Senior ACA Risk Insights Analyst (Hybrid-Remote)

BCBSNC; United States; Hybrid; USD 98.000 - 157.000; Vollzeit

Benefits dieser Stelle

Medical, dental, and vision coverage

Parental leave and adoption assistance

Tuition reimbursement

401k with company match

Zusammenfassung

Blue Cross NC is seeking a Senior Insights Analyst to provide advanced analytical support for ACA risk adjustment, including data collection, model implementation, RAF validation, and financial reconciliation. You will partner with Actuarial, regulatory submission, value-based programs, and operations to deliver accurate analyses and actionable insights.

This role requires strong SQL and Python skills, experience with healthcare analytics, and the ability to explain complex results to

Qualifikationen

• Bachelor's degree or advanced degree; 5+ years in analytics or health data.
• Experience with ACA risk adjustment or regulatory analytics preferred.
• Strong analytical, documentation, and cross-functional collaboration skills.

Aufgaben

• Provide advanced analytical support for ACA risk adjustment, including data collection, modeling, validation, reporting, and reconciliation.
• Develop, analyze, report, and interpret complex data for ongoing activities ensuring outputs are accurate and timely.
• Support RAF score production, model implementation, testing, and validation across systems.
• Perform trend, variance, and root-cause analyses to explain changes in risk scores and regulatory submission results.
• Identify discrepancies across data sources and coordinate issue resolution with business and technical partners.

Kenntnisse

SQL

Python

Analytical thinking

Root-cause analysis

Ausbildung

Bachelor's degree or advanced degree

Tools

SQL

Python

Jobbeschreibung

Blue Cross NC is seeking a Senior Insights Analyst to provide advanced analytical support for ACA risk adjustment, including data collection, model implementation, RAF validation, and financial reconciliation. You will partner with Actuarial, regulatory submission, value-based programs, and operations to deliver accurate analyses and actionable insights.

This role requires strong SQL and Python skills, experience with healthcare analytics, and the ability to explain complex results to