Healthcare Data Analytics & Predictive Modeling Analyst

Excellus BCBS; Town of De Witt (NY); Hybrid; USD 62,400 - 142,322; Full time

Benefits offered by this job

Remote work option

Job summary

Excellus BCBS is seeking a Healthcare Statistical Analyst to perform technical analysis within the actuarial or risk adjustment teams, supporting Health Plan operations and financial solvency through data understanding, environment assessment, and predictive modeling.

The role involves interact­ing with internal and external partners and regulatory agencies, monitoring trends, and delivering insights to stakeholders.

Qualifications

• Bachelor’s degree in a relevant field is required.
• 1 year of related experience preferred.
• Strong analytical, verbal and written communication skills.
• Strong interpersonal skills and collaboration with team members.
• Ability to prioritize, multitask and manage multiple projects.
• Proficiency in Microsoft Office Suite is expected.
• Programming skills in SQL, SAS, VBA or similar languages are preferred.

Responsibilities

• Updates and creates analyses related to benefit designs, claims experience, VBP programs, and risk adjustment initiatives.
• Maintains processes including reserve programs, pricing files, and trend analysis with documentation.
• Assists with projections for financials, claims, risk scores, and savings opportunities.
• Compiles and analyzes data to support quality and provide recommendations.
• Supports process improvements using data systems and software.

Skills

Analytical skills

Verbal and written communication

Interpersonal skills

Prioritization and multitasking

Excel / Microsoft Office

Education

Bachelor’s Degree in Math, Statistics, Economics, Medical Informatics, Actuarial Science or relevant field

Tools

SQL

SAS

VBA

Job description

Excellus BCBS is seeking a Healthcare Statistical Analyst to perform technical analysis within the actuarial or risk adjustment teams, supporting Health Plan operations and financial solvency through data understanding, environment assessment, and predictive modeling.

The role involves interact­ing with internal and external partners and regulatory agencies, monitoring trends, and delivering insights to stakeholders.