About the Role
This position contributes to reporting and forecasting efforts through the research, analysis, design, programming, implementation and coordination of accurate and timely reporting systems for the division. Ensures integrity of databases and program files for departmental use via extensive division contact.
What You'll Do
- Analyzes reporting needs, available data, and various methods of data retrieval to develop systems which are responsive to the needs of the department.
- Develops and maintains production reporting capabilities and monitors the timely and accurate production and distribution of standard and ad hoc reports.
- Provides statistical and analytical support to the division for continuing and special needs utilizing various software packages to extract and analyze data.
- Manages ad hoc reporting requests and assigns to staff.
- Manages the design and development of new reporting processes and assigns and trains staff to maintain processing once implemented.
- Serves as technical resource for the division.
- Provides requested reporting for compliance with mandates and DOBI required reporting.
- Attend client meetings as needed.
- Performs other duties as assigned by management.
What You Bring
Education/Experience:
- High School Diploma/GED required
- Bachelor degree preferred or relevant experience in lieu of degree
- Requires a minimum of five (5) years experience in health insurance, financial or actuarial fields utilizing statistics and programming applications.
- Requires experience with data related applications in the PC environment.
- Experience in healthcare analytics and underwriting preferred
- Strong understanding of health plan financial concepts, including premium, claims utilization, medical trend, loss ratio, membership, and underwriting assumptions.
Knowledge:
- Prefer knowledge of Databricks, Snowflake, Python, Power BI, SAS, SQL, Advanced Excel skills
- Prefer knowledge of data processing systems including input and retrieval mechanisms in the TSO and CICS environments.
- Prefer knowledge of Horizon BCBSNJ products and files.
- Must be proficient in the use of personal computers and supporting software in a Windows based environment, including MS Office products (Word, Excel, PowerPoint).
Skills and Abilities:
- Analytical & Problem Solving
- Attention to Detail
- Customer Focus
- Functional/Technical Job Skills
- Continuous Improvement
- Information Gathering
- Problem Solving
Salary Range:
$87,300 - $119,070
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:
Disclaimer:
Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware. 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.
