Blue Cross Blue Shield of Arizona
Sr Analyst, Analytics and Data Science - Stars Program - Remote AZ
Blue Cross Blue Shield of Arizona, Phoenix, Arizona, United States, 85003
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.
QUALIFICATIONS REQUIRED QUALIFICATIONS
Required Work Experience
3 years of experience in data analysis using analytic tools and processes
Required Education
Bachelor's Degree in mathematics, statistics, business, or related field of study
Required Licenses
N/A
Required Certifications
N/A
PREFERRED QUALIFICATIONS
Preferred Work Experience
3 years of experience working for a healthcare organization / health insurer, including development of
2 years of experience in Medicare Advantage, HEDIS and/or CMS Stars
Preferred Education
Master’s Degree in mathematics, statistics, business, or related field of study
Preferred Licenses
N/A
Preferred Certifications
N/A
ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES
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
Develop annual off‑cycle CAHPS survey to support future state CAHPS incentive across provider contracts, including payout of incentives for achieved CAHPS targets
Develop provider scorecards for quarterly distribution with supporting monthly care gap reporting
Provider scorecards to appropriately rank provider performance for improvement opportunities
Develop GeoMapping capabilities to determine geographic improvement opportunities
Develop incentive report cards (bonus potential, current performance, opportunity). Would include development of annual payout calculations across incentivized measures (HEDIS, Pharmacy, CAHPS)
Develop Stars Program monthly performance dashboards to manage program performance and projections
Each progressive level includes the ability to perform the essential functions of any lower levels and mentor employees in those levels.
The position requires a full-time work schedule. Full‑time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements.
Perform all other duties as assigned.
COMPETENCIES
REQUIRED COMPETENCIES
Required Job Skills
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
Intermediate skill with SAS/SQL programming
Advanced understanding of data management principles
Proficiency in SAS Enterprise Business Intelligence software
Intermediate skill with data visualization tools, such as Tableau
Required Professional Competencies
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.
Required Leadership Experience and Competencies
N/A
PREFERRED COMPETENCIES
Preferred Job Skills
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
Preferred Professional Competencies
Project management skill needed to create timelines, track deliverables and progress, resolve issues, and communicate project status
Preferred Leadership Experience and Competencies
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
Our Commitment
AZ Blue does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group.
Thank you for your interest in Blue Cross Blue Shield of Arizona. For more information on our company, see azblue.com. If interested in this position, please apply.
#J-18808-Ljbffr
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.
QUALIFICATIONS REQUIRED QUALIFICATIONS
Required Work Experience
3 years of experience in data analysis using analytic tools and processes
Required Education
Bachelor's Degree in mathematics, statistics, business, or related field of study
Required Licenses
N/A
Required Certifications
N/A
PREFERRED QUALIFICATIONS
Preferred Work Experience
3 years of experience working for a healthcare organization / health insurer, including development of
2 years of experience in Medicare Advantage, HEDIS and/or CMS Stars
Preferred Education
Master’s Degree in mathematics, statistics, business, or related field of study
Preferred Licenses
N/A
Preferred Certifications
N/A
ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES
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
Develop annual off‑cycle CAHPS survey to support future state CAHPS incentive across provider contracts, including payout of incentives for achieved CAHPS targets
Develop provider scorecards for quarterly distribution with supporting monthly care gap reporting
Provider scorecards to appropriately rank provider performance for improvement opportunities
Develop GeoMapping capabilities to determine geographic improvement opportunities
Develop incentive report cards (bonus potential, current performance, opportunity). Would include development of annual payout calculations across incentivized measures (HEDIS, Pharmacy, CAHPS)
Develop Stars Program monthly performance dashboards to manage program performance and projections
Each progressive level includes the ability to perform the essential functions of any lower levels and mentor employees in those levels.
The position requires a full-time work schedule. Full‑time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements.
Perform all other duties as assigned.
COMPETENCIES
REQUIRED COMPETENCIES
Required Job Skills
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
Intermediate skill with SAS/SQL programming
Advanced understanding of data management principles
Proficiency in SAS Enterprise Business Intelligence software
Intermediate skill with data visualization tools, such as Tableau
Required Professional Competencies
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.
Required Leadership Experience and Competencies
N/A
PREFERRED COMPETENCIES
Preferred Job Skills
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
Preferred Professional Competencies
Project management skill needed to create timelines, track deliverables and progress, resolve issues, and communicate project status
Preferred Leadership Experience and Competencies
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
Our Commitment
AZ Blue does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group.
Thank you for your interest in Blue Cross Blue Shield of Arizona. For more information on our company, see azblue.com. If interested in this position, please apply.
#J-18808-Ljbffr