PURPOSE: The purpose of a Sr. Data Analyst is to find meaning in data as a thought leader so that the derived knowledge can be used to make informed decisions and assist the organization in making better business decisions.
ESSENTIAL FUNCTIONS
Engages in data exploration using various programming languages (reading and writing code), requiring advanced knowledge of multiple database structures.
Collect, analyze, and interpret data to glean insights, and develop business appropriate recommendations.
Research and analyze data flow across complex data ecosystem including operational and analytical data platforms.
Serve as an expert resource supporting data questions and issues from stakeholders and driving to resolution.
Lead in the design, development, validation and delivery of data to provide insight into business decisions.
Manage the collection of business and technical requirements from Stakeholders to deliver data driven solutions. Produces technical documentation that is consistent with professional standards.
Be a resource and mentor to junior level staff.
SUPERVISORY RESPONSIBILITY
Position does not have direct reports but is expected to assist in guiding and mentoring less experienced staff. May lead a team of matrixed resources. QUALIFICATIONS : Education Level: Bachelor's Degree in Data Science, Mathematics, Computer Science, Statistics, Business or related field OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience. Experience: 5 years' experience in an analytical/quantitative role. Preferred Qualifications:
Experience in Healthcare Industry
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Masters degree in a quantitative field preferred (e.g., Business Analytics, Statistics, Data Science)
Advanced proficiency in:
SQL for data extraction, transformation, and complex joins
Power BI (building paginated and interactive dashboards using Power BI Report Builder and Desktop)
Microsoft Fabric (dataflows, lakehouses, semantic models)
Intermediate-to-advanced Python skills (pandas, numpy, matplotlib/seaborn) for data wrangling and analysis
Experience conducting diagnostic and exploratory data analysis (EDA) to identify trends and root causes
Ability to apply analytical techniques such as segmentation, regression, time-series analysis
Strong skills in stakeholder communication and translating analysis into business insights
Enterprise Healthcare Analytics:
Healthcare claims, enrollment, provider, utilization, cost and trend analysis
Population health, care management, risk adjustment, or operational performance reporting
Identifying opportunities to improve member outcomes, affordability, and operational efficiency
Legal & Compliance Analytics:
Regulatory reporting, compliance monitoring, audit support, or healthcare policy analysis
Working with legal, compliance, privacy, risk, or regulatory affairs teams
Analyzing healthcare data to support regulatory mandates, investigations, audits, corrective action plans, or compliance reporting obligations
Familiarity with CMS, state regulatory requirements, accreditation standards, healthcare regulations, or corporate compliance programs
Medicare Advantage STARS Analytics:
Medicare Advantage, CMS STAR Ratings, HEDIS, CAHPS, HOS, pharmacy quality measures, or quality improvement programs
Measuring and monitoring quality performance, member outcomes, and operational drivers impacting STAR Ratings
Developing dashboards, scorecards, and predictive analyses to identify performance improvement opportunities
Knowledge, Skills and Abilities (KSAs)
Quantitative ,analytical and problem solving skills.
Knowledge and understanding of analytical tools , languages ,applications, platforms.
Excellent communication skills both written and verbal.
Ability to learn quickly and take direction.
Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.
Salary Range
$87,264 - $173,316
Salary Range Disclaimer
The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).
Equal Employment Opportunity
CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Federal Disc/Physical Demand
Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.
PHYSICAL DEMANDS
The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.
Sponsorship in US
Must be eligible to work in the U.S. without Sponsorship
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About CareFirst BlueCross BlueShield
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