Blue Cross Blue Shield of Arizona
Phoenix, Arizona, United States
Client Reporting Analyst (Clinical / Medical Claims)
Job Description
Blue Cross Blue Shield of Arizona is a local, independent Blue Cross Blue Shield Association and a not-for-profit health insurance company headquartered in Phoenix. Founded in 1939, the company has more than 1,800 dedicated employees throughout its Phoenix, Tucson, Chandler and Flagstaff offices. Providing health insurance products, services and networks to more than 1 million Arizonans, Blue Cross Blue Shield of Arizona offers various health plans for individuals, families, and small and large businesses. Blue Cross Blue Shield of Arizona also offers Medicare supplement plans to individuals over age 65.
Blue Cross Blue Shield of Arizona helps to fulfill its mission of improving the quality of life of Arizonans by delivering 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.
- Level 1 Client Reporting Analyst I (Grades 27 - 28)
- Level 2 Client Reporting Analyst II (Grades 29 - 31)
- Level 3 Client Reporting Analyst III (Grades 32 - 33)
- Using analytic tools, identify, design, recommend, and execute solutions to deliver actionable information to customers. Provide follow-up consultation on solutions as needed.
REQUIRED QUALIFICATIONS
Required Work Experience
- 1 year of experience in data analysis using analytic tools and processes (Level 1)
- 3 years of experience in data analysis using analytic tools and processes (Level 2)
- 5 years of experience in data analysis using analytic tools and processes using advanced SAS procedures and/or data mining (Level 3)
Required Education
- Bachelor's Degree in business, mathematics, statistics, healthcare administration or related field of study (Applies to All Levels)
Required Licenses
- N/A
Required Certifications
- N/A
PREFERRED QUALIFICATIONS
Preferred Work Experience- 1 year of experience working for a healthcare organization / health insurer (Level 1)
- 3 years of experience working for a healthcare organization / health insurer (Level 2)
- 5 years of experience working for a healthcare organization / health insurer (Level 3)
- Masters Degree in business, mathematics, statistics, or related field of study (Applies to All Levels)
- N/A
Preferred Certifications
- N/A
Level 1
- Under close supervision, analyze data at the customer-segment level, including comparison to plan-level benchmarks
- Develop processes, write programs and/or create databases using analytic tools to produce accurate and timely completion of analytic solutions
- Partner with peers to establish, evaluate, and continually improve measurement methodologies, while adhering to nationally accepted analytic and reporting standards
- Interpret, communicate, and present results to customers in a consistent and easy to understand format that facilitates fact-based decision making
- Pursue expansion of current knowledge and skills
Level 2
- Under general supervision, analyze healthcare data at the customer-segment level, including comparison to plan-level benchmarks
- Serve as an internal technical and analytic consultant to define business questions and transform data into meaningful and actionable information for a variety of customer segments
- Display initiative in research beyond the specific assignment
- Pursue expansion of current knowledge and skills
- Meaningfully contribute to the areas workload, considering volume and complexity
- Provide self- and peer-review of level 1
Level 3
- Report to a supervisor or manager who provides minimal supervisory instructions, limited project management, and minimal or limited review of results, beyond pre-release peer review
- Along with research, create analyses and recommendations that will allow BCBSAZ to meet its customer-segment goals
- Deliver business intelligence to clients by applying and demonstrating expertise in the areas of advanced analytics, forecasting, data extrapolation, and predictive modeling
- Plan and lead complex projects from inception to completion. Includes working independently on creating timelines, working with other areas to define deliverables, monitoring progress, implementing the project and resolving/monitoring post-implementation issues
- Communicate (both verbally and in writing) and interprets results, recommendations and abstract concepts to internal and external customers. Anticipate and addresses possible customer questions and concerns
- Build and maintain close working relationships with internal stakeholders (Account Management teams, Health Services, Provider Network, Marketing, Underwriting, Actuarial, IT) and key external client contacts (Brokers/GBAs, BCBS Association, Blues Plans, Vendors)
- Produce complex analytic solutions
- Incorporate strategic planning in all areas of responsibility
- Train and mentor other analysts and provide peer review
ALL LEVELS
- 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.
REQUIRED COMPETENCIES
Required Job Skills (Applies to All Levels)
- Intermediate proficiency in database, presentation, spreadsheet and word processing software
- Advanced in spreadsheet software (Applies to Levels 2 - 3)
- General proficiency in mathematical concepts (Applies to All Levels)
- Advanced skills in mathematics and statistics (Applies to Levels 2 - 3)
- Intermediate understanding of data management principles (Applies to Level 1- 2)
- Advanced understanding of data management principles (Level 3)
- Basic skill with SAS and/or SQL
- Intermediate skill with SAS and/or SQL (Applies to Levels 2 - 3)
- Proficiency in SAS Enterprise Business Intelligence software (Level 3)
- Intermediate skill with SAS Visual Analytics (Level 3)
Required Professional Competencies (Applies to All Levels)
- 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 while maintaining appropriate time management
- Ability to maintain confidentiality and privacy
- Ability to communicate effectively, both orally and in writing, to all levels in all departments
- Ability to summarize technical information to a non-technical audience
- Ability to build and maintain productive working relationships with others
Required Leadership Experience and Competencies (Applies to All Levels)
- N/A
PREFERRED COMPETENCIES
Preferred Job Skills (Applies to All Levels)
- Advanced PC proficiency
- Advanced proficiency in database, presentation, spreadsheet and word processing software
- General proficiency in mathematical concept
- Advanced skills in mathematics and statistics (Applies to Levels 2 - 3)
- Intermediate understanding of data management principles (Applies to Level 1- 2)
- Advanced understanding of data management principles (Level 3)
- Intermediate skill with SAS and/or SQL (Applies to Level1)
- Proficiency in SAS Enterprise Business Intelligence software and/or SQL (Level 2-3)
- Intermediate skill with SAS Visual Analytics
- Advanced skill with SAS Visual Analytics (Level 3)
- Intermediate skill with Tableau
Preferred Professional Competencies (Applies to All Levels)
- Project management skill needed to create timelines, track deliverables, resolve issues, and communicate status
Preferred Leadership Experience and Competencies (Applies to All Levels)
- N/A
Our Commitment
BCBSAZ 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
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.
Imagine doing life-changing work and helping more than one million Arizonans live healthier and longer lives. Thats the kind of satisfaction youll find when you work here. Our exceptional teams in Phoenix, Tucson, Chandler, and Flagstaff have been transforming healthcare for more than 80 years. Explore what's possible with a career at Blue Cross BlueShield of Arizona