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Healthcare Analytics Manager

2 months ago

Phoenix, United States AHCCCS - Arizona Health Care Cost Containment System Full time

Job Summary:
A career in public service awaits you. COME JOIN OUR TEAM

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

The Healthcare Analytics 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.

**Must reside in the state of Arizona**This position is eligible for full-time remote work (including virtual office arrangement).**

**Major duties and responsibilities include but are not limited to**:

- 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.
- 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.
- Lead Agency initiatives, supporting staffing to deliver results across all functions within the Office of Data Analytics including: Develop research and analyze processes to review financial data to draw conclusions for senior leadership.
- 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.
- Establish and monitor data quality efforts and provide central leadership for the resolution of data issues. Develop methods to monitor program or area progress and take corrective actions when necessary.
- Manage and monitor multiple projects simultaneously establishing project plans and objectives to ensure goal attainment within defined parameters.
- 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 & oral communication skills (verbal, written, and presentation)
- Excellent problem-solving skills & 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 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

**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 complete the Electronic Employment Eligibility Verification Program (E-Verify), applicable to all newly hired State employees.
- Successfully pass fingerprint ba

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