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

Blue Cross Blue Shield of Arizona•Phoenix, AZ

5d•Remote

About The Position

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.

Requirements

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)
Bachelor's Degree in mathematics, statistics, business, or related field of study (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)
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.

Nice To Haves

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)
Master’s Degree in mathematics, statistics, business, or related field of study. (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
Project management skill needed to create timelines, track deliverables and progress, resolve issues, and communicate project status
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

Responsibilities

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).
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.
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.
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.
Each progressive level includes the ability to perform the essential functions of any lower levels and mentor employees in those levels.
Perform all other duties as assigned.