Title: Senior Hawaii Encounter Analyst
Senior Hawaii Encounter Analyst
• 534776
• PHOENIX
• AHCCCS
• Full-time
AHCCCSArizona Health Care Cost Containment System
Accountability, Community, Innovation, Leadership, Passion, Quality, Respect, Courage, Teamwork
The Arizona Health Care Cost Containment System (AHCCCS), Arizonas Medicaid agency, is driven by its mission to deliver comprehensive, cost-effective health care to Arizonans in need. AHCCCS is a nationally acclaimed model among Medicaid programs and a recipient of multiple awards for excellence in workplace effectiveness and flexibility.
AHCCCS employees are passionate about their work, committed to high performance, and dedicated to serving the citizens of Arizona. Among government agencies, AHCCCS is recognized for high employee engagement and satisfaction, supportive leadership, and flexible work environments, including remote work opportunities. With career paths for seasoned professionals in a variety of fields, entry-level positions, and internship opportunities, AHCCCS offers meaningful career opportunities in a competitive industry.
Come join our dynamic and dedicated team.
Senior Hawaii Encounter Analyst
Information Services Division (ISD)
Job Location:
Address: 150 N. 18th Ave, Phoenix, AZ 85007
Posting Details:
Salary: $70,000 - $75,000 Grade: 26
FLSA Status - Exempt
Closing Date: Open Until Filled
Job Summary:
A career in public service awaits you. COME JOIN OUR TEAM!
A great benefit of working for the State of Arizona is a fantastic work/life balance. State employees enjoy challenging work, popular remote work options, comprehensive health and wellness benefits, and career growth opportunities.
We are searching for someone who will be comfortable and confident working independently on our team. Youll be immersed in the world of data. If you have a strong understanding of data sets, analysis and Medicaid, this could be the perfect role for you - Come join our team!
What You'll Do:
You will support efforts to improve data quality completeness, timeliness, and accuracy by gaining deep understanding of the current Prepaid Medical Management Information System (PMMIS), identifying barriers, and implementing solutions. You'll also work directly with users, peers, other technical staff, Agency management and other staff to understand the PMMIS system and business user needs. As the Senior Hawaii Encounter Analyst, you will also work closely with the Business Intelligence (BI) unit to make sure any changes to the PMMIS are reflected in the data warehouse and reporting tools. The Senior Analyst may also be asked to respond to requests for entities external to the Agency, and oversee and train other business analysts.
Major duties and responsibilities include but are not limited to:
• Serves as the subject matter expert and trainer to all staff that interact with PMMIS. Maintain up-to-date knowledge of the business area being worked upon and continue reviewing how that business function interacts with the other business functions that form the entire business process.
• Conduct root cause analyses to identify barriers preventing data quality completeness in the PMMIS by researching and documenting edit logic, analyzing reference tables, and interviewing business users; implement solutions that fit the needs of the business users and current infrastructure.
• Assist non-senior business analysts with technical tasks. Perform complex analysis of PMMIS using mainframe systems and BI tools to access data warehouse, often interacting with other technical teams.
• Oversee and provide direction to non-senior business analysts. This includes reviewing and providing guidance to staff on their work products, leading the team in data quality investigations, and managing the implementation of solutions.
• Work with team members to develop and/or modify data extracts to understand volume of data quality issues and identify trends.
• Work with external data submitters to implement and test changes to data submission standards and processes.
• Attends meetings/seminars within and outside the Agency with regard to responsibilities regarding data submission and quality.
Knowledge, Skills & Abilities (KSAs):
Knowledge:
• Computer programming methodologies
• Technical knowledge of Agency business needs, operations and dependencies Skill- Medicaid/Medicare care programs and services
• SQL or other database query language
Skills:
• Basic development processes including complete life cycle systems design, analysis, and testing procedures
• Verbal and written communications
Abilities:
• Build strong relationships inside and outside the organization
• High level of independent thinking
• Navigate Complex Issues and Develop Solutions
Qualifications:
Minimum:
• Bachelor's Degree and/or 10 years of experience in business analysis (or equivalent experience).
Preferred:
• Experience with broad based IT systems, claims processing systems, Medicaid and/or Medicare (PMI certification, Scrum Master, Lean or Six-sigma certification a plus).
Pre-Employment Requirements:
• Successfully pass fingerprint background check, prior employment verifications and reference checks; employment is contingent upon completion of the above-mentioned process and the agencys ability to reasonably accommodate any restrictions.
• Travel may be required for State business. Employees who drive on state business must complete any required driver training (see Arizona Administrative Code R2-10-207.12.)
If this position requires driving or the use of a vehicle as an essential function of the job to conduct State business, then the following requirements apply: Drivers License Requirements.
All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).
Benefits:
Among the many benefits of a career with the State of Arizona, there are:
• 10 paid holidays per year
• Paid Vacation and Sick time off (13 and 12 days per year respectively) - start earning it your 1st day (prorated for part-time employees)
• Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child. Learn more about the Paid Parental Leave pilot program here.
• Other Leaves - Bereavement, civic duty, and military.
• A top-ranked retirement program with lifetime pension benefits
• A robust and affordable insurance plan, including medical, dental, life, and disability insurance
• Participation eligibility in the Public Service Loan Forgiveness Program (must meet qualifications)
• RideShare and Public Transit Subsidy
• A variety of learning and career development opportunities
By providing the option of a full-time or part-time remote work schedule, employees enjoy improved work/life balance, report higher job satisfaction, and are more productive. Remote work is a management option and not an employee entitlement or right. An agency may terminate a remote work agreement at its discretion.
Learn more about the Paid Parental Leave pilot program here. For a complete list of benefits provided by The State of Arizona, please visit our benefits page
Retirement:
Lifetime Pension Benefit Program
• Administered through the Arizona State Retirement System (ASRS)
• Defined benefit plan that provides for life-long income upon retirement.
• Required participation for Long-Term Disability (LTD) and ASRS Retirement plan.
• Pre-taxed payroll contributions begin after a 27-week waiting period (prior contributions may waive the waiting period).
Deferred Retirement Compensation Program
• Voluntary participation.
• Program administered through Nationwide.
• Tax-deferred retirement investments through payroll deductions.
Contact Us:
Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by emailing [email protected].
Requests should be made as early as possible to allow time to arrange the accommodation. The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer.
Remote
About the Company:
Arizona Health Care Cost Containment System (AHCCCS)
Apply Now
Apply Now
• 534776
• PHOENIX
• AHCCCS
• Full-time
AHCCCSArizona Health Care Cost Containment System
Accountability, Community, Innovation, Leadership, Passion, Quality, Respect, Courage, Teamwork
The Arizona Health Care Cost Containment System (AHCCCS), Arizonas Medicaid agency, is driven by its mission to deliver comprehensive, cost-effective health care to Arizonans in need. AHCCCS is a nationally acclaimed model among Medicaid programs and a recipient of multiple awards for excellence in workplace effectiveness and flexibility.
AHCCCS employees are passionate about their work, committed to high performance, and dedicated to serving the citizens of Arizona. Among government agencies, AHCCCS is recognized for high employee engagement and satisfaction, supportive leadership, and flexible work environments, including remote work opportunities. With career paths for seasoned professionals in a variety of fields, entry-level positions, and internship opportunities, AHCCCS offers meaningful career opportunities in a competitive industry.
Come join our dynamic and dedicated team.
Senior Hawaii Encounter Analyst
Information Services Division (ISD)
Job Location:
Address: 150 N. 18th Ave, Phoenix, AZ 85007
Posting Details:
Salary: $70,000 - $75,000 Grade: 26
FLSA Status - Exempt
Closing Date: Open Until Filled
Job Summary:
A career in public service awaits you. COME JOIN OUR TEAM!
A great benefit of working for the State of Arizona is a fantastic work/life balance. State employees enjoy challenging work, popular remote work options, comprehensive health and wellness benefits, and career growth opportunities.
We are searching for someone who will be comfortable and confident working independently on our team. Youll be immersed in the world of data. If you have a strong understanding of data sets, analysis and Medicaid, this could be the perfect role for you - Come join our team!
What You'll Do:
You will support efforts to improve data quality completeness, timeliness, and accuracy by gaining deep understanding of the current Prepaid Medical Management Information System (PMMIS), identifying barriers, and implementing solutions. You'll also work directly with users, peers, other technical staff, Agency management and other staff to understand the PMMIS system and business user needs. As the Senior Hawaii Encounter Analyst, you will also work closely with the Business Intelligence (BI) unit to make sure any changes to the PMMIS are reflected in the data warehouse and reporting tools. The Senior Analyst may also be asked to respond to requests for entities external to the Agency, and oversee and train other business analysts.
Major duties and responsibilities include but are not limited to:
• Serves as the subject matter expert and trainer to all staff that interact with PMMIS. Maintain up-to-date knowledge of the business area being worked upon and continue reviewing how that business function interacts with the other business functions that form the entire business process.
• Conduct root cause analyses to identify barriers preventing data quality completeness in the PMMIS by researching and documenting edit logic, analyzing reference tables, and interviewing business users; implement solutions that fit the needs of the business users and current infrastructure.
• Assist non-senior business analysts with technical tasks. Perform complex analysis of PMMIS using mainframe systems and BI tools to access data warehouse, often interacting with other technical teams.
• Oversee and provide direction to non-senior business analysts. This includes reviewing and providing guidance to staff on their work products, leading the team in data quality investigations, and managing the implementation of solutions.
• Work with team members to develop and/or modify data extracts to understand volume of data quality issues and identify trends.
• Work with external data submitters to implement and test changes to data submission standards and processes.
• Attends meetings/seminars within and outside the Agency with regard to responsibilities regarding data submission and quality.
Knowledge, Skills & Abilities (KSAs):
Knowledge:
• Computer programming methodologies
• Technical knowledge of Agency business needs, operations and dependencies Skill- Medicaid/Medicare care programs and services
• SQL or other database query language
Skills:
• Basic development processes including complete life cycle systems design, analysis, and testing procedures
• Verbal and written communications
Abilities:
• Build strong relationships inside and outside the organization
• High level of independent thinking
• Navigate Complex Issues and Develop Solutions
Qualifications:
Minimum:
• Bachelor's Degree and/or 10 years of experience in business analysis (or equivalent experience).
Preferred:
• Experience with broad based IT systems, claims processing systems, Medicaid and/or Medicare (PMI certification, Scrum Master, Lean or Six-sigma certification a plus).
Pre-Employment Requirements:
• Successfully pass fingerprint background check, prior employment verifications and reference checks; employment is contingent upon completion of the above-mentioned process and the agencys ability to reasonably accommodate any restrictions.
• Travel may be required for State business. Employees who drive on state business must complete any required driver training (see Arizona Administrative Code R2-10-207.12.)
If this position requires driving or the use of a vehicle as an essential function of the job to conduct State business, then the following requirements apply: Drivers License Requirements.
All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).
Benefits:
Among the many benefits of a career with the State of Arizona, there are:
• 10 paid holidays per year
• Paid Vacation and Sick time off (13 and 12 days per year respectively) - start earning it your 1st day (prorated for part-time employees)
• Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child. Learn more about the Paid Parental Leave pilot program here.
• Other Leaves - Bereavement, civic duty, and military.
• A top-ranked retirement program with lifetime pension benefits
• A robust and affordable insurance plan, including medical, dental, life, and disability insurance
• Participation eligibility in the Public Service Loan Forgiveness Program (must meet qualifications)
• RideShare and Public Transit Subsidy
• A variety of learning and career development opportunities
By providing the option of a full-time or part-time remote work schedule, employees enjoy improved work/life balance, report higher job satisfaction, and are more productive. Remote work is a management option and not an employee entitlement or right. An agency may terminate a remote work agreement at its discretion.
Learn more about the Paid Parental Leave pilot program here. For a complete list of benefits provided by The State of Arizona, please visit our benefits page
Retirement:
Lifetime Pension Benefit Program
• Administered through the Arizona State Retirement System (ASRS)
• Defined benefit plan that provides for life-long income upon retirement.
• Required participation for Long-Term Disability (LTD) and ASRS Retirement plan.
• Pre-taxed payroll contributions begin after a 27-week waiting period (prior contributions may waive the waiting period).
Deferred Retirement Compensation Program
• Voluntary participation.
• Program administered through Nationwide.
• Tax-deferred retirement investments through payroll deductions.
Contact Us:
Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by emailing [email protected].
Requests should be made as early as possible to allow time to arrange the accommodation. The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer.
Remote
About the Company:
Arizona Health Care Cost Containment System (AHCCCS)
Apply Now
Apply Now