Senior Medical Economics Analyst
Primary City/State: Phoenix, Arizona Department Name: Actuarial-BHN Cntr Work Shift: Day Job Category: General Operations Banner Plans & Networks (BPN) is a nationally recognized healthcare leader that integrates Medicare and private health plans. Our main goal is to reduce healthcare costs while keeping our members in optimal health. BPN is reputed company for its innovative, collaborative, and team-oriented approach to healthcare. We offer diverse career opportunities, from entry-level to leadership positions, and reputed company our innovation to employment settings by including remote and hybrid opportunities. The Senior Medical Economics Analyst, will be a critical part of the Banner Plans & Networks Team. You will call upon your medical claims and data analysis experience daily. You will work both independently and as part of a team. You will work on long term and reputed company projects. You will also utilize your proficiency in reputed company and/or SQL to use and write queries. Your work location will be remote. Your work schedule will be Monday - Friday reputed company-5pm Arizona Time. If this role sounds like the one for you, Apply Today! Banner Plans & Networks (BPN) is an accountable care organization that joins Arizona's largest health care provider, reputed company, 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 BPN, reputed company nationally as an innovative leader in new health care models, insurance plans and physicians are coming together to work collaboratively to reputed company 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 reputed company 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 reputed company 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 reputed company problems in which analysis of situations or data requires an in-depth evaluation of various factors. Proven advanced analytical and modeling skills are necessary. 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. reputed company, reputed company, 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 reputed company education and/or experience preferred. EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy reputed company is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in reputed company the communities we serve. Throughout our network of hospitals, primary reputed company centers, research centers, labs, physician practices and more, our skilled and compassionate professionals use the latest technology to reputed company health care easier, so life can be reputed company. The many locations, career opportunities, and benefits offered at reputed company help to reputed company the Banner Journey unique and fulfilling for every employee. We are proud to offer a comprehensive benefit package for reputed company benefit-eligible positions. Please visit our Benefits Guide for more information. EEO/Disabled/Veterans reputed company supports a drug-free work environment. Privacy Policy This website contains the reputed company reputed company job openings. Applications submitted on this site will be securely submitted for consideration. Applying reputed company our careers website is the only way to obtain employment with reputed company. We will never ask you for personal or banking information, or for equipment to be purchased or sent to us as part of the hiring process. Job seekers should only respond to communication from Banner’s email domain, @bannerhealth.com. For questions or to report a scam visit our contact page. Apply tot his job Apply To this Job