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Remote Flex - North Carolina, United States of America
Remote only
Job Description
Join a team where technology meets strategy. As a Senior Actuarial Data & Systems Analyst, you will play a crucial role in delivering technical data support and innovative solutions for Actuarial financial data systems. You’ll Identify business requirements and deliver solutions related to the support of the specific business area/function. Perform appropriate analysis, development and logic implementation to ensure the quality and accuracy of data/applications deliveredWhat You’ll Do
Manages the maintenance and optimization of the Actuarial Systems Data Marts
Performs monthly data refreshes, financial validations and quality assurance checks to support Actuarial reporting and analytics
Independently analyze business problems or opportunities; develop recommendations and solutions, implement those solutions, and provide communication on the associated actions, business impacts, and results.
Develop decision support solutions; including medical and pharmacy claim financial data builds, data extracts, reports, data mart tables, views and analysis.
Ensures financial granular detail data is appropriately auditable, snapshotted and stored for quarterly and year end audits.
Establishes vendor and inter-departmental relationships to ensure the accuracy and completeness of financial data.
Keeps abreast of changes in the company and with our external vendor; data that affects the departmental processes & systems, make recommendations of actions needed and implement changes to the applicable Actuarial Systems and processes where needed.
Serve as the lead for multiple application areas, including data definitions, usage and file structure, technical structure of the code and the business rules, and structure of requirements that governs the functionality of the system.
Provide technical leadership and application expertise to business project teams and non-project related activities for the full understanding and execution of all types of assignments.
Plan and serve as a key liaison with business areas during development and implementation
Provide detailed configuration expertise to customers and business partners. This includes verbal, written, and electronic communication, and delivering presentations when needed.
Provide analytical support for departmental, divisional and corporate projects as needed to accomplish their business goals and to ensure the business needs are met
What You Bring
Bachelor's degree or advanced degree (where required)
5+ years of experience in related field.
In lieu of degree, 7+ years of experience in related field.
Bonus Points
5+ years of SQL Development/Analysis experience - Highly Preferred
5+ years of healthcare claims data experience - Highly Preferred
Healthcare data analytics experience, including experience with Government and Commercial lines of business - Highly Preferred
Facets experience a plus
Experience leading project teams required.
What You’ll Get
The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community .
Work-life balance, flexibility, and the autonomy to do great work
Medical, dental, and vision coverage along with numerous health and wellness programs .
Parental leave and support plus adoption and surrogacy assistance
Career development programs and tuition reimbursement for continued education
401k match including an annual company contribution
Salary Range
At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.
*Based on annual corporate goal achievement and individual performance.
Skills
Business Analysis, Business Requirements Analysis, Claims Data, Financial Data, Healthcare Analytics, Health Data, SQL Data Analysis, Structured Query Language (SQL), Structured Query Language (SQL) Development, System Testing_____________________________________________________________________
JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC. If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com.
