Analytics Analyst III at Horizon Blue Cross Blue Shield of New Jersey in Hopewell, New Jersey

Job Description:

Job Summary:

The incumbent will partner with multiple customers to provide more complex resolutions to analytics/data problems (i.e. linear models, pattern analysis, directional modeling, etc.) that require a more detailed and deeper study of situational factors, gathering information from several sources, and providing reporting analysis deliverables (i.e. tables, visual analytics, graphs, models or forecasts, etc.) in a highly consultative fashion. The incumbent will face off to more senior level internal and external stakeholders (i.e. Managers, Directors, etc.) The incumbent will also confirm understanding of recommendation with customer, and determine deliverables, based upon customer's requirements following the consultative analytics workflow.

Responsibilities:

• Partner with the business to review requirements and define parameters of complex analytic projects. The analyst will settle deliverables and deadlines with the customer, utilize negotiation and creativity independently.


• Research and investigate key business problems through quantitative analyses of healthcare cost and quality data. Translates highly complex concepts and conclusions in ways that can be understood by a variety of audiences.


• Provide claims, provider and membership data in support of trend and utilization analytics. Focus is to identify analytic concepts, utilization trends, drawing conclusions and interpretation of information to the customer.


• Devise strategy for producing deliverables from information stored in Horizon data warehouses or other sources. Select and utilize appropriate analytic tools.


• Analyze data results from multiple information sources to ensure reporting and analytic requirements have been met. In addition, provide clear, concise and efficient summary analysis to customer.


• Develop pioneering approaches to emerging industry trends.


• Follow department policies and procedures to ensure consistent utilization and cost reporting. Employs appropriate techniques to ensure data and result integrity. Maintains best practices in compliance with all Horizon policies and regulations including data security.


• Incumbent will be expected to consult with the Business Division they support and present. In addition, incumbent will be expected to mentor other analysts as appropriate.


• Document work appropriately, including use of Analytic Plan/Timeline template for Analytic projects as appropriate.

Education/Experience:

• Bachelors in Quantitative Field required (i.e. Analytics, Economics, mathematics, Computer Science, Engineering, Public Health, Nursing from an accredited college or university, etc.)


• MS/MA preferred.


• 5+ yrs experience; conducting full project lifecycle responsibility.


• Managed Health Care or provider experience preferred, especially in roles that routinely have used financial and/or clinical data sources.

Additional licensing, certifications, registrations:

Knowledge:

• Requires proficiency with very large data sets (i.e. claims elements, membership, authorization, etc.) and software/coding (i.e. SAS).


• Requires knowledge of care management, utilization management, network management, etc.


• Requires proficiency in MS Office (particularly Excel including formulas, calculations and graphs).

Skills and Abilities:

• Ability to conduct full project life cycle.


• More independent decision making and thinking is required.


• Requires analytical thinking ability for broader array of business problems.


• Require ability to make decisions to analytic/data problems that synthesize information from several sources into concrete actions/recommendations for higher level audience.


• Good written and verbal communication skills are essential. Ability to express analytic thoughts clearly and concisely both verbally and in writing (to various audiences) is required.


• Requires customer-oriented focus.

Travel % (If Applicable):

The information above is intended to describe the general nature of the work being performed by each incumbent assigned to this position. This job description is not designed to be an exhaustive list of all responsibilities, duties, and skills required of each incumbent.

Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law.

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