Health Data Analyst

Our Health Data Analysts play a meaningful role at Blue Cross of Idaho by supporting provider contracting and reimbursement strategies through advanced analytics, forecasting, and process automation. This role is responsible for answering ad hoc business questions related to modeled reimbursement rates, developing and maintaining models that forecast contracted rates for provider contracts, and leveraging SQL and Python to automate existing analytical and reporting processes. Health Data Analysts perform research, analysis, and modeling of complex healthcare data, evaluate utilization and cost trends, and present actionable insights and recommendations that support contract strategy.

This role will report to the Manager Provider Analytics and interacts with various departments across Blue Cross of Idaho.

We're looking for a Health Data Analyst with:

Experience (Level I): 2 years’ data analysis

Experience (Level II): 4 years' data analysis

Education (Level I & Level II): Bachelor’s Degree Finance, Information Systems, Economics, Math or related field; or equivalent work experience (Two years’ relevant work experience is equivalent to one-year college)

What your day may look like:

• Answer ad hoc questions on modeled rates, provider reimbursement, and contract performance. • Develop forecasting models for Contracted Rates. • Analyze claims, utilization, and financial data to support contracting decisions. • Partner with contracting teams to provide insights and…