Title: Healthcare Analytics Medical Economics Manager - Medical Economics

Arizona Health Care Cost Containment System; Phoenix (AZ); Remote; USD 95,000 - 120,000; Full time

Job summary

An established industry player is seeking a Healthcare Analytics Medical Economics Manager to lead teams focused on transforming healthcare data into actionable insights. This role requires a blend of analytical expertise and leadership skills, as you will oversee data governance and analytics efforts, ensuring the organization can make data-driven decisions. You will collaborate with various departments to enhance reporting and data quality, while also mentoring team members to foster a culture of excellence. If you are passionate about healthcare and data management, this opportunity offers a chance to make a significant impact in improving health care delivery in Arizona.

Benefits

10 paid holidays per year

Paid Vacation and Sick time off

Paid Parental Leave

Top-ranked retirement program

Affordable insurance plan

RideShare and Public Transit Subsidy

Career development opportunities

Qualifications

• 5 years of experience in healthcare data management and analysis.
• Strong knowledge of Medicaid/Medicare data systems and coding.

Responsibilities

• Oversee teams in healthcare analytics and data governance.
• Manage projects and ensure data quality and compliance.

Skills

Data management concepts

Healthcare data analysis

Customer service

Interpersonal communication

Problem-solving

Project management

Education

Bachelor's degree in Mathematics, Statistics, Economics

Master’s degree in related field

Tools

SQL

SAS

Python

R

IBM Cognos

Power BI

Microsoft Excel

Job description

Healthcare Analytics Medical Economics Manager - Medical Economics

Information Services Division (ISD)

Job Location:

Address: 801 E. Jefferson Street, Phoenix, AZ 85034

Posting Details:

Must reside in the State of Arizona.

Salary: $95,000 - $120,000

Grade: 29

Closing Date: Open Until Filled

This position is eligible for full-time remote work (including virtual office arrangement in Arizona).

Job Summary:

This position manages two teams: Healthcare Analytics Medical Economics and Data Governance.

The Healthcare Analytics Medical Economics team translates Medicaid claims, encounters, membership and other data into consumable actionable insights via summaries, visualizations and recommendations. It also enables AHCCCS to make data-driven decisions to meet the AHCCCS mission of reaching across Arizona to provide comprehensive quality health care to those in need.

The Data Governance team establishes management and governance practices over the agency’s data assets. This includes championing data management and best practices in the agency and representing AHCCCS at the State Data Management Steering Committee.

Major duties and responsibilities include but are not limited to:

1. Oversight of Healthcare Analytics Medical Economics Team, data-driven analysis and its presentation: Working with business areas to create and monitor standard reporting packages and dashboards including key performance indicators, researching healthcare delivery topics, analyze data, and recommend solutions to address business challenges by applying knowledge of medical claims analysis, critical-thinking skills, and healthcare experience and expertise.
2. Oversight of Data Governance Team and process: Coordination of data stewardship, responsible for agency data related documentation, representing AHCCCS at the State Data Management Steering Committee, ensuring that statewide policies are implemented and followed.
3. Manage, coach and mentor team members. Support the intake, prioritization and coordinated execution of ad-hoc analytics and data governance requests from departments across the organization.
4. Lead Agency initiatives, supporting staffing to deliver results across all functions within the Healthcare Analytics Medical Economics and Data Governance teams including: Develop research and analyze processes to review financial data to draw conclusions for senior leadership.
5. Lead efforts to educate executives, employees and customers regarding the strategic value of data and its important role as a business asset and a decision-making tool. Collaborate with line of business data owners to assess, prioritize and mitigate risks that may affect business operations and regulatory compliance resulting from data quality issues.
6. Establish and monitor data quality efforts and provide a central leadership for the resolution of data issues. Develop methods to monitor program or area progress and take corrective actions when necessary.
7. Manage and monitor multiple projects simultaneously establishing project plans and objectives to ensure goal attainment within defined parameters.
8. 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

Skills:
* Strong customer service skills
* Excellent interpersonal, written & oral communication skills (verbal, written, and presentation)
* Excellent problem-solving skills & attention to details
* Managed Care Organization and CMS policy that relate to data governance

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 and present data in a way that facilitates inferences, conclusions and decisions

Qualifications:

Minimum:
* Bachelor's degree in Mathematics, Statistics, Economics or related field plus 5 years of relevant, professional work experience (or equivalent experience). Medicaid or Medicare experience working with healthcare data including but not limited to medical claims data at a medical insurance company or equivalent 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, 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 R2-10-207.12.)

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:Driver’s License Requirements.

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 pilot programhere. For a complete list of benefits provided by The State of Arizona, please visit our benefits page

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.

Contact Us:

Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by emailing [e-mail].
Requests should be made as early as possible to allow time to arrange the accommodation. The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer.