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Senior Data Analyst (SQL/R Programming)

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Informatics/Research & Data Analytics
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2760 Total Views

Government Markets is hiring a Senior Business Systems Analyst to join its Commercial Risk Analytics Team.  This professional will be responsible for:

  •  Analyzing risk profiles for IBC’s ACA products to assess risk, opportunities and potential impacts to reimbursement level for our commercial risk adjustment programs.  
  • Using tools including SQL Server, R, and Tableau, to develop clear business specification, troubleshoot and recommend solutions to improve the quality of management reporting for Commercial Risk Analytics Team.
  • Participates in various corporate wide projects that will drive system initiatives and database projects. 
  • Utilize advanced analytical technical and problem-solving skills.  
  • Persuading, negotiating and resolving issues. Connect with   Actuarial, Operations, Informatics
  • Defining complex business issues and determine "best fit" solutions.

Specific duties:

  • Work with Manager in defining business requirements to address operational goal for Commercial Risk Adjustment and RADV programs.
  • Work with Manager 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
  • Evaluate systems solutions and process automation
  • Provide requirements Communication Plans Requirements for CMS Adjustments
  • Conduct requirements presentation reviews, and obtain requirements approvals
  • Development of an organization’s programmer analysis methodology and/or best practices
  • Knowledge and working experience in data science technologies (R, Hadoop)
  • Statistical Analysis/benchmarking, RADV Error Rate forecasting
  • Perform specific duties of the Senior BSA as required

Qualifications:
  • Bachelor’s Degree in Information Systems/Science, Business, Finance, Mathematics or Statistics or equivalent  
  • Minimum 5 years’ experience in a similar role using R programming
  • Expert level knowledge of R programing skills with emphasis in large datasets
  • 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
  • Demonstrated experience with SQL Data Tools (SSIS, SSRS)
  • Strong working experience Microsoft applications (PowerPoint, Excel and Visio)
  • Excellent oral/written communication skills require

Additional Preferred Experience:

  • Knowledge in XML and XSLT
  • Knowledge of IBC Claims process
  • Knowledge of Commercial Risk Adjustment
 


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. 

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