Blue Cross NC · 3 weeks ago
Senior Actuarial Data Systems Analyst
United States
Full-time
Remote
Senior Level
$98K/yr - $157K/yr
5+ years expBlue Cross NC is a healthcare organization that is seeking a Senior Actuarial Data & Systems Analyst to deliver technical data support and innovative solutions for Actuarial financial data systems. The role involves managing data marts, performing data refreshes, and providing analytical support for various business projects.
FinanceHealth InsuranceProperty & Casualty InsuranceFinancial ServicesInsurance
Responsibilities
Manages the maintenance and optimization of the Actuarial Systems Data Marts
Performs monthly data refreshes, financial validations and quality assurance checks to support Actuarial reporting and analytics
Independently analyze business problems or opportunities; develop recommendations and solutions, implement those solutions, and provide communication on the associated actions, business impacts, and results
Develop decision support solutions; including medical and pharmacy claim financial data builds, data extracts, reports, data mart tables, views and analysis
Ensures financial granular detail data is appropriately auditable, snapshotted and stored for quarterly and year end audits
Establishes vendor and inter-departmental relationships to ensure the accuracy and completeness of financial data
Keeps abreast of changes in the company and with our external vendor; data that affects the departmental processes & systems, make recommendations of actions needed and implement changes to the applicable Actuarial Systems and processes where needed
Serve as the lead for multiple application areas, including data definitions, usage and file structure, technical structure of the code and the business rules, and structure of requirements that governs the functionality of the system
Provide technical leadership and application expertise to business project teams and non-project related activities for the full understanding and execution of all types of assignments
Plan and serve as a key liaison with business areas during development and implementation
Provide detailed configuration expertise to customers and business partners. This includes verbal, written, and electronic communication, and delivering presentations when needed
Provide analytical support for departmental, divisional and corporate projects as needed to accomplish their business goals and to ensure the business needs are met
Qualification
Required
Bachelor's degree or advanced degree (where required)
5+ years of experience in related field
In lieu of degree, 7+ years of experience in related field
Experience leading project teams required
Preferred
5+ years of SQL Development/Analysis experience - Highly Preferred
5+ years of healthcare claims data experience - Highly Preferred
Healthcare data analytics experience, including experience with Government and Commercial lines of business - Highly Preferred
Facets experience aplus
Benefits
Medical, dental, and vision coverage along with numerous health and wellness programs .
Parental leave and support plus adoption and surrogacy assistance
Career development programs and tuition reimbursement for continued education
401k match including an annual company contribution
Annual Incentive Bonus*
Paid Time Off (PTO)
Competitive health benefits and wellness programs
Company
Blue Cross NC
It's an exciting time to work at Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Health care is changing, and we're leading the way.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Tunde Sotunde
President and Chief Executive Officer
Caleb Davies
Medicaid Market CFO - Healthy Blue of NC Medicaid
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