BI Analyst

Blue Cross NC

. Serve as a strategic analytics partner to the Federal Employee Program Clinical Operations team .

Posted 10/5/2026full-timeUnited StatesMid-LevelSenior💰 $89,174 - $142,679 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in delivering actionable business intelligence and operational reporting within healthcare analytics, focusing on care management, utilization management, and quality improvement. Proficient in developing analytical solutions and visualizations to support executive decision-making and program effectiveness evaluations.

Highest-signal resume keywords

Healthcare Claims ProcessingBusiness Intelligence (BI)Data Warehousing (DW)Structured Query Language (SQL)Care Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data AnalysisOperational ReportingFinancial InsightsAnalytical MethodologiesProgram Effectiveness EvaluationStatistical ModelsDashboard DevelopmentReporting StandardsQuality Performance MeasurementUtilization Trends

Soft Skills

Analytical SkillsProblem-SolvingCommunication Skills

Tools & Technologies

SnowflakeCloud ApplicationsSelf-Service Analytics Solutions

Industry Keywords

Federal Employee Program (FEP)CPTHCPCSICD-10DRGMedical Cost Groupers (MCG)HEDISPopulation Health

Tech Stack

Tools & technologies

CloudSQL

About the role

Key responsibilities & impact

Serve as a strategic analytics partner to the Federal Employee Program Clinical Operations team
Deliver actionable business intelligence, operational reporting, financial insights, and data-driven recommendations
Develop reporting and analytical solutions supporting care management, utilization management, quality improvement, member engagement, FEP performance, and executive decision-making
Partner with Clinical Operations, FEP Business Operations, and Quality stakeholders to identify business needs and develop analytical solutions
Design, develop, and maintain dashboards, scorecards, reports, and self-service analytics solutions
Analyze healthcare claims, member, provider, care management, utilization, quality, and operational data
Develop recurring and ad hoc operational and financial reporting for leadership
Support analytical methodologies to evaluate program effectiveness and intervention outcomes
Collaborate with business partners, BI Analysts, and Data Scientists to define data requirements, improve data quality, and operationalize analytical solutions
Facilitate requirements gathering, solution design, and stakeholder review sessions
Validate data accuracy, reconcile reporting outputs, and ensure metric consistency across systems and audiences
Communicate findings, insights, risks, and recommendations through visualizations, presentations, and written summaries
Establish reporting standards, documentation, governance practices, and development methodologies
Manage multiple projects and priorities while communicating status, risks, dependencies, and opportunities

Requirements

What you’ll need

Bachelor's degree or advanced degree (where required), or 5+ years of experience in related field in lieu of degree
3+ years of experience in related field
Strong analytical, problem-solving, and communication skills
Experience supporting Care Management, Utilization Management, Quality Improvement, Population Health, or Federal Employee Program (FEP) initiatives
Knowledge of healthcare claims processing, CPT, HCPCS, ICD-10, DRG, Medical Cost Groupers (MCG), and HEDIS
Experience measuring clinical program outcomes, quality performance, member engagement, utilization trends, cost of care, and operational performance metrics
Experience evaluating healthcare interventions and conducting program effectiveness analyses
Experience with Snowflake
Experience building AI agents
Proficiency in Business Analysis, Business Data Analytics, Business Intelligence (BI), Cloud Applications, Data Warehousing (DW), Statistical Models, and Structured Query Language (SQL)

Benefits

Comp & perks

Annual Incentive Bonus based on annual corporate goal achievement and individual performance
401(k) with employer match
Paid Time Off (PTO)
Competitive health benefits
Wellness programs