Senior Data Insight & Reporting Analyst- Medicare Risk Adjustment
The Sr. Data Insights & Reporting Analyst plays a critical role in advancing our provider accurate coding & documentation accuracy strategy across Government Markets. This position supports provider education and insights designed to help primary care practices understand the impact of accurate clinical documentation and coding on patient care, quality outcomes, and health plan performance. Working closely with Population Health, provider partners, team members, and executive leadership, this individual serves as the primary owner of the program's data infrastructure, analytics, reporting, and dashboard development. The role transforms complex claims and clinical data into actionable insights that drive provider engagement and support data-driven decision making. As a key contributor to an evolving program, the analyst will have significant opportunity to innovate, identify new performance measures, and develop creative approaches to visualizing and communicating insights to healthcare providers and senior leaders
Responsibilities
Key responsibilities include, but are not limited to:
· Conducts data analysis for a variety of analytic solutions for leaders, stakeholders, and primary care providers. Capture, develop, and document data definitions, business rules, and data quality requirements. Create and produce reports, ad hoc requests, dashboards, etc.
· Interprets data, analyzes results, and provides insights to determine operational impact, trends, and opportunities.
· Must be able to apply critical thinking and analysis to the data and reports that are collected.
· Collaboratively works to solve complex problems.
· Tracks Key Performance Indicators and have the ability to understand why metrics are performing the way they are.
Required:
· Bachelor’s Degree in Math, Business, Finance, Economics, Actuarial Science or equivalent experience.
· 5+ years of related professional work experience.
· Advanced SQL knowledge level.
· Intermediate to advanced Excel, PowerPoint and MS Project knowledge level.
· Demonstrated strong analytical, communication and interpersonal skills.
· High level of intellectual curiosity. Enjoys digging in on key questions and finding new ones to answer. Generates immense self-fulfillment from drawing key insights from data.
· Excellent communication skills, verbally and in documented formats. Able to creatively present data insights in a comprehensive, concise, logical, and easily digested format.
Preferred:
· Master’s degree in related field
· 6+ years of experience within the health care industry
· Knowledge of claims-based analytics
· Experience with statistical or programming software (SAS, Python, or R)
· Experience with Business Intelligence tolls (e.g., Tableau, Power BI)
IBX is an Equal Opportunity 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.
Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.
Inclusion and Belonging
At IBX, everyone can feel valued, supported, and comfortable to be themselves, and 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. Celebrating and embracing 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
IBX is an Equal Opportunity 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.