🌎
This job posting isn't available in all website languages
📁
Regulatory Performance & Compliance
📅
744 Total Views

Bring your drive for excellence, team orientation and customer commitment to Independence; help us renew and reimagine our business and shape the future of health care.  Our organization is looking to diversify, grow, innovate and serve, and we are looking for committed, empowered learning-oriented people to join our team.  If this describes you, we want to speak with you.


Government Markets is hiring a Business Analyst (BA) to join its Medicare Supplemental Program Team.  This professional will be responsible for analyzing risk profiles for IBC’s Medicare products to assess risk, opportunities and potential impacts to reimbursement level for our Medicare risk adjustment programs.  Using tools including SQL Server, SAS and Tableau, the Business Analyst will develop clear business specifications, troubleshoot and recommend solutions to improve the quality of management reporting for the Medicare Supplemental Programs Team.  The Business Analyst will also participate in various corporate wide projects that will drive system initiatives and database projects. Advanced analytical technical and problem solving skills.  Ability to persuade, negotiate and resolve issues.  Ability to define complex business issues and determine "best fit" solutions.

  • Work with management in defining business requirements to address operational goals for Medicare Supplemental  Programs.
  • Work with management in the process of formulating and defining systems scope and objectives based on both user needs and a thorough understanding of business systems and industry requirements.
  • Oversight of prospective and/or retrospective programs.
  • Develop and facilitate program metrics, tools and reporting.
  • Evaluate systems solutions and process automation.
  • Meet with stakeholders to make communication easy and transparent regarding project issues and decisions on services.
  • Produce accurate and timely reporting of program status.
  • Work with internal and external customers to resolve issues.
  • Assist with provider incentive payment process.
  • Support program operating budgets and related finance / billing functions.
  • Ensure timely contract renewals and RFP process when necessary.
  • Responsible for provider and member marketing materials communications from draft, approval to distribution.
  • Statistical Analysis/benchmarking
  • Perform specific duties of the BA as required.



Qualifications:

  • Bachelor’s Degree in Information Systems/Science, Business, Finance, Mathematics or Statistics
  • 1 – 3 years’ experience in a similar role
  • Experience analyzing large datasets, demonstrable technical experience and data management skills including data development, data extraction, transformation, QA, and sophisticated analytical technical and problem-solving skills
  • Demonstrated experience with Tableau or other data visualization software programs preferred
  • Advanced knowledge of Microsoft applications (PowerPoint, Excel and Visio)
  • Program or Project Management experience
  • Experience dealing with internal and external customers
  • Excellent oral/written communication skills required
  • Excellent problem-solving ability
  • Knowledge of SQL Data Tools (SSIS, SSRS)
  • Knowledge of SQL/SAS/R programing skills with emphasis in large datasets


About Our Company

Serving more than 8 million people nationwide, including 2.5 million in southeastern Pennsylvania, Independence Health Group — together with its subsidiaries — is the leading health insurance organization in the Philadelphia region. Our mission to build healthier lives for you, your family, and your employees shapes our actions and decisions every day.

 

At Independence, we see each of our members as an individual, with unique needs and concerns. We’re dedicated to harnessing the very latest ideas and technologies to deliver access to care that meets those needs and surpasses your expectations.  For more information about Independence access our website at www.ibx.com. We’re revolutionizing health care, and our focus is on you!


Equal Employment Opportunity

Independence Blue Cross is an Equal Opportunity and Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability. 

Agency Disclaimer

All resumes submitted directly to an Independence Blue Cross employee from a vendor via email, the Internet or in any other form without a valid written search agreement in place for this position from the Independence Blue Cross Family of Companies Human Resources Department will be deemed the sole property of Independence Blue Cross and the Independence Blue Cross Family of Companies. Please note that no fee will be paid in the event the candidate is hired by Independence Blue Cross or the Independence Blue Cross Family of Companies as a result of the referral or through means other than our established process. 

Current Associates

Applying for a position? Click here to return to the internal career site.

Current Associates

My Profile

Create and manage profiles for future opportunities, and review prior submissions.

Go to Profile

Similar Listings

Philadelphia, Pennsylvania

📁 Regulatory Performance & Compliance

Philadelphia, Pennsylvania

📁 Regulatory Performance & Compliance