Ready to help us transform healthcare? Bring your true colors to blue.
About the Role
The Financial and Evaluation Measurement team is seeking a Data Scientist with strong technical expertise and a background in a quantitative discipline. In this role, you'll work with large, complex healthcare datasets to project and evaluate the financial impact of policy changes, clinical programs, and third-party solutions. You'll design analytical models and compelling visualizations that inform key business decisions, helping shape strategies to lower costs and improve the quality of care for our members.
This role is eligible for our Flex Persona. For candidates local to our Boston, MA and Hingham MA offices.
Your Day to Day
Analyze large, complex datasets from a robust Enterprise Data Warehouse to identify drivers of healthcare cost trends, market pressures, and profitability.
Design and execute advanced statistical models and predictive analytics to inform financial projections and evaluate cost/benefit of business initiatives.
Create clear, compelling data visualizations and communicate actionable recommendations that reduce healthcare costs and improve member outcomes.
Lead cross-functional analytic projects from design through implementation, ensuring consistent representation of financial performance across the organization.
Partner closely with teams including Payment Integrity, Health and Medical Management, Provider Contracting, and others, to ensure alignment between analytics and business strategy.
We're Looking For
Bachelor's degree in Mathematics, Statistics, Data Science, Economics, Healthcare Analytics, or related field required. Master's degree preferred.
5+ years of professional experience in data science, healthcare analytics, or a related field.
Proficiency in SQL, Python and/or R for data extraction, manipulation, and modeling.
Experience with data visualization tools (e.g., Tableau, Power BI).
Familiarity with SAS is a plus but not required.
Strong analytical and problem-solving skills with attention to detail.
Excellent communication skills-able to distill complex analyses into clear, actionable insights for non-technical audiences.
Proven ability to manage multiple projects and meet deadlines in a fast-paced environment.
Collaborative mindset and adaptability to shifting business priorities.
What You Bring
Passion for using data to improve healthcare quality and affordability.
A creative, solution-oriented approach to complex business problems.
Ability to influence decision-making through clear data-driven insights and strong stakeholder partnerships.
A team-first perspective with a proven record of driving projects to completion and measurable impact.
What You'll Gain
You will design and validate analytic frameworks, uncover emerging drivers of healthcare cost and utilization, and deliver insights that shape strategy in pricing, product development, financial planning, and forecasting.
The Business & Account Analytics team executes innovative analytics to inform corporate strategy in critical areas including competitiveness, affordability, profitability, provider payment reform and health care policy. As an Analyst on the Business & Account Analytics team, you will work with a rich dataset and a robust well-established Enterprise Data Warehouse to identify emerging drivers of health care trend and cost, market pressures, and profitability.
LI-Hybrid
Minimum Education Requirements:
High school degree or equivalent required unless otherwise noted above
LocationBostonTime TypeFull time
Salary Range: $114,414.00 - $142,120.00
The job posting range is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the posted range, and the range may be modified in the future. An employee's pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs and affordability.
This job is also eligible for variable pay.
We offer comprehensive package of benefits including paid time off, medical/dental/vision insurance, 401(k), and a suite of well-being benefits to eligible employees.
Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
WHY Blue Cross Blue Shield of MA?
We understand that the confidence gap (https://www.theatlantic.com/magazine/archive/2014/05/the-confidence-gap/359815/) and imposter syndrome (https://www.braintreepayments.com/blog/overcoming-imposter-syndrome/) can prevent amazing candidates coming our way, so please don't hesitate to apply. We'd love to hear from you. You might be just what we need for this role or possibly another one at Blue Cross Blue Shield of MA. The more voices we have represented and amplified in our business, the more we will all thrive, contribute, and be brilliant. We encourage you to bring us your true colors, , your perspectives, and your experiences. It's in our differences that we will remain relentless in our pursuit to transform healthcare for ALL.
As an employer, we are committed to investing in your development and providing the necessary resources to enable your success. Learn how we are dedicated to creating an inclusive and rewarding workplace that promotes excellence and provides opportunities for employees to forge their unique career path by visiting our Company Culture (https://careers.bluecrossma.org/us/en/culturepage) page. If this sounds like something you'd like to be a part of, we'd love to hear from you. You can also join our Talent Community (https://careers.bluecrossma.org/us/en/jointalentcommunity?applyType=JTC) to stay "in the know" on all things Blue.
At Blue Cross Blue Shield of Massachusetts, we believe in wellness and that work/life balance is a key part of associate wellbeing. For more information on how we work and support that work/life balance visit our "How We Work (https://careers.bluecrossma.org/us/en/how-we-work) " Page.
Voted as the highest in member satisfaction among Massachusetts commercial health plans by JD Power , Blue Cross Blue Shield of Massachusetts is a community-focused, tax-paying, not-for-profit health plan headquartered in Boston. We have been a market leader for over 75 years, and are consistently ranked among the nation's best health plans. Our daily efforts are dedicated to effectively serving our 2.8 million members, and consistently offering security, stability, and peace of mind to both our members and associates.
Our Commitment to You
We are committed to investing in your development and providing the necessary resources to enable your success. We are dedicated to creating a refreshing and rewarding workplace that promotes excellence and provides opportunities for employees to forge their unique career path. We take pride in our diverse, community-centric, wellness-focused culture and believe every member of our team deserves to enjoy a positive work-life balance.
Blue Cross Blue Shield of Massachusetts is an Equal Employment Employer - veterans/disability. Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or expression, or any other characteristics protected by law.
Blue Cross Blue Shield of Massachusetts will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with Blue Cross Blue Shield of Massachusetts's legal duty to furnish information.