Menu

Senior Medical Economics Analyst

at Banner Health in Little Rock, Arkansas, United States

Job Description

Primary City/State:

Phoenix, Arizona

Department Name:

Actuarial-BHN Cntr

Work Shift:

Day

Job Category:

General Operations and Culinary Services

Primary Location Salary Range:

$30.84/hr – $51.40/hr, based on education & experience

In accordance with Colorado’s EPEWA Equal Pay Transparency Rules.

The future is full of possibilities. At Banner Health, we’re excited about what the future holds for health care. That’s why we’re changing the industry to make the experience the best it can be. If you’re ready to change lives, we want to hear from you.

This team collaborates with Clinical and Executive stake holders to improve quality of care for our members. We are part of the conversation, provide data driven dialogue, and help to guide the opportunities of improved quality care to our members. Opportunity to grow within the team and the department.

What distinguishes this department from others is the collaboration with key stakeholders. The employee is expected to actively participate with clinical and executive leaders directly. Together they will collaborate investigation into business opportunities, progress on business relationships, and quality care metrics. What makes this opportunity exciting is the opportunity to openly communicate, actively participate, and present they work to executives and community leaders.

Must have experience in the following: Independently create their own queries, Proficient in at least 1 data mining product and exposure to at least 2 products, Health Care experience and claims.

Help move health care into the future. At Banner Health we are changing health care to make the experience the best it can be. If that sounds like something you want to be part of, apply today.

This can be a remote position if you live in the following states only: AR, AZ, CA, CO, FL, IA, MO, ND, NE, NV, TX, UT, WA, WI & WY

Banner Health Network (BHN) is an accountable care organization that joins Arizona’s largest health care provider, Banner Health, and an extensive network of primary care and specialty physicians to provide the most comprehensive healthcare solutions for Maricopa County and parts of Pinal County. Through BHN, known nationally as an innovative leader in new health care models, insurance plans and physicians are coming together to work collaboratively to keep members in optimal health, while reducing costs.

POSITION SUMMARY

This position listens to medical and financial leaders, utilizes curiosity and rigor while investigating underlying problems through quantitative analyses of utilization and healthcare costs data. This position executes and improves the process of refining data into information in order to present findings that are both informative and directional. This position requires experience in data driven discussions and quantifying cause and effect relationships in the pursuit of better medical outcomes with less expense.

CORE FUNCTIONS

1. Provides accurate and timely management and regulatory reports by accessing information from a variety of sources and utilizing consistent reporting formats and clear presentations to support executive leadership decisions and medical program support. This position develops strong knowledge of the assigned medical market to provide financial proformas and program efficacy presentations.

2. Provides higher level support for key Medical Economics processes within assigned area or region, identifies and reports on the success of operating improvements, and identifies medical and financial trends or irregularities.

3. Guides processes to implement changes through analysis of medical claims, prior authorizations, laboratory results, EMR and other data elements. They present ongoing financial indicators and education programs based on the needs of assigned business unit(s).

4. Works on complex problems in which analysis of situations or data requires an in-depth evaluation of various factors. Proven advanced analytical and modeling skills are necessary.

Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers of Banner Health with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day.

MINIMUM QUALIFICATIONS

Requires a bachelors’ degree in Math, Finance, Statistics, Accounting, Healthcare Administration, Business Administration, or equivalent experience.

Experience in healthcare financial management with a proficiency level typically attained from at least two to four years of experience in the field.

Strong technical skills in software for data analysis; specifically, data extraction and manipulation (e.g. SAS, Teradata, R) and data visualization (e.g. Power BI, Tableau).

PREFERRED EXPERIENCE

Certifications or accreditations, Master of Business Administration (MBA) preferred. Proven self-starter who turns problems into assets.

Additional related education and/or experience preferred.

EOE/Female/Minority/Disability/Veterans
Banner Health supports a drug-free work environment.

Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability

Copy Link

Job Posting: JC194510308

Posted On: Oct 10, 2021

Updated On: Nov 18, 2021