Horizon Blue Cross Blue Shield Of New Jersey

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.

The Analytics Analyst III will be the primary consulting & quantification expert for the Horizon Care Connect including partnering 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. The position requires an interdisciplinary approach of consulting expertise, quantification & reporting based mindset, and an understanding of how to communicate data insights and stories to impact the decision making of multiple leaders. Candidates with these experiences and success within these three critical factors across large departments & Organizational level projects are encouraged to apply.

• Review business requirements and define parameters of more complex analytic projects (i.e. linear models, Tableau visualizations) for customers across the enterprise. The analyst will settle deliverables and deadlines with the customer, beginning to use negotiation and creativity in consultation with management wherever necessary.
• Research and investigate key business problems through quantitative analyses of healthcare cost and quality data. Manage all aspects of data preparation, analysis, and interpretation in order to meet customer deliverable. Translates highly complex concepts and conclusions in ways that can be understood by a variety of audiences.
• Compiles complex data sets and simplify/tailor according to audience delivering analyses to. Evaluates and processes raw data for user friendly and provides actionable insight (visual and otherwise) to end users.
• Recommends to leadership advanced analytic models and/or research that financially impact pricing, cost containment, quality, marketing and risk management functions.
• Develops large, complex advanced analytic models and performs data mining functions to identify trends in the data and/or opportunities for improved outcomes, as appropriate.
• Demonstrates keen judgment on involved and complex assignments; devises methods and procedures to meet unusual conditions and makes original contributions to the solution of very difficult problems.
• Provides consultation, complex performance analysis, and coaching expertise to team member around methods of continuous quality improvement.
• Fosters a culture of continuous improvement that includes the use of performance data to understand health care cost and utilization trends, clinical and condition management analysis, health care cost containment, data quality measurement, and predictive modeling.
• Improves visual analytics throughout the organization.

Education/Experience

• Bachelor’s degree required or 12 years of relevant experience in lieu of degree.
• Minimum of 7 years of experience using statistical concepts and tools.
• Ability to create, develop/validate models independently.
• Demonstrated skills in quality principles especially root cause analysis and problem solving.
• Demonstrated business and technical problem-solving skills. Advanced analytic software programming proficiency required Extensive experience in analytic tools required (i.e. SAS, Tableau, or others).
• Demonstrates advanced statistical capabilities, data mining, forecasting and predictive modeling skills, and/or actuarial techniques.

Knowledge:

• Candidates with general health care knowledge preferred. Requires proficiency with large data sets and software/coding.
• Requires the ability to understand and apply job skills with interpretation.
• Requires proficiency in MS Office (particularly Excel including formulas, calculations and graphs)

Skills and Abilities:

• Requires analytical thinking ability.
• Good written and verbal communication skills are essential.
• Ability to express analytic thoughts clearly and concisely both verbally and in writing is required. Requires customer-oriented focus.
• Technical professional/knowledge Applied learning Building strategic working relationships Decision making Formal presentation Facilitating changes

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

Salary Range:

$108,000 - $147,420

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.