Analytics Consultant - Payment Integrity

The Analytics Consultant’s primary responsibility is to leverage strong technical skills and healthcare industry knowledge to support clinical and business stakeholders within Payment Integrity. This role will be accountable for the analytical support and consultancy of internal/external customers, as well as advisory service for internal/external senior leaders., Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.

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For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities.

Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren’t afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you’ll have to improve health care delivery in an open, collaborative environment.

HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants.

If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations.

Please note that only requests for accommodations in the application process will be returned. All applications, including resumes, must be submitted through HCSC’s Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to “candidate home” to view your job submissions.

Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas,

Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association

• Bachelor’s degree and 2 years of experience in health care services, statistical analysis, or insurance industry economics or related field ORMaster’s degree in related field OR 6 years of experience in health care services, statistical analysis, or insurance industry economics or related field

• Understanding, and being highly proficient at querying a wide variety of internal and external data sources to get meaningful insights.

• Performance excellence in computer languages, such as SQL, R, Python.

• Ability to create a dynamic and visually engaging dashboard leveragingdata visualization tools such as Tableau or Power BI.

• High degree of business intelligence and understanding how to take a business case from inception to customeror partner execution.

• Excellent communication and presentation skills.

• Ability to work independently and as part of a team.

• Performance excellence in championing initiatives and collaborating with multiple stakeholders to bring the initiative to life.

Preferred Job Qualifications:

• Experience with project management methodologies.

• Experience of Healthcare industry - payor, provider, pharmacy, public health, epidemiology, etc.

• Experience with version control/collaborative tools, such as GitHub

• Payment Integrity experience.

• Knowledge of claims processing.

This is a Flex (Hybrid) role: 3 days in office; 2 days remote.

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards .

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range

$61,500.00 - $136,100.00