Aetna Sr Informatics Analyst - HEDIS in Phoenix, Arizona

Req ID: 45680BR

POSITION SUMMARY

Medicaid National Quality Management is an exciting and fast paced department to work in. This position is responsible for analyzing interventions, including HEDIS interventions, for the services we provide to the Medicaid plans (IVR calls, text messages, mailers, etc.) This position plays a vital part in determining the effectiveness of an intervention (or the outcomes).

Fundamental Components:

This position meets with internal customers (and external customers as needed) to determine scope of the project, data needs and timelines. Must have excellent verbal and written skills, knowledge of the HEDIS technical specifications and codes, and project management skills. The position will also be responsible for requesting data from various sources to complete analyses as well as utilize SQL to pull data from available resources. The ability to analyze complex data from multiple data sources, and proven ability to illustrate the results in a clear and concise manner via requested presentation method (i.e., PowerPoint, excel, etc.) is needed. Must be motivated with a commitment to quality and on-time deliverables.

BACKGROUND/EXPERIENCE desired:

  • 3+ years working knowledge of HEDIS technical specifications

  • SQL programming skills, knowledge of health care claims

  • Demonstrated analytical and problem solving skills

  • Experience in statistical analysis

  • Strong Organizational Skills

  • Excellent verbal and written communication skills

EDUCATION

The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.

FUNCTIONAL EXPERIENCES

Functional - Information Management/Informatics/1-3 Years

Functional - Quality Management/Quality Management/1-3 Years

Functional - Project Management//1-3 Years

TECHNOLOGY EXPERIENCES

Technical - QA Tools//1-3 Years/End User

Technical - Database/SQL Server/1-3 Years/End User

Technical - Database/Microsoft Access/1-3 Years/End User

REQUIRED SKILLS

General Business/Applying Reasoned Judgment/FOUNDATION

General Business/Communicating for Impact/FOUNDATION

General Business/Turning Data into Information/ADVANCED

DESIRED SKILLS

Leadership/Collaborating for Results/FOUNDATION

Leadership/Creating Accountability/FOUNDATION

Leadership/Driving a Culture of Compliance/FOUNDATION

Telework Specifications:

FT work at home

ADDITIONAL JOB INFORMATION

Work with a motivated team to improve the health of our members. Proactively seek ways to improve processes by interacting with team members. Build positive working relationships with people from other national teams. Ability to handle multiple assignments competently, accurately and efficiently will be key.

Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.

We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.

Together we will empower people to live healthier lives.

Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.

We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.

Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.

Job Function: Health Care