Senior Data Analyst (Remote)

CareFirst BlueCross BlueShield; Baltimore (MD); On-site; USD 87,000 - 173,000; Full time

Job summary

CareFirst BlueCross BlueShield seeks a Senior Data Analyst to translate complex clinical data into actionable insights. You will lead reporting, dashboards, and data repositories across UM, CM, and AG functions, leveraging 5–8 years in clinical operations reporting with PowerBI, Tableau, SQL, and CMS knowledge.

Based in the Maryland/DC/NOVA area, the role involves collaborating with stakeholders, mentoring staff, and delivering data-driven recommendations to support regulatory and business

Qualifications

• Bachelor's degree or higher in data-related field.
• 5 years of analytical/quantitative experience.
• Experience with healthcare data and government CMS/Medicare/Medicaid rules.

Responsibilities

• Engage in data exploration and complex data analysis across clinical ops reporting.
• Develop and maintain dashboards and data repositories.
• Lead in design, development, validation and delivery of data for business decisions.
• Gather and translate stakeholder requirements into data-driven solutions.
• Mentor junior staff and provide knowledge transfer.

Skills

PowerBI

SQL

Tableau

CMS

Medicare

Medicaid

Clinical ops

Microsoft BI

Education

Bachelor's Degree in Data Science, Mathematics, CS, Statistics, Business

Job description

PURPOSE

The purpose of a Sr. Data Analyst is to find meaning in data as a thought leader so that the derived knowledge can be used to make informed decisions and assist the organization in making better business decisions. This role provides advanced expertise in developing and maintaining reporting, dashboards, and data repositories for clinical operations across UM, CM, and AG functions. Utilizing 5- 8 years of clinical operations reporting experience, the incumbent serves as a subject matter expert in Microsoft BI, Tableau, and SQL to facilitate complex data analysis, letter generation, and regulatory reporting. With a deep understanding of government LOBsspecifically CMS, Medicare, and Medicaidthey translate business system processes and clinical requirements into actionable reporting solutions. Acting with significant latitude as an individual contributor, the incumbent provides data-driven insights and essential mentorship to the broader reporting staff.

RESP & QUALIFICATIONS

The purpose of a Sr. Data Analyst is to find meaning in data as a thought leader so that the derived knowledge can be used to make informed decisions and assist the organization in making better business decisions. This role provides advanced expertise in developing and maintaining reporting, dashboards, and data repositories for clinical operations across UM, CM, and AG functions. Utilizing 5- 8 years of clinical operations reporting experience, the incumbent serves as a subject matter expert in Microsoft BI, Tableau, and SQL to facilitate complex data analysis, letter generation, and regulatory reporting. With a deep understanding of government LOBsspecifically CMS, Medicare, and Medicaidthey translate business system processes and clinical requirements into actionable reporting solutions. Acting with significant latitude as an individual contributor, the incumbent provides data-driven insights and essential mentorship to the broader reporting staff.

This role requires candidates to be located in the Maryland, Washington, DC, or Northern Virginia (DMV) area. The incumbent will be expected to come into a CareFirst location for meetings, training and/or other business-related activities.

ESSENTIAL FUNCTIONS

• Engages in data exploration using various programming languages (reading and writing code), requiring advanced knowledge of multiple database structures.
• Collect, analyze, and interpret data to glean insights, and develop business appropriate recommendations.
• Research and analyze data flow across complex data ecosystem including operational and analytical data platforms.
• Serve as an expert resource supporting data questions and issues from stakeholders and driving to resolution.
• Lead in the design, development, validation and delivery of data to provide insight into business decisions.
• Manage the collection of business and technical requirements from Stakeholders to deliver data driven solutions. Produces technical documentation that is consistent with professional standards.
• Be a resource and mentor to junior level staff.

SUPERVISORY RESPONSIBILITY

Position does not have direct reports but is expected to assist in guiding and mentoring less experienced staff. May lead a team of matrixed resources.

QUALIFICATIONS

Education Level: Bachelor's Degree in Data Science, Mathematics, Computer Science, Statistics, Business or related field OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

Experience: 5 years experience in an analytical/quantitative role.

PREFERRED QUALIFICATIONS

• Experience in Healthcare Industry.

KNOWLEDGE, SKILLS AND ABILITIES (KSAs)

• Quantitative, analytical and problem-solving skills.
• Knowledge and understanding of analytical tools, languages, applications, platforms.
• Excellent communication skills both written and verbal.
• Ability to learn quickly and take direction.
• Proficient in PowerBI.
• Proficient in SQL.
• Knowledge of CMS rules and regulations.
• Knowledge of Maryland Medicaid rules and regulations., Expert
• Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.

SALARY RANGE

$87,264 - $173,316

SALARY RANGE DISCLAIMER

The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

EQUAL EMPLOYMENT OPPORTUNITY

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

FEDERAL DISC/PHYSICAL DEMAND

Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

PHYSICAL DEMANDS

The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.

SPONSORSHIP IN US

Must be eligible to work in the U.S. without Sponsorship