Remote Risk Adjustment Analytics Specialist

Blue Cross Blue Shield of Nebraska; Minnesota; Hybrid; USD 85,000 - 120,000; Full time

Job summary

Blue Cross Blue Shield of Nebraska is seeking a Healthcare Analytics professional to analyze healthcare data for Risk Adjustment programs, evaluate performance, and drive actionable insights for intervention planning and decision‑making.

The role supports reporting, forecasts, and analytics across teams, with emphasis on transforming data findings into business outcomes and ensuring accuracy of analytics in a cross‑functional environment.

Qualifications

• Bachelor’s degree or equivalent.
• 3+ years’ experience in data or statistical analysis for government or healthcare datasets.
• Proficiency in SQL and data analytics.
• Experience with Microsoft Azure DataBricks.
• Advanced Excel skills.
• Strong analytic skills to derive insights from data.
• Experience working in a cross‑functional environment.
• Excellent stakeholder communication skills.

Responsibilities

• Analyze healthcare claims, pharmacy, lab, and Risk Adjustment submissions data to evaluate intervention and program performance.
• Develop, maintain, and present reports that measure ROI, risk score impact, and revenue impact.
• Collaborate with internal teams to support analytics needs and reporting enhancements.
• Stay current on healthcare analytics trends and regulatory considerations; recommend improvements.
• Provide analytic solutions on ad‑hoc requests with limited oversight.

Skills

Data analysis

SQL

Excel

Python/R

Stakeholder communication

Agile/PM

Education

Bachelor's degree

Master's degree

Tools

Azure DataBricks

Power BI

Tableau

Job description

Blue Cross Blue Shield of Nebraska is seeking a Healthcare Analytics professional to analyze healthcare data for Risk Adjustment programs, evaluate performance, and drive actionable insights for intervention planning and decision‑making.

The role supports reporting, forecasts, and analytics across teams, with emphasis on transforming data findings into business outcomes and ensuring accuracy of analytics in a cross‑functional environment.