Blue Cross & Blue Shield of Rhode Island · 2 months ago
Lead Health Data Analyst
Providence, RI
Full-time
Hybrid
Senior Level, Lead/Staff
$98K/yr - $163K/yr
7+ years expBlue Cross & Blue Shield of Rhode Island is dedicated to improving the health and well-being of Rhode Islanders. The Lead Health Data Analyst will lead the extraction and analysis of healthcare data for studies and corporate initiatives, managing data-intensive projects and collaborating with clinical vendors to enhance data processes.
Insurance
Responsibilities
Lead the extraction and analysis of health care data for specific studies and corporate initiatives related to the Total Cost of Care
Lead data intensive projects related to data exchanges with contracted clinical vendors; Serve as a technical resource to department staff and management on technical issues; Develop and improve automated processes to increase the efficiency and accuracy of work products
Develop deep understanding of claims, eligibility and provider data to support clinical vendor implementations and ongoing relationships
Perform data extraction and mapping activities in alignment with vendor program specifications
Collaborate with vendors to define necessary inbound data elements and facilitate their integration into BCBSRI data structures
Drive data discussions to ensure 'minimum necessary' data is provided to fully support clinical programs
Present and defend data requirements at internal Data Governance Committee
Triage data discrepancies and expeditiously resolve inconsistencies
Perform complex analytical work of health care data
Utilize data to provide insights about customers and prospects to support the growth of various market segments
Initiate and lead data intensive projects; translate quantitative findings into practical insights through the interpretation of data, trends and other sources
Prepare project results or recommendations for a wide range of audiences using written reports and presentation exhibits/graphics
Conduct special data extraction and analysis studies
Summarize results and provide recommendations where appropriate
Design, implement, and maintain various databases as assigned; develop reporting capabilities and ensure data quality and documentation is adequate
Identify areas where operational efficiency can be improved through enhanced automation
Collaborate with technical staff on implementation of enhancements
Communicate necessary changes and enhancements to all internal/external customers
Represent the organization at external meetings
Provide recommendations and input to new contract provisions for performance guarantees
Respond to various Requests for Implementation as requested by marketing staff
Perform special studies as needed
Perform other duties as assigned
Qualification
Required
Bachelor's degree in Computer Science, Mathematics, Economics, or related field; or an equivalent combination of education and experience
Seven to ten years health data analysis, business analysis, software application, database design, and technical documentation experience, preferably in the health insurance industry
Successfully pass the Wolfe Spence Programmer Aptitude test
Knowledge of claims processing and membership processing for all BCBSRI lines of business
Preferred
Knowledge of applied statistics
Knowledge of econometric modeling
Knowledge of marketing analytic principles and modeling
Experience utilizing competitive intelligence
Knowledge of CPT-4 and ICD-9 coding and covered benefits
Understanding of SAS programming, spreadsheet, and database software and other application development tools
Knowledge of general mathematical principals
Working knowledge of Business Objects and Windows
Understanding of micro and mainframe computer systems
Strong business acumen and political savvy
Ability to lead and manage projects
Ability to collaborate while dealing with complex situations
Ability to think creatively and to drive innovation
Ability to motivate, lead and inspire a diverse group to a common goal/solution with multiple stakeholders
Ability to convert business strategy into action-oriented objectives and measurable results
Strong negotiating, influencing, and consensus-building skills
Ability to mentor, coach and provide guidance to others
Benefits
Flexible work arrangements that include remote and hybrid opportunities
Paid time off
Tuition reimbursement
Assist with student-loan repayment
Health, dental, and vision insurance
Programs that support your mental health and well-being
Competitive pay
Bonuses and investment plans
Additional paid time to volunteer
Company
Blue Cross & Blue Shield of Rhode Island
At Blue Cross & Blue Shield of Rhode Island (BCBSRI), we know that health is more than what happens at the doctor’s office.
501-1000 employees
H1B Sponsorship
Blue Cross & Blue Shield of Rhode Island has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (4)
2024 (4)
2023 (2)
2022 (4)
2021 (3)
Funding
Current Stage
Late StageLeadership Team
Martha Wofford
President and CEO
James Joy
Chief Financial Officer - Retired
Company data provided by crunchbase