Health Business Analyst

Blue Cross Blue Shield Of Florida Jacksonville , FL 32277

Posted 3 weeks ago

Job Summary

As a Health Business Analyst within the Medicare Network Optimization Analytics team you will provide analytical support for provider negotiations, financial reimbursement models, and various provider network initiatives for the Medicare Advantage line of business. In this position you will assist the Analytics team to provide insights, analysis, reports, and maintain analytical findings. You will be accountable for identifying and quantifying key drivers for the Health Business, investigating areas of opportunity, evaluating effectiveness and making recommendations. An ideal candidate for this role will have strong critical thinking skills, ability to draw inferences from data, and an understanding of healthcare provider reimbursement methodologies.

What Will You Be Doing:

  • Analyzing data and use analytical tools and techniques.

  • Analyzing or assisting in the analysis of processes and programs in achieving stated goals. Providing analyses and recommendations if corrections are needed. Investigating and discovering areas of opportunity.

  • Monitoring and evaluating patterns, costs and trends.

  • Producing basic spreadsheets, documents and presentations that are well-documented and easy to follow (e.g., Excel and PowerPoint).

  • Writing basic SQL programs for data extraction. Modifying existing programs for data extraction.

  • Proactively seeking training and building knowledge/experience of tools, languages and data sources.

  • Working in a team environment emphasizing collaboration and the development of synergies.

Required Qualifications:

  • Required Education: Related Bachelor's degree or additional related equivalent work experience
  • 2 Years Related Work Experience:

o Experience with analytics and inferential statistics.

Experience writing SQL or SAS code or related code

  • Intermediate Excel skills

  • Proficient with Microsoft Office products

  • Ability to manage tasks independently, take ownership of responsibilities and meet deadlines

  • Strong written and oral communication skills

Preferred Qualifications:

  • Bachelor's degree Business Analytics, Health Economics or similar program

  • Master's degree in a related field

General Physical Demands

Sedentary work: Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally.

Florida Blue is a federal contractor. In accordance with the President's Executive Order on Ensuring Adequate COVID Safety Protocols for Federal Contractors, all Florida Blue employees are required to be fully vaccinated against COVID-19 as a condition of employment, unless an employee qualifies for an accommodation for religious or medical reasons. This requirement applies regardless of work location.

We are an Equal Opportunity/Protected Veteran/Disabled Employer committed to creating a diverse, inclusive and equitable culture for our employees and communities.

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Health Business Analyst

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