Senior Medical Economics Analyst

State of Arizona•Phoenix, AZ

66d•$70,000 - $75,000•Remote

About The Position

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. We are searching for someone who is analytical and detail-oriented, who can compile results and present complex data and insights to a variety of audiences, including Executive Leadership. The ideal candidate will demonstrate expertise in analytics, data interpretation, and trend analysis, coupled with strong communication and presentation skills. If you excel at articulating data-driven findings, responding thoughtfully to spontaneous questions, and conveying information in a clear and compelling manner to diverse audiences, we would like to have you on our team! The Senior Medical Economics Analyst produces data-driven analysis to support healthcare operations, collaborating with business areas to develop reports, dashboards, and actionable insights. The position identifies opportunities to better manage medical costs, evaluates cost reduction initiatives, and presents findings to internal partners and agency leaders. As part of the Medical Operations Analytical Review (MOAR) team, the role manages projects, prepares presentations, and supports agency initiatives to improve care. This position may offer the ability to work remotely, within Arizona, based upon the department's business needs and continual meeting of expected performance measures.

Requirements

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
Medicaid/Medicare programs and services
Modeling of complex datasets
Familiarity with health plan economics, cost reduction initiatives, and financial outcomes related to medical care
Reporting and analytics
Knowledge of AHCCCS utilization, unit cost drivers, performance metrics, membership trends, and contract types, AHCCCS business needs, operations and dependencies
Power BI and/or equivalent BI tools
Microsoft Excel, Word and PowerPoint
PMMIS
Data management concepts, practices, and procedures focusing on data governance
Managed Care Organization and CMS policies
Strong customer service skills
Excellent interpersonal, written, and oral communication skills (verbal, written, and presentation)
Excellent problem-solving skills and attention to details
Ability to extract, analyze, interpret, and present complex data; skilled in turning data into actionable insights and visualizations
Proficient in developing and monitoring reporting packages and dashboards with key performance indicators
Capable of managing long and short-term projects, tracking and documenting work from start to finish
Strong skills in presenting findings and insights, leading discussions, and educating stakeholders about the strategic value of data
Ability to provide consultative analysis and support to business partners and agency leaders
Analyze healthcare utilization to spot patterns, variations, and outliers, and perform drill-down analysis to identify cost trend drivers
Work collaboratively with agency leaders and team members to achieve goals and improve care
Support the development and training of colleagues, contributing to a knowledgeable and effective team environment
Participate in agency initiatives and support staffing to deliver results across medical economics functions
Balance, prioritize and organize multiple tasks
Synthesize feedback and adjust plans accordingly
Resolve incidents/problems efficiently and effectively, recognizing customers' competence levels, and approach each level appropriately
Understand and anticipate needs and priorities of both internal and external customers
Organize data in a way that facilitates inferences, conclusions, and decisions
Bachelor's degree in Mathematics, Statistics, Economics, Finance or healthcare related discipline and/or 2 years of experience in business analysis or equivalent. 2 years of 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. 1 year of experience querying, summarizing, and manipulating data using SQL, SAS, Python, R, or PowerBI.

Nice To Haves

Master's degree in Mathematics, Statistics, Economics, Finance or healthcare related discipline. 5 years of Medicaid or Medicare 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.

Responsibilities

Collaborate with business areas to develop and monitor standard reporting packages and dashboards. This includes tracking key performance indicators, researching healthcare delivery topics, analyzing claims and membership data, and recommending solutions to address business challenges. Present analytical findings to internal partners and agency leaders, often leading discussions and providing deeper analysis. Identify and quantify opportunities to reduce medical costs and evaluate the effectiveness of cost reduction initiatives. Analyze healthcare utilization to detect patterns, variations, and outliers, and provide consultative support based on medical cost analysis.
As part of the Medical Operations Analytical Review (MOAR) team, prepare for monthly presentations and manage both long- and short-term projects. Work collaboratively with AHCCCS leaders to achieve goals that improve member care. Ensure accurate and timely preparation of health plan economics analyses and reporting.
Analyze and research aspects of AHCCCS, including utilization, unit cost drivers, performance metrics, operational targets, membership trends, and financial data by health plan and contract type. Transform data into actionable information through data visualization and support the development of action items by identifying outlier cost issues.
Participate in agency initiatives, supporting staffing and results across all functions within AHCCCS and the Medical Economics unit. Develop and analyze processes to review financial data for senior leadership. Contribute to efforts that educate executives, employees, and customers about the strategic value of data as a business asset and decision-making tool.
Support the development and training of team members and colleagues, fostering a collaborative and knowledgeable work environment.

Benefits

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.
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

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