Business Intelligence Developer (Medicaid)

Awarded the Best Place to Work 2021, Blue Cross Blue Shield of Arizona helps to fulfill its mission of improving the quality of life of Arizonans by delivering 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.

The 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

1. Required Work Experience

· Applies to All Levels

o 2 years of experience working with data, report development, and analysis in a workplace setting

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

· Applies to Levels 2-3

o 4 years of experience working with data, report development, and analysis in a workplace setting

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

· Applies to Levels 4-6

o 8 years of experience working with data, report development, and analysis in a workplace setting

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

2. Required Education

· Applies to All Levels

o High-School Diploma or GED in general field of study

· Applies to Levels 4-6

o 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.

3. Required Licenses

· N/A

4. Required Certifications

· N/A

PREFERRED QUALIFICATIONS

1. Preferred Work Experience

· Applies to All Levels

o 1 year of experience in a healthcare, health insurance, or managed care environment

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

o 1 year of experience managing projects

· Applies to Levels 2-3

o 2 years of experience in a healthcare health insurance, or managed care environment

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

o 3 years of experience managing projects

· Applies to Levels 4-5

o 4 years of experience in a healthcare health insurance, or managed care environment

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

o 6 years of experience managing multiple projects

· Applies to Level 6

o 6 years of experience in a healthcare health insurance, or managed care environment

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

o 8 years of experience managing multiple projects

o 2 years of supervisory or management experience

2. Preferred Education

· Applies to All Levels

o 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

o 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.

3. Preferred Licenses

· N/A

4. 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:

o The various areas and types of Business Intelligence reporting and analysis.

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

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

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

o 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:

o The various areas and types of Business Intelligence reporting and analysis.

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

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

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

o 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) that are agreed to by end users and team leadership

· With mentor, learns the development of business requirements for decision support tools, reporting, and analysis.

· With mentor, assists with the development and delivery of presentations to staff and management

LEVEL 3 - Performs job functions with general supervision

· Demonstrates a thorough understanding and functional mastery of the following:

o The various areas and types of Business Intelligence reporting and analysis.

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

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

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

o 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 medium sized projects of moderate complexity.

· Designs, develops, and enhances moderately complex Business Intelligence reporting and analysis.

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

· Demonstrates functional ability to develop work-plans, write & execute unit test plans, and track & resolve any processing issues with the assistance of a mentor.

· With assistance of mentor, demonstrates functional ability to participate 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.

· With assistance of mentor, demonstrates functional understanding of effective design, development, and maintenance of dashboard visualizations using BI applications. (Tableau, Qlik Sense, Power BI, etc.)

· With assistance of mentor, demonstrates functional ability to develop dashboards and other Business Intelligence reporting and analysis are creatively designed and tell a story behind the data.

· With assistance of mentor, demonstrates a functional understanding of 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 assistance of mentor, demonstrates a functional ability and fully participates in the development and creation of documentation used to support associated reporting and analysis.

· Demonstrates a functional ability to develop programs, time estimates, and project schedules based on prioritization and business requirements with assistance of a mentor.

· With assistance of mentor, demonstrates functional ability to monitor and create priority list(s) that are agreed to by end users and team leadership

· With assistance of mentor, demonstrates a functional understanding of the development of business requirements for decision support tools, reporting, and analysis.

· With assistance of mentor, participates in the development and delivery of presentations to staff and management

LEVEL 4 - Performs job functions with general supervision

· Assists in the facilitation/creation of updates or changes to existing workflow, procedures, and processes that support advancing technologies, capabilities, or changes in the business needs.

· Demonstrates a superior understanding and general mastery of the following:

o The various areas and types of Business Intelligence reporting and analysis.

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

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

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

o 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 and/or leads medium to large scale projects of moderate to high complexity.

· Designs, develops, and enhances moderate to highly complex Business Intelligence reporting.

· Designs and codes moderate to highly complex queries and data sets, using the appropriate structured programming techniques, formatting, reporting platform, and associated programming languages.

· Develops work-plans, writes & executes unit test plans, and tracks & resolves any processing issues.

· Participates in, and/or guides, 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.

· Participates in, and/or guides, the design, development, and maintenance of dashboard visualizations using BI applications. (Tableau, Qlik Sense, Power BI, etc.)

· Participates in, and/or guides, ensuring dashboards and other Business Intelligence reporting and analysis are creatively designed and tell a story behind the data.

· Participates in, and/or guides, 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.

· Participates in, and/or guides, the development and creation of documentation used to support associated reporting and analysis.

· Participates in, and/or guides, planning and decision-making regarding program development, time estimates, and project schedules based on prioritization and business requirements with assistance of a mentor.

· Participates in, and/or guides, the process of monitoring and creating priority list(s) that are agreed to by end users and team leadership

· Participates in, and/or guides, the development of business requirements for decision support tools, reporting, and analysis.

· Participates in, and/or guides, the development and delivery of presentations to staff and/or management

· Participates in peer level review and mentoring to lower levels.

LEVEL 5 - Performs job functions with minimal supervision

· Participates in, and/or leads, the facilitation/creation of updates or changes to existing workflow, procedures, and processes that support advancing technologies, capabilities, or changes in the business needs.

· Demonstrates a complete mastery of, and is able to mentor others in, the following:

o The various areas and types of Business Intelligence reporting and analysis.

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

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

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

o 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 and/or leads large scale projects of high complexity.

· Designs, develops, and enhances highly complex Business Intelligence reporting.

· Designs and codes highly complex queries and data sets, using the appropriate structured programming techniques, formatting, reporting platform, and associated programming languages.

· Develops, and/or leads in the development of, work-plans, writes & executes unit test plans, and tracks & resolves any processing issues.

· Participates in, and/or leads, 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.

· Participates in, and/or leads, the design, development, and maintenance of dashboard visualizations using BI applications. (Tableau, Qlik Sense, Power BI, etc.)

· Participates in, and/or leads, ensuring dashboards and other Business Intelligence reporting and analysis are creatively designed and tell a story behind the data.

· Participates in, and/or leads, 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.

· Participates in, and/or leads, the development and creation of documentation used to support associated reporting and analysis.

· Participates in, and/or leads, planning and decision-making regarding program development, time estimates, and project schedules based on prioritization and business requirements with assistance of a mentor.

· Participates in, and/or leads, the process of monitoring and creating priority list(s) that are agreed to by end users and team leadership

· Participates in, and/or leads, the development of business requirements for decision support tools, reporting, and analysis.

· Participates in, and/or leads, the development and delivery of presentations to staff and/or management

· Guides and/or leads in peer level review and mentoring to lower levels.

LEVEL 6 - Performs job functions in a lead capacity

· Leads, with manager, the facilitation/creation of updates or changes to existing workflow, procedures, and processes that support advancing technologies, capabilities, or changes in the business needs.

· Organizes and leads, with manager, large scale projects of high complexity.

· Leads the development of, work-plans, writes & executes unit test plans, and tracks & resolves any processing issues.

· Oversees and leads 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.

· Oversees and leads, with manager, the design, development, and maintenance of dashboard visualizations using BI applications. (Tableau, Qlik Sense, Power BI, etc.)

· Oversees and ensures dashboards and other Business Intelligence reporting and analysis are creatively designed and tell a story behind the data.

· Oversees and leads 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.

· Oversees and leads the development and creation of documentation used to support associated reporting and analysis.

· Oversees and leads, with manager, the planning and decision-making regarding program development, time estimates, and project schedules based on prioritization and business requirements with assistance of a mentor.

· Manages and leads the process of monitoring and creating priority list(s) that are agreed to by end users and team leadership

· Leads, with manager, in the development of business requirements for decision support tools, reporting, and analysis.

· Oversees and leads, with manager, the development and delivery of presentations to staff and/or management

· Leads and participates in peer level review and mentoring to lower levels.

· Mentors and assists in leading training of lower levels in the day-to-day operations of the team and their specific roles.

· Conduct daily stand-up meetings to identify project status and roadblocks

· Oversee and assist in managing the team Dev Ops work queue and Serving Blue project request process

· Ensures effective communication of project status and roadblocks/issues with manager, clients, and leadership, as appropriate

· Assist in overcoming roadblocks and issues in development

· Oversee documentation of projects and reporting

· Research and respond to questions from clients regarding reporting

· Ensure the quality and accuracy of outgoing reporting

· Provide insight and ideas for continuous process improvement

COMPETENCIES

REQUIRED COMPETENCIES

1. Required Job Skills (Applies to All Levels)

· Intermediate proficiency in T-SQL, SSMS, SSRS, SSIS, Visual Studio, SSDT, and Redgate

· Intermediate knowledge of Microsoft SQL Server, SQL data bases, table/view/stored procedure development, query tuning, enterprise data modeling, normalizing data, and schema management

· Knowledge of decision support systems, business intelligence, programming, and data analysis software

· Knowledge of business Intelligence visualization platforms (Qlik Sense, Qlik View, Tableau, Power BI)

· Intermediate proficiency in Microsoft Excel, Power Pivot, External connections, DAX/MDX, and Visual Basic

· Intermediate proficiency in Microsoft Office Suite (Outlook, Teams, Excel, Word, Access, PowerPoint)

· Functional proficiency in requirement analysis and gathering, scoping, and managing projects

· Basic proficiency in data mining, preferably within a healthcare environment

· Basic proficiency in general data analysis

· Functional proficiency with Systems Development Life Cycle (SDLC)

· Functional proficiency in documentation of project requirements, development, and status tracking in an IS environment

2. Required Professional Competencies (Applies to All Levels)

· Excellent written and verbal communication

· High level of critical thinking and problem solving

· Strong analytical skills to support independent and effective decisions

· Ability to maintain positive work relationships and a positive work environment

· Ability to complete tasks with little supervision

· Ability to manage large workload

· Handle multiple and frequently changing priorities

· Ability to manage multiple projects and prioritize work tasks to adhere to deadlines, often under limited time constraints

· Perseverance in the face of resistance or setbacks

· Effective interpersonal skills and ability to maintain positive working relationship with others

· Verbal and written communication skills and the ability to interact professionally with a diverse group, executives, managers, and subject matter experts

· Ability to write and present business intelligence documentation

· Knowledge of business requirements development and user acceptance testing

· Maintain confidentiality and privacy

· Analytical knowledge necessary to generate reports based on available data and then make decisions based on reported data

3. Required Leadership Experience and Competencies (Applies to Levels 4-6)

· Ability to lead an interdisciplinary team in a cooperative, collaborative, and positive manner

· Facilitate and resolve customer requests and inquiries

· Strong ability to manage relationships with internal partners to accomplish key objectives and ensure promised deliverables are achieved

· Principled leadership and sound business ethics

PREFERRED COMPETENCIES

1. Preferred Job Skills (Applies to All Levels)

· Other programming languages (Python, R, etc.) are a plus

· Knowledge of software systems, preferably in a healthcare insurance environment

· Advanced proficiency in T-SQL, SSMS, SSRS, SSIS, Visual Studio, SSDT, and Redgate

· Advanced knowledge of Microsoft SQL Server, SQL data bases, table/view/stored procedure development, query tuning, enterprise data modeling, normalizing data, and schema management

· Advanced knowledge of decision support systems, business intelligence, programming, and data analysis software

· Advanced knowledge of business Intelligence visualization platforms (Qlik Sense, Qlik View, Tableau, Power BI)

· Advanced proficiency in Microsoft Excel, Power Pivot, External connections, DAX/MDX, and Visual Basic

2. Preferred Professional Competencies (Applies to All Levels)

· Experience in statistical analysis

· Advanced analytical skills to support independent and effective decisions

· Knowledge of general business and finance principles and practices

· Familiarity with clinical utilization methodology and measures

· Advanced systems research and analysis expertise

· Advanced project management skills

· Knowledge of internal departments and operations

3. Preferred Leadership Experience and Competencies (Applies to Levels 4-6)

· Mentor and provide peer review to lower levels

· Ability to build lesson plans and deliver lessons to junior team members

Our Commitment

BCBSAZ does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group.

Thank you for your interest in Blue Cross Blue Shield of Arizona.  For more information on our company, see azblue.com.  If interested in this position, please apply.