Government Markets Program Analyst (PA, NJ, DE)
Our organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals. If this describes you, we want to speak with you. You can help us achieve our vision to lead nationally in innovating equitable whole-person health.
At Independence, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.
Independence is hiring a Program Analyst to work in our exciting Medicare Advantage and ACA area. The Program Analyst will oversee a provider-facing application with a focus on program oversight. This includes data analytics in order to assist providers through inquiry support, deliver training, develop communications, review financials, track KPIs, and monitor and evaluate the program. To be successful in this role, you should be able to derive insights from large amounts of data that support and guide optimal program performance.
Responsibilities:
- Responsible to implement and manage one or more programs designed to improve our Medicare and ACA (Affordable Care Act) members experience with our health plan and the overall health care system to support risk accuracy initiatives and improve STARS rating
- Develop reporting and analytics to monitor program performance, drive outcomes and meet goals
- Evaluate the operational and financial effectiveness of the program, and provide regular summary of program status and enhancement options
- Manage relationships with internal business partners, external vendors, providers, contracts, and SLAs
QUALIFICATIONS
- Bachelor’s in Business, Finance, Information Systems, related field, or equivalent work experience. Master’s Degree preferred.
- Minimum 3+ years of relevant experience
- Strong analytical, technical, and problem-solving skills
- Good presentation, oral and written communication skills
- Program, project, or contract management experience
- Experience analyzing large data sets
- Knowledge of Medicare/ACA Risk Adjustment and/or Medical Record Retrieval preferred
- Proficient experience in Microsoft Office Suite, Tableau, SQL Data Tools, or ETL Application Software
Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.
Independence has implemented a “Hybrid” model which consists of Associates working in the office 3 days a week (Tuesday, Wednesday & Thursday) and remotely 2 days a week (Monday & Friday). This role is designated as a role that fits into the “Hybrid” model. While associates may work remotely on our designated remote days, the work must be performed in the Tri-State Area of Delaware, New Jersey or Pennsylvania.
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.
Diversity, Equity, and Inclusion
At Independence, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.
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.