Job Details

Primary Skills

Job Title: Power BI Developer

 Duration: 6+ month Contract with extension

Location: : remote, EST work timings
Client: Capital Blue Cross

Visa Restriction: USC, GC, GCEAD , H4EAD

MOI: Virtual

Rate – $65 on C2C

·       Need Recent Health payer client exp., EX- UnitedHealth Group / UnitedHealthcare, Elevance Health (formerly Anthem), Kaiser Permanente, CVS Health/Aetna, The Cigna Group, Molina Healthcare

·       Two managerial references

·       Please do not have candidates update resume based on the JD

Key Responsibilities

• Design, develop, and deploy interactive dashboards and reports using Power BI to support utilization management, care coordination, and payer operations.
• Translate complex healthcare data (claims, authorizations, eligibility, provider, and clinical datasets) into actionable insights.
• Build and optimize data models using star/snowflake schemas to support scalable reporting.
• Develop DAX calculations, measures, and KPIs aligned with UM metrics such as:
  • Authorization turnaround times
  • Denial rates
  • Length of stay (LOS)
  • Readmission rates
  • Utilization trends by service line
• Integrate data from multiple sources including data warehouses, SQL databases, APIs, and flat files.
• Collaborate with business stakeholders (UM teams, case managers, medical directors) to gather reporting requirements and translate them into technical specifications.
• Ensure data accuracy, consistency, and compliance with healthcare regulations (e.g., HIPAA).
• Perform performance tuning and optimization of Power BI reports and datasets.
• Support ad hoc reporting and analytics requests.
• Maintain documentation for data models, reports, and ETL processes.

Preferred Qualifications

• Experience with healthcare payer platforms (e.g., Facets, QNXT, HealthEdge).
• Microsoft Power BI certification (e.g., PL-300).

Key Competencies

• Strong analytical and problem-solving skills.
• Ability to communicate technical concepts to non-technical stakeholders.
• Attention to detail and data quality.
• Ability to manage multiple priorities in a fast-paced environment.
• Understanding of healthcare compliance and data privacy requirements.