Care Pathway, Patient Engagement Analyst

🔥 1 minute ago

🏈 Alabama, Arizona, +21 more states – Remote

🏈 Alabama – Remote 🌵 Arizona – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote ⚜️ Louisiana – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🚗 Michigan – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🗿 South Dakota – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote ⚔️ Virginia – Remote 🧀 Wisconsin – Remote 🦬 Wyoming – Remote

💵 $89.2k - $142.7k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

👻 Ghost score 0%

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Blue Cross NC

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1933

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Blue Cross NC is a health insurance provider that offers a range of health plans and services to individuals and groups. The company focuses on delivering quality healthcare coverage and improving health outcomes for its members through innovative health programs and services. Blue Cross NC is committed to enhancing access to affordable healthcare while supporting the health and wellness of the communities it serves.

📋 Description

• Conduct claims and other analyses focused on care pathways, patient engagement, utilization patterns, provider performance, affordability opportunities, and healthcare consumer behavior • Support analytic frameworks identifying members likely to benefit from interventions • Develop predictive models, segmentation approaches, and targeting methodologies • Evaluate engagement strategies, outreach programs, and affordability initiatives using A/B testing, quasi-experimental methods, and other impact evaluation techniques • Analyze longitudinal healthcare journeys, utilization patterns, care gaps, clinical variation, and intervention opportunities • Apply episode-of-care methodologies, pathway analytics, and healthcare grouping approaches • Measure financial impact and quantify opportunities, intervention impact, and realized savings • Analyze patient risk, disease burden, social determinants of health, clinical complexity, benefit design, and engagement propensity • Leverage provider, network, referral, access, and site-of-care analytics • Apply geospatial analytics related to provider availability, travel burden, appointment access, and network characteristics • Partner with technology and data teams on integrated healthcare data assets • Develop dashboards, reports, decision-support tools, and analytical products • Explore AI, machine learning, natural language processing, and generative AI applications • Translate analytical findings into recommendations and presentations for business leaders and operational stakeholders • Share knowledge, support colleagues, and maintain analytical rigor and business impact

🎯 Requirements

• 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 • Experience in healthcare analytics, health plan analytics, healthcare data science, clinical informatics, health economics, management consulting, actuarial analytics, or a related quantitative discipline • Experience working with healthcare data, including medical and pharmacy claims, provider data, eligibility data, care management data, or related healthcare datasets • Proficiency in SQL and familiarity with modern analytics tools such as Python, R, or comparable analytical technologies • Experience conducting statistical analyses, developing analytical models, and working with large healthcare datasets • Experience developing analyses, dashboards, reports, or decision-support tools • Experience using modern business intelligence platforms, cloud-based analytics environments, and data visualization tools • Familiarity with episode-based analytics, care pathway analyses, clinical grouping methodologies, or healthcare journey analytics is preferred

🏖️ Benefits

• Work-life balance, flexibility, and autonomy • Medical, dental, and vision coverage • Health and wellness programs • Parental leave and support • Adoption and surrogacy assistance • Career development programs • Tuition reimbursement for continued education • 401k match including an annual company contribution • Paid Time Off (PTO) • Annual Incentive Bonus

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