Health Data Analyst: Reimbursement Forecasting

Blue Cross of Idaho; Meridian (MS); On-site; USD 66,000 - 117,000; Full time

Job summary

Blue Cross of Idaho is seeking a Health Data Analyst to support provider contracting and reimbursement strategies through advanced analytics, forecasting, and process automation. The role involves answering ad hoc questions, developing contracted-rate forecasts, and automating reporting using SQL, Excel, and Python.

Ideal candidates have 2+ years of data analysis (Level I) or 4+ years (Level II) and a Bachelor’s in Finance, IS, Economics, or Math or equivalent experience.

Qualifications

• Level I requires 2 years of data analysis experience.
• Level II requires 4 years of data analysis experience.
• Bachelor's degree in Finance, Information Systems, Economics, Math or related field; or equivalent work experience.

Responsibilities

• Answer ad hoc questions on modeled rates, provider reimbursement, and contract performance.
• Develop forecasting models for Contracted Rates.
• Analyze claims, utilization, and financial data to support contracting decisions.
• Partner with contracting teams to provide insights and recommendations.
• Automate reporting, modeling, and data workflows using SQL, Excel and Python.
• Build custom datasets, tools, and reports to support business needs.
• Identify reimbursement trends, anomalies, and opportunities for improvement.
• Maintain and enhance analytical methodologies and reporting standards.
• Present findings and recommendations to stakeholders and leadership.
• Demonstrate strong communication, collaboration, and problem-solving skills.
• Manage multiple priorities and deliver results in fast-paced environment.
• Utilize SQL, Python, and Microsoft Office to support data-driven decision-making.

Skills

SQL

Python

Excel

Data analysis

Education

Bachelor's Degree in Finance

Bachelor's Degree in Information Systems

Bachelor's Degree in Economics

Bachelor's Degree in Math

Tools

SQL

Python

Excel

Job description

Blue Cross of Idaho is seeking a Health Data Analyst to support provider contracting and reimbursement strategies through advanced analytics, forecasting, and process automation. The role involves answering ad hoc questions, developing contracted-rate forecasts, and automating reporting using SQL, Excel, and Python.

Ideal candidates have 2+ years of data analysis (Level I) or 4+ years (Level II) and a Bachelor’s in Finance, IS, Economics, or Math or equivalent experience.