BcbsnjHiring

RN, Data Analyst

  • Remote, United States
  • Mid-level
  • Posted 7 days ago
In one line

Nurse with claims data skills working on stop loss risk, spotting high-risk members and coordinating their care.

About the role

Stop loss risk oversight sits with a central team, and this role links it to care management and delivery across the company for members in covered groups.

At a glance

Pay
Not stated in the posting
Remote scope
Remote, United States
Seniority
Mid-level
Skills
Care management, Risk identification, Pharmacy management, Quality improvement
Posted
22 Oct 2026
Last checked
26 Oct 2026

What you will do

  • Find high-risk patients in new and renewal groups using claims reporting tools
  • Check clinical need against guidelines so care levels are appropriate
  • Get high-risk claimants into care management and keep them engaged
  • Work with sales, brokers and account managers to reach members
  • Coordinate care outside the service area, including transplant centres

What they look for

  • High school diploma or GED at minimum
  • A nursing degree or diploma preferred, or a related health qualification
  • At least two years of clinical experience
  • At least three years in health care delivery

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Connector URL
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How to connect

Questions about this job

Can I do this job remotely, and from which countries?

Yes. The posting lists RN, Data Analyst as a remote role for candidates in the United States.

What does this job pay?

The posting does not state a salary, so there is no figure to quote.

What experience is needed?

It is a mid-level role. The posting asks for: high school diploma or GED at minimum; a nursing degree or diploma preferred, or a related health qualification; at least two years of clinical experience. Skills it names include Care management, Risk identification, Pharmacy management, Quality improvement.

How do I apply with Keywordise AI?

Press the Apply with Keywordise AI button and add your CV. Keywordise tailors your CV and cover letter to this posting and sends the application for you, with a free 7-day trial and no card.

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