AHCCCS - Arizona Health Care Cost Containment System
Phoenix
FULL TIME
Healthcare Analyst - Medical Economics
**Must reside in the state of Arizona. This position is eligible for full-time remote work (including virtual office arrangement in Arizona). Job Overview
A career in public service awaits you. COME JOIN OUR TEAM!
A great benefit of working for the State of Arizona is a fantastic work/life balance. State employees enjoy challenging work, popular remote work options, comprehensive health and wellness benefits, and career growth opportunities. What You'll Do: The Healthcare Financial Analyst will work in the Office of Data Analytics translating Medicaid claims, encounters, membership and other data into consumable actionable insights via summaries, visualizations, and recommendations. Major duties and responsibilities include but are not limited to:
Production of data-driven analysis and its presentation: Work with business areas to create and monitor standard reporting packages and dashboards including key performance indicators, Research healthcare delivery topics, analyze data, and recommend solutions to address business challenges, Analyze claims, encounters, membership, and other data to identify early signs of trends or other issues related to medical care costs and quality of care, Extract, analyze, and interpret data for more complex insights related to cost drivers, and Present analytical findings to internal business partners and Agency leaders which may include leading discussions and providing further analysis.
Participate in several Agency initiatives, supporting staffing to deliver results across all functions within the Office of Data Analytics including: Develop research and analyze processes to review financial data to draw conclusions for senior leadership.
Participate in efforts to educate executives, employees and customers regarding the strategic value of data and its important role as a business asset and decision-making tool.
Support the development and training of team members and colleagues.
Knowledge
Data management concepts, practices, and procedures focusing on data governance
Healthcare data and concepts including medical and pharmacy claims, utilization management and demographic data and healthcare industry coding systems ICD-10, CPT/HCPCS, Revenue Codes, and others as applicable
Modeling of complex datasets
Data analysis and data mining
Reporting and analytics
IBM Cognos, Power BI and/or equivalent BI tools
Microsoft Excel, Word and Power Point
Medicaid/Medicare programs and services
PMMIS
AHCCCS business needs, operations and dependencies
Encounter processing
Managed Care Organization and CMS policy that relate to data governance
Qualifications
Minimum:
Bachelor’s degree in Mathematics, Statistics, Economics, Finance or healthcare related discipline and/or 10 years of experience in business analysis or equivalent. Medicaid or Medicare experience working with healthcare data including but not limited to medical claims data at a medical insurance company or equivalent work history at a State or Federal level for these programs. Experience querying, summarizing, and manipulating data using SQL, SAS, Python, R, Machine Learning, Cognos or Power BI.
Preferred:
Master’s degree in Mathematics, Statistics, Economics, Finance or healthcare related discipline. Experience preparing/presenting dashboards and data using a data visualization tool such as Power BI. Experience clearly explaining complex methodologies and present findings and recommendations to both technical and non-technical audiences.
Part of the interview process includes an exercise on data analysis. ***Must reside in the state of Arizona. This position is eligible for full-time remote work (including virtual office arrangement in Arizona). Job Type: Full-time Pay: $69,300.00 - $75,000.00 per year Benefits: