[Hiring] Senior Actuarial Data Systems Analyst @Blue Cross and Blue Shield of North Carolina

Role 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 delivered.

• 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.

Qualifications

• 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.

Requirements

• 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.

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.

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.

$98,092.00 - $156,947.00

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 our careers page . 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: [email protected].