Care Pathway, Patient Engagement Analyst

Blue Cross NC

. Conduct claims and other analyses focused on care pathways, patient engagement, utilization patterns, provider performance, affordability opportunities, and healthcare consumer behavior .

Posted 11/2/2026full-timeRemote • United StatesMid-LevelSenior💰 $89,174 - $142,679 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in healthcare analytics, including predictive modeling, statistical analysis, and the development of decision-support tools. Proficient in leveraging healthcare data to evaluate patient engagement, care pathways, and financial impacts.

Highest-signal resume keywords

Healthcare AnalyticsPredictive ModelingSQL ProficiencyStatistical AnalysisData Visualization

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Predictive ModelingStatistical AnalysisHealthcare Data AnalysisA/B TestingLongitudinal AnalysisEpisode-Based AnalyticsCare Pathway AnalysisAnalytical Model DevelopmentClinical Grouping MethodologiesGeospatial Analytics

Soft Skills

CollaborationCommunicationAnalytical RigorKnowledge SharingPresentation Skills

Tools & Technologies

SQLPythonRBusiness Intelligence PlatformsCloud-Based AnalyticsData Visualization ToolsDashboardsDecision-Support ToolsAI ApplicationsMachine Learning

Industry Keywords

Healthcare AnalyticsHealth Plan AnalyticsClinical InformaticsHealth EconomicsActuarial AnalyticsHealthcare DatasetsPatient EngagementUtilization PatternsProvider PerformanceSocial Determinants of Health

Tech Stack

Tools & technologies

CloudPythonSQL

About the role

Key responsibilities & impact

Conduct claims and other analyses focused on care pathways, patient engagement, utilization patterns, provider performance, affordability opportunities, and healthcare consumer behavior
Support analytic frameworks identifying members likely to benefit from interventions
Develop predictive models, segmentation approaches, and targeting methodologies
Evaluate engagement strategies, outreach programs, and affordability initiatives using A/B testing, quasi-experimental methods, and other impact evaluation techniques
Analyze longitudinal healthcare journeys, utilization patterns, care gaps, clinical variation, and intervention opportunities
Apply episode-of-care methodologies, pathway analytics, and healthcare grouping approaches
Measure financial impact and quantify opportunities, intervention impact, and realized savings
Analyze patient risk, disease burden, social determinants of health, clinical complexity, benefit design, and engagement propensity
Leverage provider, network, referral, access, and site-of-care analytics
Apply geospatial analytics related to provider availability, travel burden, appointment access, and network characteristics
Partner with technology and data teams on integrated healthcare data assets
Develop dashboards, reports, decision-support tools, and analytical products
Explore AI, machine learning, natural language processing, and generative AI applications
Translate analytical findings into recommendations and presentations for business leaders and operational stakeholders
Share knowledge, support colleagues, and maintain analytical rigor and business impact

Requirements

What you’ll need

Bachelor's degree or advanced degree (where required)
5+ years of experience in related field
In lieu of degree, 7+ years of experience in related field
Experience in healthcare analytics, health plan analytics, healthcare data science, clinical informatics, health economics, management consulting, actuarial analytics, or a related quantitative discipline
Experience working with healthcare data, including medical and pharmacy claims, provider data, eligibility data, care management data, or related healthcare datasets
Proficiency in SQL and familiarity with modern analytics tools such as Python, R, or comparable analytical technologies
Experience conducting statistical analyses, developing analytical models, and working with large healthcare datasets
Experience developing analyses, dashboards, reports, or decision-support tools
Experience using modern business intelligence platforms, cloud-based analytics environments, and data visualization tools
Familiarity with episode-based analytics, care pathway analyses, clinical grouping methodologies, or healthcare journey analytics is preferred

Benefits

Comp & perks

Work-life balance, flexibility, and autonomy
Medical, dental, and vision coverage
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