Blue Cross and Blue Shield of Nebraska

Medical Economist/Health Data Analyst

Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Economics, Statistics, Mathematics, Health Care Management, or related field (Master's preferred)
  • 5+ years in healthcare analytics, medical economics, or actuarial analysis
  • Advanced SQL and ETL/ELT pipelines experience (Azure Data Factory, dbt)
  • Proficiency in Python, R, and cost-effectiveness analysis
  • Experience with Power BI for dashboard design and KPI development
  • Strong understanding of healthcare operations and provider reimbursement models

Responsibilities

  • Provide analytic solutions via reporting, research, and predictive modeling
  • Develop and maintain models for utilization trends
  • Analyze trends in employer group reporting and care management analytics
  • Gather business requirements, extract data independently, and deliver high-quality analysis
  • Serve as a business consultant leveraging deep data understanding
  • Participate in brainstorming and design reviews to ensure best practices
  • Translate complex data into actionable insights for stakeholders

Benefits

  • Remote work flexibility with 2-3 days per week in-office requirement
  • Collaboration within a highly engaged Data Analytics team
  • Opportunities for mentoring junior analysts
  • Access to advanced analytics tools and technology
  • Engagement in strategic decision-making and value-based care initiatives
Full Job Description
The ideal candidate will live within driving distance of the Omaha, Nebraska office. This position allows remote flexibility but will have 2-3 days per week in the office. The Medical Economist (Health Data Analyst III) serves on a highly collaborative Data Analytics team delivering health data analytics and informatics for groups, providers, members, and leadership. As a member of the team, you will act as an analytical subject matter expert in understanding and interpreting the business impacts of healthcare data. Your focus will be on extracting, preparing, analyzing, and interpreting data to provide actionable insights for internal and external stakeholders, while mentoring junior analysts. You will also lead economic modeling and cost-effectiveness analysis to support strategic decision-making and value-based care initiatives. What You'll Do: Healthcare Economics and Advanced Data Analytics • Provide analytic solutions for enterprise stakeholders via reporting, research, predictive modeling, and BI dashboard development. • Develop and maintain models for utilization trends • Partner with stakeholders to analyze trends in employer group reporting, provider payment methodologies, and care management analytics. • Gather business requirements, extract and prepare data independently, and deliver high-quality analysis for decision support. Strategic Consulting & Collaboration • Serve as a business consultant to multiple areas, leveraging deep understanding of data and operations. • Actively participate in brainstorming sessions, design reviews, and quality reviews to ensure best practices in analytics and data strategy. • Provide strategic input on data architecture and analytic standards. • Lead knowledge-sharing activities and contribute to the Data Integration Community of Practice. • Present analyses to internal and external stakeholders, translating complex data into clear, actionable insights. • Tell a compelling story with data to influence strategic decisions. To be considered for this position, you must have: • Bachelor's degree in Economics, Statistics, Mathematics, Health Care Management, or related field (Master's preferred).5+ years in healthcare analytics, medical economics, or actuarial analysis. • Data Access & Integration: Advanced SQL, ETL/ELT pipelines (Azure Data Factory, dbt), PySpark/Spark SQL. • Cloud & Platforms: Azure Synapse, Databricks, SQL Server; Git for version control. • Analytics & Econometrics: Python, R, cost-effectiveness analysis, risk adjustment, forecasting. • BI & Visualization: Power BI (DAX, Power Query), Databricks Dashboards, dashboard design, KPI development. • Data Governance: Data dictionaries, lineage, HIPAA compliance, quality checks. • Healthcare Domain Knowledge: Claims data, provider reimbursement models, value-based care, HEDIS/STARS metrics. • Mastery of Health Insurance Operations knowledge including claims, enrollment, payment mechanisms, care management, employer reporting and the ability to stay current on healthcare industry knowledge. • Successful experience working in a cross-functional environment. • Experience effectively communicating with stakeholder groups. **BCBSNE is unable to sponsor or take over sponsorship of an employment visa at this time** #LI-DNI

About Blue Cross and Blue Shield of Nebraska

Blue Cross and Blue Shield of Nebraska (BCBSNE) is a non-profit health insurance company headquartered in Omaha, Nebraska. The company provides health insurance coverage to individuals, families, and businesses in Nebraska. BCBSNE offers a variety of health insurance plans, including individual and family plans, Medicare supplement plans, and employer group plans. The company was founded in 1939 and has since grown to over 800 employees.
Learn more about Blue Cross and Blue Shield of Nebraska
Size
800 employees
Industry
Founded
1939

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