Senior Research Analyst - Medical Cost & Business Analytics
- Responsible for coordinating and carrying out health outcomes/services analyses and projects in support of the various business areas such as care management, disease management and medical cost transformation.
- Partner with internal and external clinical clients to identify intervention opportunities and develop robust analytics solutions focused on providing actionable insights.
- Help to build out analytics and reporting products/offerings through application of data analysis and data aggregation tools to drive broader adoption and growth of capability.
- Serve as strategic advisor to internal and external clients in clinical reporting and analytics helping to build business relationships which feed ideation and innovation
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- This position reports to the Manager, Medical Cost & Business Analytics in the Informatics department.
- Working independently with the clinical client areas providing analytical, reporting and project implementation support
- Lead projects to support corporate initiatives and develop innovative solutions for more effective stratification and program identification.
- Develop health services reporting using clinical, survey, or administrative data in support of Informatics analytical projects
- Analyze and condense complex claims, authorizations, and membership data into meaningful summaries
- Summarize, interpret and present results in a clear, concise manner for internal and external clients
- Interpret utilization and medical cost trends and investigate abnormalities; compare to industry trends/benchmarks
- Advanced degree in public health, nursing, epidemiology, health care, statistics or related quantitative area, plus one year industry experience preferred
- Advanced SQL / R / SAS programming skills with emphasis in large datasets
- Advanced Microsoft Office skills (Powerpoint, Excel, Word)
- Experience analyzing large datasets, demonstrable technical experience and data management skills including data extraction, data scrubbing, data transformation and QA
- Experience engaging directly with business leaders and executives
- Background in healthcare data preferred
- Strong skills in carrying out projects independently
- Excellent oral and written communication skills
Diversity, Equity, and Inclusion
At Independence, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.
Vaccination Update
This job requires that you demonstrate you have been fully vaccinated for COVID-19 prior to the start of employment, to the extent permitted by law.
About Our Company
Serving more than 8 million people nationwide, including 2.5 million in southeastern Pennsylvania, Independence Health Group — together with its subsidiaries — is the leading health insurance organization in the Philadelphia region. Our mission to build healthier lives for you, your family, and your employees shapes our actions and decisions every day.
At Independence, we see each of our members as an individual, with unique needs and concerns. We’re dedicated to harnessing the very latest ideas and technologies to deliver access to care that meets those needs and surpasses your expectations. For more information about Independence access our website at www.ibx.com. We’re revolutionizing health care, and our focus is on you!
Equal Employment Opportunity
Independence Blue Cross is an Equal Opportunity and Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Agency Disclaimer
All resumes submitted directly to an Independence Blue Cross employee from a vendor via email, the Internet or in any other form without a valid written search agreement in place for this position from the Independence Blue Cross Family of Companies Human Resources Department will be deemed the sole property of Independence Blue Cross and the Independence Blue Cross Family of Companies. Please note that no fee will be paid in the event the candidate is hired by Independence Blue Cross or the Independence Blue Cross Family of Companies as a result of the referral or through means other than our established process.