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Senior Healthcare Data Analyst: ACA + EDGE

Company

BlueCross BlueShield of North Carolina

Location

Remote Flex, United States

Type

Full-time

**Job Description**

We are seeking a highly skilled Senior Data Analyst with deep expertise in Affordable Care Act (ACA) Risk Adjustment and EDGE server submissions. This role will serve as a key liaison between business stakeholders, risk adjustment operations, and technical teams to ensure the accuracy, completeness, and timeliness of EDGE data submissions and reporting.

The ideal candidate will have strong experience with ACA data flows (enrollment, claims, supplemental), HCC modeling, and reconciliation of EDGE outputs, along with advanced analytical and data validation skills.

In this role you will be responsible for providing complex analytic support, which includes data collection, trending, reporting and forecasting functions to effectively assist departments/divisions with decision making. Prepares complex data for various internal and external customers, such as Department of Insurance (DOI), lawyers, external auditors, contracting vendors, employe...

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