
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.
🔥 0 minutes ago
🏈 Alabama, Arizona, +21 more states – Remote
💵 $98.1k - $156.9k / year
⏰ Full Time
🟠 Senior
⚙️ Systems Engineer
👻 Ghost score 0%
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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.
• Manage the maintenance and optimization of Actuarial Systems Data Marts • Perform monthly data refreshes, financial validations, and quality assurance checks for actuarial reporting and analytics • Analyze business problems and opportunities; develop, recommend, and implement solutions • Develop decision-support solutions, including medical and pharmacy claim financial data builds, data extracts, reports, data mart tables, views, and analysis • Ensure financial granular-detail data is auditable, snapshotted, and stored for quarterly and year-end audits • Establish vendor and inter-departmental relationships to ensure financial data accuracy and completeness • Monitor company and external-vendor changes affecting departmental processes and systems; recommend and implement updates • Lead multiple application areas, including data definitions, usage and file structure, code technical structure, business rules, and requirements • Provide technical leadership and application expertise to business project teams • Liaise with business areas during development and implementation • Provide configuration expertise and communicate with customers and business partners through verbal, written, electronic communication, and presentations • Provide analytical support for departmental, divisional, and corporate projects
• Bachelor's degree or advanced degree (where required), or 7+ years of experience in lieu of degree • 5+ years of experience in a related field • 5+ years of SQL Development/Analysis experience highly preferred • 5+ years of healthcare claims data experience • Healthcare data analytics experience, including Government and Commercial lines of business • Facets experience is a plus • Experience leading project teams required • Experience with Agile Methodology, Application Management, Business Analysis, Business Requirements, Business Requirements Analysis, Code Development, Process Design, Quality Assurance, System Testing, and Unit Testing
• Medical, dental, and vision coverage • Numerous 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 • Work-life balance, flexibility, and autonomy • Remote Flex work with a few in-office visits each year
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