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Blue Cross Blue Shield of Massachusetts Medicare Market Sr. Analyst l Healthcare in Hingham, Massachusetts

Ready to help us transform healthcare? Bring your true colors to blue.

The Medicare Market Senior Analyst will report to the Senior Manager of Medicare Business Analytics. The Analyst will provide competitive intelligence related to the Medicare Program, including analysis of pricing, enrollment, benefit and Star Rating trends in the local Massachusetts as well as the overall national Medicare Advantage, Medicare Supplement and Medicare Prescription Drug (PDP) markets. The Analyst will be part of team of Analysts and will work collaboratively to ensure the overall needs of the team are met or exceeded. The Analyst will produce analysis and dashboard reporting specific to the Medicare market as well as in support of other business needs.

Key Responsibilities:

  • Maintain competitive landscape and market position reporting.

  • Collaborate with leaders in Medicare Strategy, Medicare Product and Medicare Customer Experience to document business requirements for report requests, process changes, and system enhancements.

  • Define criteria and specifications, program and execute data extraction, validate and document results, deliver output and summarize observations.

  • Interpret data to identify best practices, variations and trends impacting product positioning, plan design and the member experience.

  • Provide root cause analysis, identify scope, quantify impacts, and develop recommendations to senior leadership in support of strategic considerations and operational efficiencies.

  • Conduct consultative engagements to internal business partners to develop appropriate analytic plans within defined timelines.

  • Facilitate workgroups and champion process improvements to meet business performance goals.

  • Provide technical assessment to identify any analytical gaps and recommend solutions.

  • Develop and monitor key performance metrics and provide recommendations to support strategic business goals.

  • Represent business analytics on internal and external teams and workgroups.

  • Act as a subject matter expert of the overall Medicare market.

  • Act as a mentor to team members and foster a culture of inclusion.

Qualifications (Knowledge, skills and abilities):

  • Expert in Excel, MS Access and PowerPoint.

  • Proficiency in SAS or SQL preferred, Tableau a plus.

  • Experience with large datasets including Enterprise Data Warehousing.

  • Experience with process automation preferred.

  • Demonstrated attention to detail, delivering quality results and operating collaboratively as part of a team.

  • Must have exceptional analytical skills in order to identify and communicate key observations and quantify impacts.

  • Ability to present findings to varied audiences.

  • Strong organizational skills and the ability to multitask and balance competing priorities.

  • Self-directed, proactive, and desire to continually improve analytic skillset.

  • Ability to collaborate in a cross-functional business environment.

  • Ability to translate customer requirements into specifications an recommend an analytic approach and summarize relevant findings.

  • Understanding of healthcare data reporting and the healthcare industry preferred.

Experience and Education:

  • Bachelor's Degree or equivalent work experience.

  • 3 - 5 years of data analytics or related experience.

  • Experience in healthcare analytics.

  • Medicare Advantage experience a plus.

  • Overall Medicare experience preferred

  • Opportunity to work either in our Boston or Hingham, MA offices

LocationBoston, HinghamTime TypeFull time

Voted as the highest in member satisfaction among Massachusetts commercial health plans by JD Power, Blue Cross Blue Shield of Massachusetts is a community-focused, tax-paying, not-for-profit health plan headquartered in Boston. We have been a market leader for over 75 years, and are consistently ranked among the nation's best health plans. Our daily efforts are dedicated to effectively serving our 2.8 million members, and consistently offering security, stability, and peace of mind to both our members and associates.

Our Commitment to You

We are committed to investing in your development and providing the necessary resources to enable your success. We are dedicated to creating a refreshing and rewarding workplace that promotes excellence and provides opportunities for employees to forge their unique career path. We take pride in our diverse, community-centric, wellness-focused culture and believe every member of our team deserves to enjoy a positive work-life balance.

Blue Cross Blue Shield of Massachusetts is an Equal Employment / Affirmative Action Employer. Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or expression, or any other characteristics protected by law.

Blue Cross Blue Shield of Massachusetts will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with Blue Cross Blue Shield of Massachusetts's legal duty to furnish information.

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