Senior Data Insight & Reporting Analyst- Medicare Risk Adjustment

Independence Blue Cross; Philadelphia (Philadelphia County); On-site; USD 95,000 - 130,000; Full time

Job summary

Independence Blue Cross in Philadelphia seeks a Senior Data Insight & Reporting Analyst to advance Medicare Risk Adjustment data strategy. You will own data infrastructure, analytics, reporting, and dashboard development to support provider education and decision making.

The role emphasizes transforming complex claims and clinical data into actionable insights for providers and senior leaders, with opportunities to innovate and expand performance measures.

Qualifications

• Bachelor’s Degree in Math, Business, Finance, Economics, Actuarial Science or equivalent experience.
• 5+ years of related professional work experience.
• Advanced SQL knowledge level.
• Intermediate to advanced Excel, PowerPoint and MS Project knowledge level.
• Demonstrated strong analytical, communication and interpersonal skills.

Responsibilities

• Conducts data analysis for analytic solutions and creates reports, dashboards, and ad hoc requests.
• Interprets data, analyzes results, and provides insights on operational impact and trends.
• Applies critical thinking to data and reports and collaborates to solve complex problems.
• Tracks KPIs and explains why metrics perform as they do.

Skills

SQL

Excel

PowerPoint

MS Project

Analytical

Communication

Education

Bachelor's degree

Tools

SAS

Python

R

Tableau

Power BI

Job description

Senior Data Insight & Reporting Analyst- Medicare Risk Adjustment

The Sr. Data Insights & Reporting Analyst plays a critical role in advancing our provider accurate coding & documentation accuracy strategy across Government Markets. This position supports provider education and insights designed to help primary care practices understand the impact of accurate clinical documentation and coding on patient care, quality outcomes, and health plan performance. Working closely with Population Health, provider partners, team members, and executive leadership, this individual serves as the primary owner of the program's data infrastructure, analytics, reporting, and dashboard development. The role transforms complex claims and clinical data into actionable insights that drive provider engagement and support data-driven decision making. As a key contributor to an evolving program, the analyst will have significant opportunity to innovate, identify new performance measures, and develop creative approaches to visualizing and communicating insights to healthcare providers and senior leaders

Responsibilities

Key responsibilities include, but are not limited to:

• Conducts data analysis for a variety of analytic solutions for leaders, stakeholders, and primary care providers. Capture, develop, and document data definitions, business rules, and data quality requirements. Create and produce reports, ad hoc requests, dashboards, etc.
• Interprets data, analyzes results, and provides insights to determine operational impact, trends, and opportunities.
• Must be able to apply critical thinking and analysis to the data and reports that are collected.
• Collaboratively works to solve complex problems.
• Tracks Key Performance Indicators and have the ability to understand why metrics are performing the way they are.

Required:

• Bachelor’s Degree in Math, Business, Finance, Economics, Actuarial Science or equivalent experience.
• 5+ years of related professional work experience.
• Advanced SQL knowledge level.
• Intermediate to advanced Excel, PowerPoint and MS Project knowledge level.
• Demonstrated strong analytical, communication and interpersonal skills.
• High level of intellectual curiosity. Enjoys digging in on key questions and finding new ones to answer. Generates immense self-fulfillment from drawing key insights from data.
• Excellent communication skills, verbally and in documented formats. Able to creatively present data insights in a comprehensive, concise, logical, and easily digested format.

Preferred:

• Master’s degree in related field
• 6+ years of experience within the health care industry
• Knowledge of claims-based analytics
• Experience with statistical or programming software (SAS, Python, or R)
• Experience with Business Intelligence tolls (e.g., Tableau, Power BI)

IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.

Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.

Inclusion and Belonging

At IBX, everyone can feel valued, supported, and comfortable to be themselves, and all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. Celebrating and embracing diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.

About Our Company

Serving more than 8 million people nationwide, including 2.5 million in southeastern Pennsylvania, Independence Health Group — together with its subsidiaries — is the leading health insurance organization in the Philadelphia region. Our mission to build healthier lives for you, your family, and your employees shapes our actions and decisions every day.

At Independence, we see each of our members as an individual, with unique needs and concerns. We’re dedicated to harnessing the very latest ideas and technologies to deliver access to care that meets those needs and surpasses your expectations. For more information about Independence access our website at www.ibx.com . We’re revolutionizing health care, and our focus is on you!

IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.