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Senior Healthcare Data Analyst: ACA + EDGE
Blue Cross and Blue Shield of North Carolina
Any
Pennsylvania, Philadelphia
Healthcare & Medical
Posted:
June 16, 2026
Location:
Pennsylvania, Philadelphia, United States
Job Description
Job DescriptionWe 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, employee groups, int...
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, employee groups, int...
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Apply Now Save for LaterJob Overview
Job Type:
Any
Location:
Pennsylvania, United States
Posted:
June 16, 2026
Deadline:
July 26, 2026