Job Description
DUTIES: Wellmark of South Dakota Inc. seeks a Large Claims Analytics Consultant based out of our office at 1331 Grand Avenue, Des Moines, IA 50309. This is a hybrid position whereby the employee will work both from home and from the aforementioned office address. Hence, the employee must live within a reasonable commuting distance of the aforementioned office address.
Gather, manipulate, and analyze member claims data to identify trends and provide actionable insights for large claims. Perform time-series forecasting and causal inference to support decision-making and strategic planning. Utilize Microsoft Power BI, SAP Business Objects, SAS, SQL, and Python to create comprehensive data analyses and visualizations. Develop and implement data engineering and machine learning applications to enhance data processing and analysis capabilities. Collaborate with business stakeholders to understand their needs and translate them into actionable data insights. Ensure data integrity and quality by implementing best practices for data collection, storage, and processing. Provide technical support and guidance on data analysis and business intelligence tools. Communicate complex data insights and technical information effectively to non-technical stakeholders. Proactively identify potential risks in data management and propose effective solutions. Other duties as assigned.
Qualifications
Bachelor’s degree in Computer Science, Business Analytics, or related;
24 months of experience in job offered or related;
Experience must include: Two (2) years of experience with the following: time-series forecasting; causal inference with health claims; Microsoft Power BI, SAP Business Objects, SAS, SQL, and Python applications related to data engineering or machine learning; data visualization and formula creation; and business intelligence or analysis platforms.
AWS Cloud Practitioner Certification required.
OTHER: Employer: Wellmark of South Dakota Inc. Job Site: 1331 Grand Avenue, Des Moines, IA 50309. 40 hours per week.
Additional Information
All your information will be kept confidential according to EEO guidelines.
An Equal Opportunity Employer
The policy of Wellmark Blue Cross Blue Shield is to recruit, hire, train and promote individuals in all job classifications without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or any other characteristic protected by law.
Applicants requiring a reasonable accommodation due to a disability at any stage of the employment application process should contact us at [email protected]
Please inform us if you meet the definition of a "Covered DoD official".
Top Skills
What We Do
Wellmark Blue Cross and Blue Shield and its subsidiaries provide health coverage to more than 2 million members in Iowa and South Dakota. And through the Blue Cross Blue Shield Association, Wellmark is part of a trusted national network that insures more than 100 million people. That's nearly 1/3 of all Americans.
Wellmark offers flexible benefit designs, competitive prices, and a large selection of providers. Nearly all physicians and hospitals in Iowa and South Dakota participate with Wellmark, and the Blue Cross and Blue Shield Association provides extensive national and international coverage.
*Wellmark Blue Cross and Blue Shield is An Independent Licensee of the Blue Cross and Blue Shield Association serving Iowa and South Dakota.
