Senior Medical Economics Analyst

Job Summary:

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. The State of Arizona ranks #30 in Healthiest 100 Workplaces in America! This recognition honors organizations that champion employee wellbeing through innovative health programs, inclusive wellness initiatives, and a culture rooted in care.

The Senior Medical Economics 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, Skills & Abilities (KSAs):

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 PowerPoint
• 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

Skills:
• Strong customer service skills
• Excellent interpersonal, written, and oral communication skills (verbal, written, and presentation)
• Excellent problem-solving skills and attention to details

Abilities:
• Balance, prioritize and organize multiple tasks
• Work collaboratively in teams and across organizations
• Synthesize feedback and adjust plans accordingly
• Build strong relationships inside and outside the organization
• Resolve incidents/problems efficiently and effectively, recognizing customers’ competence levels, and able to approach each level appropriately
• Supervise small to medium teams
• Understand and anticipate needs and priorities of both internal and external customers
• Organize data in a way that facilitates inferences, conclusions, and decisions

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 PowerBI.

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 PowerBI. Experience clearly explaining complex methodologies and present findings and recommendations to both technical and non-technical audiences.

Pre-Employment Requirements:

• Successfully pass fingerprint background check, prior employment verifications and reference checks; employment is contingent upon completion of the above-mentioned process and the agency’s ability to reasonably accommodate any restrictions.
• Travel may be required for State business. Employees who drive on state business must complete any required driver training (see Arizona Administrative Code .)

If this position requires driving or the use of a vehicle as an essential function of the job to conduct State business, then the following requirements apply:

All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).

Benefits:

Among the many benefits of a career with the State of Arizona, there are:
• 10 paid holidays per year
• Paid Vacation and Sick time off (13 and 12 days per year respectively) - start earning it your 1st day (prorated for part-time employees)
• Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child. Learn more about the Paid Parental Leave pilot program here.
• Other Leaves - Bereavement, civic duty, and military.
• A top-ranked retirement program with lifetime pension benefits
• A robust and affordable insurance plan, including medical, dental, life, and disability insurance
• Participation eligibility in the Public Service Loan Forgiveness Program (must meet qualifications)
• RideShare and Public Transit Subsidy
• A variety of learning and career development opportunities

By providing the option of a full-time or part-time remote work schedule, employees enjoy improved work/life balance, report higher job satisfaction, and are more productive. Remote work is a management option and not an employee entitlement or right. An agency may terminate a remote work agreement at its discretion.

Learn more about the Paid Parental Leave program . For a complete list of benefits provided by The State of Arizona, please visit our

Retirement:

Lifetime Pension Benefit Program
• Administered through the Arizona State Retirement System (ASRS)
• Defined benefit plan that provides for life-long income upon retirement.
• Required participation for Long-Term Disability (LTD) and ASRS Retirement plan.
• Pre-taxed payroll contributions begin after a 27-week waiting period (prior contributions may waive the waiting period).

Deferred Retirement Compensation Program
• Voluntary participation.
• Program administered through Nationwide.
• Tax-deferred retirement investments through payroll deductions.