Reporting Analyst III

Horizon Blue Cross Blue Shield of New Jersey•Newark, NJ
•$87,300 - $119,070

About The Position

This position contributes to reporting and forecasting efforts by researching, analyzing, designing, programming, implementing, and coordinating accurate and timely reporting systems for the division. It ensures the integrity of databases and program files for departmental use through extensive division contact. The role provides statistical and analytical support, maintains production reporting capabilities, manages ad hoc reporting requests and new reporting processes, and serves as a technical resource for the division. It also provides reporting required for compliance with mandates and DOBI requirements.

Requirements

  • High school diploma or GED required.
  • A bachelor's degree is preferred; relevant experience may be accepted in lieu of a degree.
  • At least five years of experience in health insurance, financial, or actuarial fields using statistics and programming applications.
  • Experience with data-related applications in a PC environment.
  • Strong understanding of health plan financial concepts, including premium, claims utilization, medical trend, loss ratio, membership, and underwriting assumptions.
  • Proficiency using personal computers and supporting software in a Windows-based environment, including Microsoft Word, Excel, and PowerPoint.
  • Analytical and problem-solving skills.
  • Attention to detail.
  • Customer focus.
  • Functional and technical job skills.
  • Continuous improvement skills.
  • Information-gathering skills.

Nice To Haves

  • Experience in healthcare analytics and underwriting.
  • Knowledge of Databricks, Snowflake, Python, Power BI, SAS, SQL, and advanced Excel.
  • Knowledge of data processing systems, including input and retrieval mechanisms in TSO and CICS environments.
  • Knowledge of Horizon BCBSNJ products and files.

Responsibilities

  • Analyze reporting needs, available data, and data retrieval methods to develop systems responsive to departmental needs.
  • Develop and maintain production reporting capabilities and monitor the timely and accurate production and distribution of standard and ad hoc reports.
  • Provide statistical and analytical support to the division for ongoing and special needs using software packages to extract and analyze data.
  • Manage ad hoc reporting requests and assign them to staff.
  • Manage the design and development of new reporting processes, and assign and train staff to maintain processing after implementation.
  • Serve as a technical resource for the division.
  • Provide requested reporting for compliance with mandates and DOBI-required reporting.
  • Attend client meetings as needed.
  • Perform other duties as assigned by management.

Benefits

  • Comprehensive health benefits, including medical, dental, and vision coverage.
  • Retirement plans.
  • Generous paid time off.
  • Incentive plans.
  • Wellness programs.
  • Paid volunteer time off.
  • Tuition reimbursement.
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