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Analyst- Analytics and Data Science II-III (Remote)Blue Cross Blue Shield of Arizona • Phoenix, Arizona, United States
Postuler Maintenant
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Analyst- Analytics and Data Science II-III (Remote)

Blue Cross Blue Shield of Arizona
  • US
    Phoenix, Arizona, United States
  • US
    Phoenix, Arizona, United States
Postuler Maintenant

À propos

Purpose of the job
Provide strategic analysis that impacts business decisions, improves efficiency and drives innovation. Perform data extraction, healthcare cost analysis, analytical model development, as well as production of various reports to support corporate strategies and initiatives. Execute complex analyses that guide the development of reimbursement policy, provider negotiations, network development, value-based care, population health management, utilization management programs and other medical cost containment solutions.
Hybrid Workforce Requirements At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following classifications drive our current minimum onsite requirements:
Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week
Hybrid Individual Contributors: must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per week
Hybrid 2 (Operational Roles such as but not limited to: Customer Service, Claims Processors, and Correspondence positions): must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per month
Onsite: daily onsite requirement based on the essential functions of the job
Remote: not held to onsite requirements, however, leadership can request presence onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building
This remote work opportunity requires residency, and work to be performed, within the State of Arizona.
Qualifications REQUIRED QUALIFICATIONS
Required Work Experience
1 year of experience in data analysis using analytic tools and processes (Level 1)
3 years of experience in data analysis using analytic tools and processes (Level 2)
3 years of experience working for a healthcare organization/health insurer in data analysis using analytic tools and processes using advanced SAS procedures and/or data mining (Level 3)
5 years of experience working for a healthcare organization/health insurer in data analysis using analytic tools and processes using advanced SAS procedures and/or data mining (Level 4)
Required Education
Bachelor's Degree in mathematics, statistics, business, or related field of study (Applies to All Levels)
Required Licenses
N/A
Required Certifications
N/A
PREFERRED QUALIFICATIONS
Preferred Work Experience
1 year of experience in data analysis working for a healthcare organization / health insurer (Level 1)
3 years of experience working for a healthcare organization / health insurer, including development of business analytics and financial impact analyses (Level 2)
5 years of experience working for a healthcare organization / health insurer, including development of business analytics and financial impact analyses (Levels 3, 4)
Preferred Education
Master’s Degree in mathematics, statistics, business, or related field of study. (Applies to All Levels)
Preferred Licenses
N/A
Preferred Certifications
N/A
ESSENTIAL job functions AND RESPONSIBILITIES Level 1
Provide accurate, timely and reliable delivery of data, metrics, reporting and analysis in support of multiple strategic goals, mandates, and legislation
Develop processes, write programs and/or create databases using analytic tools to produce accurate and timely completion of analytic solutions
Identify, analyze, interpret and validate healthcare data metrics, trends and patterns
Develop and analyze business performance reports (e.g. for claims data, provider data, utilization data) and provide notations of performance deviations and anomalies
Model financial impact analyses for a variety of business initiatives
Partner with peers to establish, evaluate, and continually improve measurement methodologies, while adhering to nationally accepted analytic and reporting standards
Act as liaison to both internal business partners and external providers or vendors
Create, modify, maintain, and enhance existing programming or business processes associated with specific responsibilities
Interpret, communicate, and present results to all levels of management in consistent and easy to understand formats to facilitate fact-based decision-making
Complete projects within preset timelines and report status to supervisor and project manager
Prepare written documentation on projects to provide a peer review trail and ensure continuity and integrity
Build and maintain close working relationships with internal stakeholders and key external client contacts (e.g. Providers, Internal Clinicians, Vendors, Customers, Brokers, BCBS Association, Blues Plans, Auditors)
Level 2
Serve as an internal analytics consultant to define business questions and transform data and analysis into meaningful and actionable information for a variety of business areas
Perform complex analyses and interpret complex calculations to recommend actions and solutions
Develop financial models needed to accomplish analytic goals
Serve as subject matter expert for internal stakeholders
Design and deliver self-service business intelligence tools to internal customers
Make sound assumptions and fact-based recommendations and discuss with supervisor, manager, or project manager
Effectively communicate results and recommendations to internal and external customers
Provide self- and peer-review of job responsibilities
Share knowledge of skills, projects, and business needs with peers and less-experienced analysts. Train new analysts
Report to a supervisor or manager who provides general supervisory instructions, manages projects and reviews results. Develops own work-plans, and discusses timelines, prioritization, and objectives with supervisor or manager
Level 3
Create and research analyses and recommendations which help achieve corporate initiatives and goals
Produce complex analytic solutions and consolidate complex analytics into easy-to-understand presentations focused on business implications
Deliver business intelligence to clients by applying and demonstrating expertise in the areas of advanced analytics, forecasting, data extrapolation, and predictive modeling
Communicate (both verbally and in writing) and interpret results, recommendations and abstract concepts to internal and external customers. Anticipate and address possible customer questions and concerns
Report to a supervisor or manager who provides minimal supervisory instructions, limited project management, and minimal or limited review of results beyond pre-release peer review
Train and mentor other analysts
Level 4
Drive and implement complex and critical analytic initiatives with minimal oversight. Includes working independently on creating timelines, working with other areas to define deliverables, monitoring progress, implementing the project and resolving/monitoring post-implementation issues
Represent the department when meeting/strategizing with leadership of other areas, practicing situational awareness and balancing the business needs with prioritization of analytics resources
Review results post-implementation to ensure projections are realized and recommend modifications as applicable
Incorporate strategic planning in all areas of responsibility, collaborating with internal business partners to define and execute strategy or direction
Participate in leading overall strategic direction and execution of data, analytical and reporting capabilities, tools, outputs, insights and business/clinical interpretation and advisory services
ALL LEVELS
Each progressive level includes the ability to perform the essential functions of any lower levels and mentor employees in those levels
The position requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements
Perform all other duties as assigned
competencies REQUIRED COMPETENCIES
Required Job Skills
(Applies to All Levels)
Intermediate PC proficiency
Intermediate proficiency in database, presentation, spreadsheet and word processing software
General proficiency in mathematical concepts
Intermediate proficiency in computer programming, including SAS and other business intelligence programs
Intermediate understanding of data management principles
Advanced skills in mathematics and statistics (Applies to Levels 2 – 4)
Intermediate skill with SAS/SQL programming (Applies to Levels 2 – 4)
Advanced understanding of data management principles (Level 3-4)
Proficiency in SAS Enterprise Business Intelligence software (Level 3-4)
Intermediate skill with data visualization tools, such as Tableau (Level 3-4)
Required Professional Competencies
(Applies to All Levels)
General knowledge of the healthcare industry
Broad understanding of health insurance terms and concepts
Analytical knowledge necessary to generate analytic solutions
Ability to solve problems independently and draw accurate conclusions from data using basic analytic techniques
Ability to deal with ambiguity and make recommendations with less than complete or conflicting information
Skill in prioritizing tasks and working with multiple priorities, sometimes under limited time constraints
Ability to maintain confidentiality and privacy
Ability to communicate effectively, both orally and in writing, to all levels in all departments
Ability to distill and communicate financial levers and impacts to non-technical audiences
Ability to build and maintain productive working relationships with others
Proactive about requesting enough information to fully understand and meet the business need
Required Leadership Experience and Competencies
(Applies to All Levels)
N/A
PREFERRED COMPETENCIES
Preferred Job Skills
(Applies to All Levels)
Advanced proficiency in spreadsheet, database and word processing software
Intermediate proficiency with data warehouses and query tools / design
Intermediate skill with data visualization tools, such as Tableau
Intermediate proficiency with development, testing, and management of Tableau Dashboards
Intermediate understanding of data management principles
Advanced skill in database, spreadsheet, business intelligence, statistical, and data cubing software
Familiarity with provider network design processes and strategies
Knowledge of health benefit design and rating techniques
Advanced skills in mathematics and statistics
Proficiency in SAS Enterprise Business Intelligence software
Advanced understanding of data management principles
Preferred Professional Competencies
(Applies to All Levels)
Project management skill needed to create timelines, track deliverables and progress, resolve issues, and communicate project status
Preferred Leadership Experience and Competencies
(Applies to All Levels)
Ability to engage and collaborate with team members and business stakeholders at all levels of the organization
Ability to make decisions in a timely manner, sometimes with incomplete information and under tight deadlines
High standard of performance while pursuing aggressive goals
Principled leadership and sound business ethics
AZ Blue does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group.
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  • Phoenix, Arizona, United States

Compétences linguistiques

  • English
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