Sr Analyst, Analytics and Data Science - Stars Program - Remote AZ

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.

• 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.

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

• 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…