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    Data Insight - Philadelphia, United States - Independence Blue Cross

    Independence Blue Cross
    Independence Blue Cross Philadelphia, United States

    1 week ago

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    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.
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