Quality Reporting Data Analyst (Healthcare)

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 million people who place their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds.

This position contributes to quality improvement efforts through the research, analysis, design, programming, implementation and coordination of accurate and timely reporting. The incumbent will partner with multiple customers across the Enterprise to provide complex resolutions to analytics / data problems and will provide reporting / analytic deliverables (i.e. tables, graphs, recommendations, etc.) in a consultative manner. Incumbent is responsible for conducting research and root cause analysis for customers with the goal of recommending and implementing new processes and solutions to operational deficiencies. This is a senior level position working independently with guidance only in the most complex situations.

Responsibilities :

• Analyzes reporting needs, available data, and various methods of data retrieval to develop systems which are responsive to the needs of the department.
• Develops and maintain production reporting capabilities. Monitor the timely and accurate production and distribution of all standard and special user-generated reports.
• Provides statistical and analytical support to the department staff. Utilizes SAS, SQL, SOURCE and other statistical based software packages to extract and analyze the data required by the department for both continuing and special needs.
• Facilitate business requirements and define parameters of more complex analytic projects
• Research and investigate key business problems through quantitative analyses of healthcare cost and quality data.
• Analyze data results from multiple information sources to ensure reporting and analytic requirements are met.
• Develop forecasting tools using current technology / systems.
• Translate business requirements and assist IT with the development of technical specifications.
• Lead or participate in internal and external project workgroup(s) and presentations.
• Conduct User Acceptance Testing (UAT) for projects, implementations, system fixes and enhancements, etc.
• Prepare materials for internal and external audit activities; review audit findings / reports for accuracy and completeness.
• If appropriate, formulate rebuttal and / or corrective action steps. Coach / mentor less experienced staff, assist in on-boarding of new staff and / or distribute and follow-up on work assignments.

Education / Experience :

Knowledge :

Skills and Abilities :

Travel :

Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware

Salary Range : 86,000 - $117,390

This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to : education, experience, licensure, certifications, geographic location, and internal equity. This range has been created in good faith based on information known to Horizon at the time of posting. Compensation decisions are dependent on the circumstances of each case. Horizon also provides a comprehensive compensation and benefits package which includes :

Comprehensive health benefits (Medical / Dental / Vision)

Retirement Plans

Generous PTO

Incentive Plans

Wellness Programs

Paid Volunteer Time Off

Tuition Reimbursement

Disclaimer :

This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job.

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. Horizon will consider reasonable accommodation requests as part of the recruiting and hiring process.

Salary : $86,000 - $117,390