Senior Network Data Analyst - Hybrid Health Care Insights

Wellmark Blue Cross and Blue Shield; Des Moines (IA); Hybrid; USD 90,000 - 130,000; Full time

Job summary

Wellmark Blue Cross Blue Shield in Des Moines is seeking a Senior Network Innovation Analyst to join a cross-functional product team supporting Network Payment Strategy and Network Performance. You will combine internal and external data with stakeholder insights to identify opportunities and translate findings into actionable recommendations.

The role requires analyzing complex data, mentoring teammates, and communicating technical concepts to diverse audiences.

Qualifications

• Bachelor's degree or direct applicable work experience.
• 5+ years of experience: pulling reports, analyzing complex data (e.g., clinical outcomes, claims data, utilization trends) and performing statistical analyses and data modeling.
• Health insurance or healthcare industry experience.
• Proficiency with Microsoft Office applications, including Excel, ability to create/ad hoc reports, and PowerBI experience preferred.
• Proficiency in SAS and SQL for data extraction, manipulation, and analysis; ability to learn new tools quickly.
• Strong consultation, relationship management, and critical thinking to influence stakeholders.
• Strong written and verbal communication skills with the ability to present to varied audiences.
• Attention to data accuracy and integrity; ability to educate stakeholders on technical subjects.
• Experience coaching and mentoring others.
• Valid Driver’s License with travel <5%.
• HROR proficiency preferred.

Responsibilities

• Develop new cost and quality initiatives and reporting using internal data sources and vendor relationships.
• Provide actionable data and recommendations to providers related to medical cost and quality; meet with assigned ACOs to review performance.
• Develop opportunity projections and determine viability of opportunities to support strategic decisions on medical cost and quality.
• Mentor and provide guidance to other Network Innovation Analysts.
• Serve as a business liaison for Network Innovation on project initiatives.
• Extract, analyze, interpret and integrate data from internal and external sources to support recommendations to stakeholders.
• Ensure data integrity by performing QA checks for vendor reporting and monthly dashboard verification.
• Maintain relationships with providers and vendors to communicate Wellmark’s value-based reimbursement strategy.
• Support stakeholders in monitoring progress towards goals with ROI analyses.
• Document and monitor value-based provider reimbursement initiatives.

Skills

Analytical thinking

Stakeholder consulting

Written & verbal communication

Mentoring / coaching

Education

Bachelor's degree or direct applicable experience

Tools

SAS

SQL

Power BI

Excel

Job description

Wellmark Blue Cross Blue Shield in Des Moines is seeking a Senior Network Innovation Analyst to join a cross-functional product team supporting Network Payment Strategy and Network Performance. You will combine internal and external data with stakeholder insights to identify opportunities and translate findings into actionable recommendations.

The role requires analyzing complex data, mentoring teammates, and communicating technical concepts to diverse audiences.