Senior Medical Economics Analyst

AHCCCS Arizona Health Care Cost Containment System Medical Economics Analyst Senior Information Services Division (ISD) Job Location: 150 N. 18th Ave, Phoenix, AZ 85007 Must Reside in Arizona. Salary: $70,000 - $75,000 Grade: 26 FLSA Status: Exempt Closing Date: Open Until Filled Remote work may be offered within Arizona based upon business needs. Job Summary The Senior Medical Economics Analyst will work in the Office of Data Analytics translating Medicaid claims, encounters, membership, and other data into actionable insights via summaries, visualizations, and recommendations. Major duties and responsibilities Production of data‑driven analysis and its presentation: work with business areas to create and monitor standard reporting packages and dashboards, including key performance indicators; research healthcare delivery topics; analyze data and recommend solutions to address business challenges; analyze claims, encounters, membership, and other data to identify early signs of trends or issues related to medical care costs and quality of care; extract, analyze, and interpret data for complex insights related to cost drivers; present analytical findings to internal business partners and Agency leaders, leading discussions and providing further analysis. Participate in several Agency initiatives, supporting staffing to deliver results across all functions within the Office of Data Analytics, including developing research and analyzing processes to review financial data and draw conclusions for senior leadership. Participate in efforts to educate executives, employees, and customers regarding the strategic value of data and its important role as a business asset and decision‑making tool. Support the development and training of team members and colleagues. 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. Managed Care Organization and CMS policy that relate to data governance. Skills Strong customer service skills. Excellent interpersonal, written, and oral communication skills. Excellent problem‑solving skills and attention to details. 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 approach each level appropriately. Supervise small to medium teams. Understand and anticipate needs and priorities of both internal and external customers. Organize data in a way that facilitates inferences, conclusions, and decisions. Qualifications Minimum: Bachelor’s degree in Mathematics, Statistics, Economics, Finance or healthcare related discipline and/or 10 years of experience in business analysis or equivalent. 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. Experience querying, summarizing, and manipulating data using SQL, SAS, Python, R, Machine Learning, Cognos or PowerBI. Preferred: Master’s degree in Mathematics, Statistics, Economics, Finance or healthcare related discipline. Experience preparing/presenting dashboards and data using a data visualization tool such as PowerBI. Experience clearly explaining complex methodologies and presenting 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. Benefits 10 paid holidays per year. Paid Vacation and Sick time off (13 and 12 days per year respectively). 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. Lifetime pension benefits under a top‑ranked retirement program. Robust and affordable insurance plan including medical, dental, life, and disability insurance. Participation eligibility in the Public Service Loan Forgiveness Program. RideShare and Public Transit subsidy. A variety of learning and career development opportunities. 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. Deferred Retirement Compensation program, voluntary participation, 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 View email address on click.appcast.io. The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer. #J-18808-Ljbffr