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Managed Care Data Analyst II at Valleywise Health System – Phoenix, Arizona

Valleywise Health System
Phoenix, Arizona, 85008, United States
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Recently UpdatedJob Function:Information Technology

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About This Position

Managed Care Data Analyst II

The Managed Care Data Analyst II develops contract models for managed care contracts, creates and maintains standard and ad hoc reporting on utilization and quality, and supports managed care contracting and operations through consistent and thoughtful data analysis. Modeling and analytics include gathering data from multiple data sources, evaluating and synchronizing resulting data, benchmarking key financial and quality indicators, adjusting for market conditions and strategic objectives, checking for reasonableness using independent judgment, and interpretation of various types of health care data including claims data, encounter data and financial reports. The Managed Care Analyst II presents model results and communicates internally and externally to develop and implement contracts and to support ongoing Managed Care strategies.
Valleywise Health is committed to providing high-quality, comprehensive benefits designed to help our employees and their families stay physically and financially fit. Known for the diversity of not only the community of patients we serve but also our workforce and the benefits we offer, such as:
  • Medical, Dental, and Vision Plans
  • Flexible Spending Accounts
  • 100% Retirement Match in the Arizona State Retirement System (ASRS)
  • Paid Time Off and Paid Holidays
  • Sick and Extended Illness Bank
  • Tuition Reimbursement Programs
  • And much more
Annual Salary Range: $65,686.40 - $96,886.40
Qualifications
Education:
  • Requires a Bachelor’s Degree in Healthcare or Economics, Mathematics, Finance, Statistics, Actuarial Science, or another related field of study; or an equivalent combination of training and progressively responsible experience that will result in the required specialized knowledge and abilities to perform the assigned work.
Experience:
  • Must have a minimum of three (3) years of managed care contract or healthcare analytics, contracting, revenue cycle management or related experience that demonstrates a strong understanding of the required knowledge, skills and abilities.
Certification/licensure:
  • Must have, or obtain within 1 year, Epic Resolute Hospital Billing Expected Reimbursement Contracts Administration certification
Knowledge, Skills, and Abilities:
  • Must have comprehensive knowledge of healthcare managed care principles.
  • Must have proficiency with contract modeling and visualization tools such as EPIC, Optum II, SAS Visual Preferred Analytics, Tableau, Power BI, or similar.
  • Must be proficient in Microsoft Excel, Access, Word, Outlook, PowerPoint and Internet.
  • Requires strong analytical, mathematical, project management, and organizational skills.
  • Ability to work both independently and in a dynamic team environment with rapidly changing priorities and demands.
  • Ability to prioritize and handle multiple tasks in a demanding work environment.
  • Ability to work effectively under deadlines and produce accurate work.
  • Ability to communicate complex issues effectively. Must maintain confidentiality and privacy.
  • Requires a strong understanding of healthcare delivery systems, specifically commercial and government sponsored programs, such as Medicare and Medicaid.
  • Must understand healthcare markets, advanced financial skills, and Health & Benefit products and services.
  • Requires a strong understanding of the local managed care environment, including, but not limited to managed care policies and procedures, reimbursements mechanisms, billing principles, and practice management/medical office procedures.
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Job Location

Phoenix, Arizona, 85008, United States

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