Sr Health Business Analyst- Risk Adjustment

Job Summary

JOB DESCRIPTION

Develop analysis and provide insights, analysis and reports. Accountable for identifying and quantifying key drivers for the Health Business, investigating areas of opportunity, evaluating effectiveness and making recommendations. The Senior Health Business Analyst is relied upon to apply business knowledge to Analytics projects and provide value-added insights to directly impact business outcomes.

What You Will Be Doing

• The essential functions listed represent the major duties of this role, additional duties may be assigned.
• Manipulate data using large datasets and multiple data sources
• Act as primary Analyst for assigned projects and proactively identify topics for analysis
• Analyze or assist in the analysis of processes and programs in achieving stated goals. Provide analyses and recommendations if corrections are needed. Investigates and discovers areas of opportunity
• Monitor and evaluate patterns, costs and trends
• Develop Excel-based models and spreadsheets containing advanced functions that are used to evaluate historical trends and forecasts and to identify best practices.
• Write SAS and/or SQL programs for data extraction. Modifies existing programs for data extraction
• Accountable for developing insightful and actionable summaries and recommending actions
• May assist in training other team members on basic technical skills
  
  

What You Must Have

4+ years related work experience. Experience Details: data analysis

Related Bachelor’s degree or additional related equivalent work experience

Additional Required Qualifications

Experience with analytics and inferential statistics.

Intermediate level experience writing SQL /SAS or related code

Advanced Excel skills (ability to create and use pivot tables and formulas)

Proficient with Microsoft Office products

Ability to manage tasks independently, take ownership of responsibilities and meet deadlines

Strong written and oral communication skills

High critical thinking skills to evaluate alternatives and present solutions that are consistent with business objectives and strategy

What We Would Prefer You Have

Risk Adjustment work experience is a strong plus!

Technically focused education is preferred.

General Physical Demands

Sedentary work: Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally.

What We Offer

As a Florida Blue employee, you will thrive in our Be Well, Work Well, GuideWell culture where being well as an individual, and working well as a team, are both important in serving our members and communities.

To support your wellbeing, comprehensive benefits are offered. As an employee, you will have access to:

• Medical, dental, vision, life and global travel health insurance;
• Income protection benefits: life insurance, Short- and long-term disability programs;
• Leave programs to support personal circumstances;
• Retirement Savings Plan includes employer contribution and employer match;
• Paid time off, volunteer time off, and 11 holidays
• Additional voluntary benefits available; and
• A comprehensive wellness program
  
  

Employee benefits are designed to align with federal and state employment laws. Benefits may vary based on the state in which work is performed. Benefits for intern, part-time and seasonal employees may differ.

To support your financial wellbeing, we offer competitive pay as well as opportunities for incentive or commission compensation. We also conduct regular annual reviews with pay for performance considerations for base pay increases.

Typical Annualized Hiring Range: $80,800 - $101,000

Annualized Salary Range: $80,800 - $131,300

Final pay will be determined with consideration of market competitiveness, internal equity, and the job-related knowledge, skills, training, and experience you bring.

We are an Equal Opportunity/Protected Veteran/Disabled Employer committed to creating a diverse, inclusive and equitable culture for our employees and communities.

About Us

At GuideWell, we are committed to making diversity, equity and inclusion part of everything we do. We believe in hiring people who represent the communities we serve while creating a workplace that encourages a sense of belonging for everyone, no matter who you are or where you come from.

From students to former military to seasoned professionals, our family of mission-based companies are stronger because of the unique talents and skills of our employees. We believe everyone’s contribution has the power to help people and communities achieve better health. Find your new team today.

About The Team

Florida Blue, A GuideWell Company, has been providing health insurance to residents of Florida for 75 years. Driven by its mission of helping people and communicating to achieve better health, the company serves more than five million health care members across the state. We are looking for exceptional people who will bring our mission to life and succeed by putting the members first.