Primary City/State:Arizona, ArizonaDepartment Name:Actuarial-BHN CntrWork Shift:DayJob Category:General OperationsThe 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.Banner Health has been recognized by Becker’s Healthcare as one of the 150 top places to work in health care. In addition, we recently made Newsweek’s list of America’s Greatest Workplaces 2023 for Diversity. These recognitions reflect Banner Health's investment in team members' professional development, wellness benefits, and continued education. It highlights our commitment to advocating for diversity in the workplace, promoting work-life balance, and boosting employee engagement.As a Senior Medical Economics Analyst, you 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 ad hoc projects. You will also utilize your proficiency in SAS and/or SQL to use and write queries.Your work location will be entirely remote. Your work schedule will be Arizona Business Hours. If this role sounds like the one for you, Apply Today!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 SUMMARYThis 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
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.
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.
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).
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.
MINIMUM QUALIFICATIONSRequires 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 EXPERIENCECertifications 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 (https://www.bannerhealth.com/careers/eeo)Our organization supports a drug-free work environment.Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)EOE/Female/Minority/Disability/VeteransBanner 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