Note: The job is a remote job and is open to candidates in USA. Blue Cross NC is a health insurance organization focused on health care delivery and community support. The Senior Actuarial Data Systems Analyst provides technical data support for actuarial financial systems, develops decision-support solutions, and ensures the quality, accuracy, and auditability of financial data. The role also leads application areas, supports business projects, and serves as a liaison between technical and business teams.
Responsibilities
- 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
Skills
- * 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
- * 5+ years of healthcare claims data experience
- * Healthcare data analytics experience, including experience with Government and Commercial lines of business
- * Facets experience a plus
- * Experience leading project teams required
- * **5+ years of SQL Development/Analysis experience - ***Highly preferred*****
Benefits
- 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
- Annual Incentive Bonus based on annual corporate goal achievement and individual performance
- Paid Time Off (PTO)
- Remote Flex work arrangement with a few in-office visits each year for meaningful moments that matter
- Hybrid Flex work arrangement with flexibility to work remotely and in the office at least two days a week for collaboration and connection
Company Overview
Company H1B Sponsorship