Business Intelligence Developer-Medicaid - Level I (Remote AZ)

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.

At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following classifications drive our current minimum onsite requirements:

• Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week

• Hybrid Individual Contributors: must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per week

• Hybrid 2 (Operational Roles such as but not limited to: Customer Service, Claims Processors, and Correspondence positions): must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per month

• Onsite: daily onsite requirement based on the essential functions of the job

• Remote: not held to onsite requirements, however, leadership can request presence onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building

Please note that onsite requirements may change in the future, based on business need, and job responsibilities. Most employees should expect onsite requirements and at a minimum of once per week.

This remote work opportunity requires residency, and work to be performed, within the State of Arizona.

Purpose of the job

The Business Intelligence Developer - Medicaid role is responsible for the design, creation, and maintenance of sustainable reporting solutions and analytical insights that improve efficiency, drive innovation, and inform data driven decision making in support of broader business and corporate strategies across the organization.

This position partners with business leaders across the organization to provide high quality reporting and analysis that is accurate, thoroughly researched, assists in identifying risks & opportunities, and provides untapped insights and knowledge to enable data driven and data literate decision making for departments and teams throughout the entire Medicaid segment.

Qualifications

REQUIRED QUALIFICATIONS

Required Work Experience

• Applies to All Levels
• 2 years of experience working with data, report development, and analysis in a workplace setting

• 1 year of experience in query design and effective reporting design structure

• Applies to Levels 2-3
• 4 years of experience working with data, report development, and analysis in a workplace setting

• 3 years of experience in query design and effective reporting design structure

• Applies to Levels 4-6
• 8 years of experience working with data, report development, and analysis in a workplace setting

• 6 years of experience in query design and effective reporting design structure

Required Education

• Applies to All Levels
• High-School Diploma or GED in general field of study

• Applies to Levels 4-6
• Bachelor’s degree (B.S.), or equivalent education and/or experience, in Computer Information Systems, Computer Science, Information Technology, Business Administration, Healthcare Administration, or other pertinent degree obtained at a four-year college or university.

Required Licenses

• N/A

Required Certifications

• N/A

PREFERRED QUALIFICATIONS

Preferred Work Experience

• Applies to All Levels
• 1 year of experience in a healthcare, health insurance, or managed care environment

• 1 year of experience working with Medicaid and/or Medicare D-SNP programs

• 1 year of experience managing projects

• Applies to Levels 2-3
• 2 years of experience in a healthcare health insurance, or managed care environment

• 2 years of experience working with Medicaid and/or Medicare D-SNP programs

• 3 years of experience managing projects

• Applies to Levels 4-5
• 4 years of experience in a healthcare health insurance, or managed care environment

• 4 years of experience working with Medicaid or Medicare D-SNP programs

• 6 years of experience managing multiple projects

• Applies to Level 6
• 6 years of experience in a healthcare health insurance, or managed care environment

• 6 years of experience working with Medicaid or Medicare D-SNP programs

• 8 years of experience managing multiple projects

• 2 years of supervisory or management experience

Preferred Education

• Applies to All Levels
• Bachelor’s degree (B.S.), or equivalent, in Computer Information Systems, Computer Science, Information Technology, Business Administration, or Healthcare Administration obtained at a four-year college or university.

• Applies to Levels 5-6
• Master’s degree, or equivalent, in Computer Information Systems, Computer Science, Information Technology, Business Administration, or Healthcare Administration obtained at a four-year college or university.

Preferred Licenses

• N/A

Preferred Certifications

• MS SQL Certification or other certification in current programming languages (Applies to All Levels)

ESSENTIAL job functions AND RESPONSIBILITIES

ALL LEVELS

• Each progressive level includes the ability to perform the essential functions of any lower levels and mentor employees in those levels.

• Meet timeliness and accuracy goals.

• Use sound project management methodology and demonstrate solid time management skills.

• Effectively communicate status of work assignments to stakeholders and management via department defined communication channels and policy.

• Design, develop, or maintain reporting and/or analysis of data to measure financial or clinical outcomes, network performance, care management, claims processing, operations and/or other areas of the business

• Design, develop, or maintain reporting and/or analysis of data for medical cost reporting, categories of service, unit cost and financial utilization metrics

• Design, develop, or maintain reporting and/or analysis of data for clinical utilization, authorization, care management, risk adjustment, and claims data to support departmental functions

• Receives, interprets, and completes data requests from Finance and other departments as necessary

• Responsible for technical and production support documentation in accordance with department standards and industry best practices.

• Adhere to established source control versioning policies and procedures

• Participate in all aspects of the Systems Development Life Cycle (SDLC)

• Participate in corporate quality and data governance programs

• Implement and maintain operational and disaster-recovery procedures.

• Maintain current knowledge on new developments in technology-related industries

• The position requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements.

• Perform all other duties as assigned

Level 1 - Performs job functions with general supervision

• Learn area’s workflow, procedures, and processes.

• Become familiar with and demonstrate a basic understanding of:
• The various areas and types of Business Intelligence reporting and analysis.

• The various reporting platforms utilized by Business Intelligence (Excel, SSRS, Tableau, Qlik Sense, etc.)

• How the Business Intelligence reporting and analysis’ impact the operations and performance of the business.

• What the key departments are, their primary functions, and roles.

• The numerous systems and data sources utilized by Business Intelligence, their purpose, structure, limitations, and functional roles in Business Intelligence reporting and analysis.

• Participates in small projects of basic complexity.

• Designs, develops, and enhances basic-level Business Intelligence reporting.

• Designs and codes basic-level queries and data sets, using the appropriate structured programming techniques, formatting, reporting platform, and associated programming languages.

• With mentor, learns to develop work-plans, write & execute unit test plans, and track & resolve any processing issues.

• Shadows mentor in requirement gathering with business partners and SME’s; ensuring that requirement scoping is complete, consistent, concise, comprehensible, traceable, feasible, unambiguous, verifiably actionable, and agreed upon by all parties.

• Shadows mentor in the design, development, and maintenance of dashboard visualizations using BI applications. (Tableau, Qlik Sense, Power BI, etc.)

• Shadows mentor in ensuring dashboards and other Business Intelligence reporting and analysis are creatively designed and tell a story behind the data.

• Shadows mentor in the review of code and/or reporting/analysis for proper design standards, content, accuracy, functionality, and overall compliance with the desired purpose of the requester.

• With mentor, learns the process and participates in the development and creation of documentation used to support associated reporting and analysis.

• Monitors, maintains, refreshes, and distributes regularly scheduled standard reporting and data extracts

• Reports to lead, supervisor, or manager who provides general supervisory instructions, manages workload and reviews overall results.

Level 2 - Performs job functions with general supervision

• Participates in and follows all area workflow, procedures, and processes.

• Demonstrates a general understanding and beginning mastery of:
• The various areas and types of Business Intelligence reporting and analysis.

• The various reporting platforms utilized by Business Intelligence (Excel, SSRS, Tableau, Qlik Sense, etc.)

• How the Business Intelligence reporting and analysis’ impact the operations and performance of the business.

• What the key departments are, their primary functions, and roles.

• The numerous systems and data sources utilized by Business Intelligence, their purpose, structure, limitations, and functional roles in Business Intelligence reporting and analysis.

• Participates in small to medium sized projects of basic or moderate complexity.

• Designs, develops, and enhances basic to moderately complex Business Intelligence reporting.

• Designs and codes basic to moderately complex queries and data sets, using the appropriate structured programming techniques, formatting, reporting platform, and associated programming languages.

• With mentor, demonstrates basic ability to develop work-plans, write & execute unit test plans, and track & resolve any processing issues.

• With mentor, learns the process of requirement gathering with business partners and SME’s; ensuring that requirement scoping is complete, consistent, concise, comprehensible, traceable, feasible, unambiguous, verifiably actionable, and agreed upon by all parties.

• With mentor, learns effective design, development, and maintenance of dashboard visualizations using BI applications. (Tableau, Qlik Sense, Power BI, etc.)

• With mentor, learns to develop dashboards and other Business Intelligence reporting and analysis are creatively designed and tell a story behind the data.

• With mentor, learns the methodology and process to review code and/or reporting/analysis for proper design standards, content, accuracy, functionality, and overall compliance with the desired purpose of the requester.

• With mentor, demonstrates basic ability and participates in the development and creation of documentation used to support associated reporting and analysis.

• With mentor, learns to develop programs, time estimates, and project schedules based on prioritization and business requirements.

• With mentor, learns to monitor and create priority list(s) t