and strategic planning.
  • Utilize Microsoft Power BI, SAP Business Objects, SAS, SQL, and Python to create comprehensive data analyses and visualizations.
  • Develop and implement data engineering and machine learning applications to enhance data processing and analysis capabilities.
  • Collaborate with business stakeholders to understand their needs and translate them into actionable data insights.
  • Ensure data integrity and quality by implementing best practices for data collection, storage, and processing.
  • Provide technical support and guidance on data analysis and business intelligence tools.
  • Communicate complex data insights and technical information effectively to non-technical stakeholders.
  • Proactively identify potential risks in data management and propose effective solutions.
  • Other duties as assigned.
  • Bachelor's degree in Computer Science, Business Analytics, or related.
  • 24 months of experience in job offered or related.
  • Two (2) years of experience with time-series forecasting.
  • Two (2) years of experience with causal inference with health claims.
  • Experience with Microsoft Power BI, SAP Business Objects, SAS, SQL, and Python applications related to data engineering or machine learning.
  • Experience with data visualization and formula creation.
  • Experience with business intelligence or analysis platforms.
  • AWS Cloud Practitioner Certification required.
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