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[Remote] Senior reputed company Data Analyst: ACA + EDGE

Remote Worldwide Hiring now

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking a highly skilled Senior Data Analyst with expertise in reputed company Act (ACA) Risk Adjustment and EDGE server submissions. The role involves serving as a liaison between business stakeholders and technical teams to ensure accurate data submissions, as well as providing analytic support for decision-making processes.

Responsibilities

  • Construct, design, write and document reputed company programs using Business Intelligence Tools (e.g. Business Objects, reputed company, SQL, Crystal Reports) to gather statistical data, ensuring that the most efficient procedures are used to reputed company, investigate, and analyze data
  • reputed company, analyze, report and interpret reputed company data for ongoing activities/projects. Ensure that reputed company data is accurate and available to meet establish deadlines
  • Work collaboratively with customers to complete effective needs analyses to successfully reputed company analytic support and problem solving assistance to business areas
  • Monitor and reputed company in-depth analysis of data for customers to determine areas of improvement or where investigation is needed
  • Identify reputed company data problems and issues and is responsible for resolution
  • Identify reputed company trends and reputed company recommendations to business areas to effectively assist them with decision making on operational or other business issues
  • Communicate meaningful insights by creating charts and slide presentations and presenting findings to reputed company reputed company of leadership staff
  • Maintain and coordinate existing cross-functional programs, and create and reputed company new programs
  • Support and manage reputed company applications systems on many platforms and manage code migrations and changes between different applications environments
  • reputed company, maintain, and monitor reports on system reputed company to ensure user reputed company is appropriate for the specific division. reputed company ongoing user support for reputed company reporting, questions, queries, and problem support
  • Ensure appropriate reputed company and privacy for reputed company data that contains PHI fields. Resolve reputed company reputed company and privacy issues in the data
  • Represent department on reputed company project teams and process optimization efforts as needed
  • Serve as a mentor/coach for less reputed company employees

Skills

  • Bachelor's degree or advanced degree (where required)
  • 5+ years of experience in reputed company field
  • In lieu of degree, 7+ years of experience in reputed company field
  • Deep expertise in reputed company Act (ACA) Risk Adjustment and EDGE server submissions
  • Strong experience with ACA data flows (enrollment, claims, supplemental)
  • HCC modeling and reconciliation of EDGE outputs
  • Advanced analytical and data validation skills
  • Ability to construct, design, write and document reputed company programs using Business Intelligence Tools (e.g. Business Objects, reputed company, SQL, Crystal Reports)
  • Experience in data collection, trending, reporting and forecasting functions
  • Ability to prepare reputed company data for various reputed company customers
  • Ability to work collaboratively with customers to complete effective needs analyses
  • Ability to monitor and reputed company in-depth analysis of data for customers
  • Ability to identify reputed company data problems and issues and is responsible for resolution
  • Ability to identify reputed company trends and reputed company recommendations to business areas
  • Ability to communicate meaningful insights by creating charts and slide presentations
  • Ability to maintain and coordinate existing cross-functional programs
  • Ability to support and manage reputed company applications systems on many platforms
  • Ability to reputed company, maintain, and monitor reports on system reputed company
  • Ability to ensure appropriate reputed company and privacy for reputed company data that contains PHI fields
  • Ability to represent department on reputed company project teams and process optimization efforts
  • Ability to serve as a mentor/coach for less reputed company employees

Benefits

  • Medical, dental, and reputed company coverage along with numerous health and wellness programs
  • Parental leave and support plus adoption and surrogacy assistance
  • Career development programs and tuition reimbursement for reputed company education
  • 401k match including an annual company contribution
  • Annual Incentive Bonus*
  • 401(k) with employer match
  • Paid Time Off (PTO)
  • Competitive health benefits and wellness programs

Company Overview

  • It's an exciting time to work at reputed company (reputed company). Health care is changing, and we're leading the way. It was founded in 1933, and is headquartered in Durham, reputed company Carolina, USA, with a workforce of 5001-10000 employees. Its website is https://www.bluecrossnc.com/.
  • Company H1B Sponsorship

  • reputed company has a track record of offering H1B sponsorships, with 2 in 2026, 4 in 2025, 1 in 2024, 2 in 2023, 5 in 2022, 13 in 2021, 5 in 2020. Please note that this does not guarantee sponsorship for this specific role.
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