Health Care Data Analyst (Remote)

Blue Cross and Blue Shield of Vermont is looking for a Health Care Data Analyst to join our Actuarial Services team. Our company culture is built on an unwavering focus on our members and giving them the best service possible. We offer a balanced, flexible workplace, an onsite gym, fitness and wellness programs, a competitive salary and full benefits package including medical and dental insurance, vision, 401k, paid time off and holidays, tuition reimbursement and student loan repayment, dependent caregiver benefits, and resources to support your ongoing personal and professional growth and development.

COVID-19: Blue Cross is requiring all employees and covered consultants to be fully vaccinated (including first booster if eligible) against COVID-19 and provide proof of vaccination as of January 1, 2022. Those with a medical condition or sincerely held religious belief preventing them from being vaccinated can request an exemption without fear of retaliation or an impact on job candidacy.

REMOTE WORK: Blue Cross has transitioned to a hybrid workplace where employees within driving distance of our Berlin, VT office work Wednesdays in the office with flexibility to work remotely the rest of the week. We're also open to fully remote candidates further than 50 miles from our Berlin, VT office, and those living out-of-state.

Health Care Data Analyst Responsibilities:

• Develop and produce reports and analyses in support of Affordable Care Act risk adjustment initiatives.
• Work closely with IT in conjunction with the actuarial team to build out the Risk Adjustment Data Repository and become a Subject Matter Expert (SME) in healthcare data.
• Ensure the delivery of accurate data in support of the development of key risk adjustment performance metrics, interpretation of CMS risk score methodology, and risk score calculation.
• Develop algorithms needed to support risk adjustment models and support any process that involves the delivery and ingestion of risk adjustment vendors’ data, including the Edge Server submissions and RADV audit.

Health Care Data Analyst Qualifications:

• BA/BS in Actuarial Science, Mathematics, Statistics, Finance, Health Information Management, closely related field or equivalent experience required
• Minimum of 3 to 5 years of experience in actuarial science or data analysis, data integration, with 2 years in health industry or managed care
• Minimum of 3 to 5 years of SQL or SAS experience
• Experience in planning and supporting of data requirements is required
• Strong proficiency in Microsoft Office applications (Outlook, Word, Excel, PowerPoint)
• Knowledge of risk adjustment preferred
• Background in actuarial science preferred

Health Care Data Analyst Benefits:

• Health insurance (including vision)
• Dental coverage (free to employees)
• Wellness Program
• 401(k) with employer match + automatic employer contribution
• Life Insurance
• Disability Insurance
• Combined time off (CTO) – 20 days per year + 9 paid holidays
• Tuition Reimbursement
• Student Loan Repayment
• Dependent Caregiver Benefits

*Complete job description attached to ADP posting