Senior Actuarial Data Systems Analyst

Blue Cross and Blue Shield of North Carolina; Michigan; Hybrid; USD 98,000 - 157,000; Full time

Job summary

Blue Cross NC is seeking a Senior Actuarial Data Systems Analyst to provide technical data support and develop innovative solutions for actuarial financial data systems. You will identify business requirements, analyze needs, and implement solutions ensuring data quality and accuracy.

The role involves leading multiple application areas, planning with business partners, and delivering detailed configuration expertise. Hybrid work and remote options are available.

Qualifications

• Bachelor's degree or higher in a related field.
• 5+ years of experience in a related field; in lieu of degree, 7+ years of experience.

Responsibilities

• Maintains Actuarial Systems Data Marts and performs data refreshes and validations.
• Analyzes business problems, recommends and implements solutions with clear communication.
• Develops decision-support solutions: medical and pharmacy claims data builds, data extracts, reports, data mart tables and views.
• Ensures auditable, snapshot-ready financial detail data for audits.
• Builds relationships with vendors and internal teams for data accuracy.

Skills

SQL Development

Data analysis

Business analysis

Requirements analysis

Code development

QA & testing

Data modeling

Documentation

Project leadership

Presentation

Education

Bachelor's degree

Advanced degree

Tools

SQL

Facets

Job description

Job Description

Join a team where technology and strategy come together. As a Senior Actuarial Data Systems Analyst, you will provide technical data support and develop innovative solutions for actuarial financial data systems. You will identify business requirements, analyze needs, and implement solutions that ensure the quality and accuracy of data and applications.

What You'll Do

• Manages the maintenance and optimization of the Actuarial Systems Data Marts
• Performs monthly data refreshes, financial validations and quality assurance checks to support Actuarial reporting and analytics
• Independently analyze business problems or opportunities; develop recommendations and solutions, implement those solutions, and provide communication on the associated actions, business impacts, and results.
• Develop decision support solutions; including medical and pharmacy claim financial data builds, data extracts, reports, data mart tables, views and analysis.
• Ensures financial granular detail data is appropriately auditable, snapshotted and stored for quarterly and year end audits.
• Establishes vendor and inter-departmental relationships to ensure the accuracy and completeness of financial data.
• Keeps abreast of changes in the company and with our external vendor; data that affects the departmental processes & systems, make recommendations of actions needed and implement changes to the applicable Actuarial Systems and processes where needed.
• Serve as the lead for multiple application areas, including data definitions, usage and file structure, technical structure of the code and the business rules, and structure of requirements that governs the functionality of the system.
• Provide technical leadership and application expertise to business project teams and non-project related activities for the full understanding and execution of all types of assignments.
• Plan and serve as a key liaison with business areas during development and implementation
• Provide detailed configuration expertise to customers and business partners. This includes verbal, written, and electronic communication, and delivering presentations when needed.
• Provide analytical support for departmental, divisional and corporate projects as needed to accomplish their business goals and to ensure the business needs are met.

What You Bring

• Bachelor's degree or advanced degree (where required)
• 5+ years of experience in related field.
• In lieu of degree, 7+ years of experience in related field.

At this time, Blue Cross NC will not sponsoremployment authorization for this position.

Bonus Points

• 5+ years of SQL Development/Analysis experience - Highly preferred
• 5+ years of healthcare claims data experience
• Healthcare data analytics experience, including experience with Government and Commercial lines of business.
• Facets experience a plus
• Experience leading project teams required.

What You'll Get

• The opportunity to work at thecutting edgeof health care delivery with a teamthat'sdeeply invested in the community.
• Work-life balance, flexibility, and the autonomy to dogreat work
• Medical, dental, and vision coverage along withnumeroushealth and wellness programs.
• Parental leave and support plus adoption and surrogacyassistance
• Career development programs and tuition reimbursement for continued education
• 401k match including an annual company contribution

• Learn more

WhereYou'll Work

Our Hybrid Flex approach is builton presencewith a purpose - giving you flexibility to work remotely with intentional in-person connection - that supports a workplacethat'sflexible, connected, and future focused.

In a Hybrid-Flex role, you'llwork in the office at least two days a week for collaboration and connection. In a Remote Flex role, you'llwork virtually, with a few in-office visits each year formeaningfulmoments that matter.

Whether your role is Hybrid Flex or Remote Flex depends on the nature of the work and distance from our Durham headquarters. We welcome candidates from outside the local area and in anystateslistedonthis job posting. Onsite expectations will be discussed during the interview process.

Salary Range

At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.

*Based on annual corporate goal achievement and individual performance.

$98,092.00 - $156,947.00

Skills

Agile Methodology, Application Management, Business Analysis, Business Requirements, Business Requirements Analysis, Code Development, Process Design, Quality Assurance (QA), System Testing, Unit Testing