Jobs
>
Philadelphia

    Data Insight - Philadelphia, United States - Independence Blue Cross

    Independence Blue Cross
    Independence Blue Cross Philadelphia, United States

    4 weeks ago

    Default job background
    Description

    Our organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals. If this describes you, we want to speak with you. You can help us achieve our vision to lead nationally in innovating equitable whole-person health.

    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.

    The Data Insight & Reporting Analyst independently analyzes, extracts, refines, and interprets claims data for actionable insights. Provides recommendations for data driven payment integrity functions. Ensures consistent running of audit tools and systems while providing support to auditors with data driven issues. Uses self-directed decision making and problem solving that directly impacts financial outcomes and results.

    Key Responsibilities:

    • This position will support Payment Integrity and Audit functions
    • Data Analysis and Reporting - execute complex algorithms, review data sets, independently problem solve and research data anomalies
    • Provide recommendations and collaborate with payment integrity team on audit outcomes and improved data clarity
    • Training - Trains and guides other business and technical associates on system enhancements, payment integrity functional updates and audit tool requirement
    • Support ongoing payment integrity functions and provide technical assistance with audit data
    • Coordinates claim, reporting and audit system testing requiring knowledge and experience in various systems
    • Communicates autonomously with payment integrity team and management, communicates enhancements, implements system corrections and updates
    • Conduct data analysis in support of a variety of analytic and business solutions
    • Create and produce forecasts, reports, ad hoc requests, dashboards, etc.
    • Interpret data, analyze results and opportunities
    • Develops reports and deliverables for management and communicates with all levels of stakeholders
    QUALIFICATIONS
    • Bachelor's degree in Business, Finance, Information Systems/Science, related field or equivalent work experience
    • 2-4 years of relevant experience, healthcare, payment integrity or health insurance a plus
    • Intermediate level experience with Tableau, SQL, and other data systems
    • Good communication skills, analytical skills, Microsoft Office Suite, data visualization
    • Proven ability to apply quantitative and/or qualitative research and data analysis techniques to improve operational processes
    • Ability to interact with business and data management functions
    • Strong problem-solving skills
    • Excellent communication skills, both written and verbal
    • Passionate about producing high quality deliverables and communicating results to management
    • Must be competent in Excel (v-lookups, tables, formulas, etc.), SQL experience, Tableau, PowerPoint
    • Solves complex problems; takes a new perspective on existing solutions
    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.
  • Independence Blue Cross

    College Coop: Data Insight

    2 weeks ago

    Independence Blue Cross Philadelphia, United States

    At Independence, we're delivering best-in-class, whole-person health to members of our community. Embedded in the very fabric of Philadelphia and the surrounding region, Independence provides trusted and knowledgeable support for members through life's most uncertain moments. Mor ...

  • Independence Blue Cross

    College Coop: Data Insights

    4 days ago

    Independence Blue Cross Philadelphia, United States

    **College Co-op Student Job Description**: · The Data Insights & Reporting Analyst college co-op is a vital support role for the Operations team. This role provides actionable data insights and analysis to Operational teams in collaboration with our Informatics Reporting Team. Th ...

  • Independence Blue Cross

    Senior Data Insights

    2 weeks ago

    Independence Blue Cross Philadelphia, United States

    Our organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals. If this describes you, we want to speak with you. You can help us achieve our vision to lead nationally in innovating equitable wh ...

  • Johnson & Johnson

    Data Insights

    4 days ago

    Johnson & Johnson Spring House, United States

    Job Description · Johnson & Johnson is recruiting for a PSTS Portfolio Insights and Data Integration Coordinator located in Spring House, PA or La Jolla, CA. · At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a wor ...

  • Independence Blue Cross

    College Coop: Data Insights and Reporting Specialist

    1 week ago

    Independence Blue Cross Philadelphia, United States Full time

    Below is a Brief Description of the Department's Goals and How it Fits into the Organization: · The Risk Adjustment Analytics Department is responsible for providing actionable insights and reporting to support our operational and clinical team's efforts around risk accuracy for ...

  • Chubb

    Senior Data Insights

    4 weeks ago

    Chubb Wilmington, United States

    Job Description · Senior Data Insights & Business Intelligence Analyst · The Financial Business Solutions, FBS, group is seeking a Senior Data Insights and Business Intelligence Analyst to support the goal of becoming a data -driven organization by aligning analytics with proces ...

  • Finch Brands

    Insights Strategist

    2 weeks ago

    Finch Brands Philadelphia, United States

    The Insights Strategist position is responsible for supporting Finch Brands' insights community clients with high quality research inputs and outputs. They are the team's "go to" for executing quantitative and qualitative research projects - designing the research instruments and ...

  • Qntmlogic

    Web Landscape Strategist

    2 weeks ago

    Qntmlogic Philadelphia, United States

    **Job Title: Web Landscape Strategist - Pharma** · Remote · This is a remote US-based role, working Eastern time zone. · Location: Philadelphia, PA, US · Pharmaceutical / Bio-tech · **Salary**: USD $105,000 - $125,000 / yr · **Job description** · **NOTE**: No C2C, please. · **NOT ...

  • The Cigna Group

    Business Analytics Advisor

    3 weeks ago

    The Cigna Group Philadelphia, United States

    **Overview** · Evernorth's Digital & Analytics unit offers innovative solutions that provide actionable insights to internal and external business partners and customers that help reduce health costs, improve outcomes, provide financial security and measure/forecast business perf ...

  • Comcast Corporation

    Head of Data

    3 weeks ago

    Comcast Corporation Philadelphia, United States

    Comcast brings together the best in media and technology. We drive innovation to create the world's best entertainment and online experiences. As a Fortune 50 leader, we set the pace in a variety of innovative and fascinating businesses and create career opportunities across a wi ...

  • Digitas Health

    Director, Account Planning

    3 weeks ago

    Digitas Health Philadelphia, United States

    **Company Description** · Digitas Health is the Agency of Now: the first global connected-health agency, purpose-built for marketing today. Digitas Health specializes in helping health brands navigate a complex and shifting media environment to create deeper, more relevant connec ...

  • ZS Associates

    Strategy Insights

    2 weeks ago

    ZS Associates Philadelphia, United States

    Philadelphia, Pennsylvania; Princeton, New Jersey; New York, New York; Bethesda, Maryland · - United States · - Business Consulting · - Strategy Insights & Planning · - $155,000.00 · - $172,500.00 · - 20132 · **ZS** is a place where passion changes lives. As a management consulti ...

  • ZS

    Strategy Insights

    1 week ago

    ZS Philadelphia, United States

    : · **ZS** is a place where passion changes lives. As a management consulting and technology firm focused on transforming global healthcare and beyond, our most valuable asset is our people. Here you'll work side-by-side with a powerful collective of thinkers and experts shaping ...

  • Penn Medicine

    Associate Vice President, Strategic Decision Support

    3 weeks ago

    Penn Medicine Philadelphia, United States

    **Description** · Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration w ...

  • Digitas Health

    Manager, Engagement Strategy

    1 week ago

    Digitas Health Philadelphia, United States

    **Company Description** · Digitas Health is the Agency of Now: the first global connected-health agency, purpose-built for marketing today. Digitas Health specializes in helping health brands navigate a complex and shifting media environment to create deeper, more relevant connec ...

  • City of Philadelphia

    Bh Data Analyst

    1 week ago

    City of Philadelphia Philadelphia, United States

    **Company Description** · A best-in-class city that attracts best-in-class talent, Philadelphia is an incredible place to build a career. From our thriving arts scene and rich history to our culture of passion and grit, there are countless reasons to love living and working here. ...

  • Digitas Health

    Associate Director, Data and Analytics

    1 week ago

    Digitas Health Philadelphia, United States

    **Company Description** · Digitas Health is the Agency of Now: the first global connected-health agency, purpose-built for marketing today. Digitas Health specializes in helping health brands navigate a complex and shifting media environment to create deeper, more relevant connec ...

  • PMHCC, INC.

    Benefits Data Specialist

    2 weeks ago

    PMHCC, INC. Philadelphia, United States

    **Position Summary**: · The Benefits Data Specialist reports to the DBHIDS SDOH Equity Unit, Manager of Social Drivers and Clinical Collaboration within the Systems Integration Unit. This position is responsible for supporting the DBHIDS Employment Initiatives by collaborating cl ...

  • Weller and Company

    Market Research Project Manager

    1 week ago

    Weller and Company Philadelphia, United States

    **Job Overview** · Our client is seeking a Project Manager to oversee and manage multiple market research projects. You will play a pivotal role in ensuring the successful execution of projects, maintaining high-quality standards, and achieving objections within budget and time c ...

  • U.S. Bank National Association

    Insights & Reporting Analyst

    2 weeks ago

    U.S. Bank National Association Philadelphia, United States

    At U.S. Bank, we're on a journey to do our best. Helping the customers and businesses we serve to make better and smarter financial decisions and enabling the communities we support to grow and succeed. We believe it takes all of us to bring our shared ambition to life, and each ...