<p>At <a href="https://himalayas.app/companies/blue-cross-and-blue-shield-of-nebraska">Blue Cross and Blue Shield of Nebraska</a>, we are a mission-driven organization dedicated to championing the health and well-being of our members and the communities we serve.</p><p>Our team is the power behind that promise. And, as the industry rapidly evolves and we seek ways to optimize business processes and customer experiences, there’s no greater time for forward-thinking professionals like you to join us in delivering on it! As a member of Team Blue, you’ll find purpose, opportunities and the support you need to build a meaningful career and make a powerful impact in our community.</p>The Healthcare Analytics role supports the Risk Adjustment Programs team by analyzing healthcare data to evaluate program performance, measure financial and clinical impact, and identify opportunities for improvement. This role develops reporting, forecasts, and actionable recommendations that inform Risk Adjustment strategy, intervention planning, and operational decision-making.<p><b>Candidates applying to this position may be hybrid or remote and can live in one of the following states: Florida, Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, and Texas.</b></p><h3>What you'll do:</h3><ul><li>Analyze healthcare claims, pharmacy, lab, and Risk Adjustment submissions data to evaluate intervention and program performance.</li><li>Develop, maintain, and present reports that measure intervention ROI, incremental conditions captured, risk score impact, revenue impact, and other key Risk Adjustment performance metrics.</li><li>Partners with internal teams to support Risk Adjustment analytics needs, intervention planning, reporting enhancements, and issue resolution.</li><li>Stay current on healthcare analytics, Risk Adjustment trends, tools, methodologies, and regulatory considerations; recommend process or reporting improvements where appropriate.</li><li>Provide analytic solutions on ad-hoc requests with little oversight by senior analysts.</li></ul><h3>To be considered for this position, you must have:</h3><ul><li>Bachelor’s degree or equivalent</li><li>3+ years’ experience in data or statistical analysis, or experience with managing and analyzing data for Government programs (Medicare Advantage, Commercial ACA) including experience working with healthcare-related data, such as claims, encounters, provider data, CMS files, EDGE response files, or similar datasets.</li><li>Proficiency in SQL and data analytics.</li><li>Experience with Microsoft Azure DataBricks.</li><li>Advanced Excel skills.</li><li>Strong analytic skills to construct impactful findings from the extraction, manipulation and understanding of various types of data.</li><li>Successful experience working in a cross-functional environment.</li><li>Experience effectively communicating with stakeholder groups.</li></ul><p><b>The strongest candidates for this position will also possess:</b></p><ul><li>Pro