Analyst- Analytics and Data Science II-III (Remote)

Requirements

• 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/heath 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/heath 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
• 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
• 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 man

Benefits

Additional Information

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions. 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 Please note that onsite requirements may change in the future, based on business need, and job responsibilities. Most employees should expect onsite requirements and at a minimum of once per week. This remote work opportunity requires residency, and work to be performed, within the State of Arizona. 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.

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