Anthem Business Info Consultant PS2061 in Newport News, Virginia
Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.
This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.
Business Info Consultant
Position may be located at any Anthem location or work from home. Candidate Responsible for understanding various processes and data streams which amasses information from a number of data sources into centralized databases. Ability to create Performance reports based on claims, provider, EMR Supplemental and vendor data, provide notations of performance deviations and anomalies.
Primary duties may include, but are not limited to:
Analyzes data and summarizes performance using summary statistical procedures.
Develops and analyzes business performance reports based on claims, provider and vendor data, provide notations of performance deviations and anomalies.
Creates and publishes periodic reports, as well as any necessary HEDIS ad hoc reports.
May require taking business issue and devising best way to develop appropriate diagnostic and/or tracking data that will translate business requirements into usable decision support tools
Also responsible for loading data, running processes and producing reports in HEDIS reporting software. Creates and maintains databases to track business performance. May make recommendations based upon data analysis. Provides analytic consultation to other business areas, leadership or external customers. Data analysis and reporting encompasses a much higher level of complexity. Create mapping documents to show source to target from database tables and columns to reporting results. Data analysis and reporting encompasses a much higher level of complexity. Provide analytical support for Clinical Quality Data operations using SQL /Teradata. Ability to analyze large amounts of data across multiple system platforms and sources. Candidate should have Strong Data management skills. Candidate responsible for understanding various processes and data streams which amasses information from a number of data sources into centralized databases. Analyzes data and summarizes performance using summary statistical procedures. Develops and analyzes business performance reports based on claims, provider, EMR and vendor data, provide notations of performance deviations and anomalies. Candidate should have experience in in transforming, and modeling data with the goal of discovering useful Clinical information
Requires a BS/BA degree in related field; minimum of 5 years’ experience; or any combination of education and experience, which would provide an equivalent background.
Experience with relational databases and knowledge of query tools and statistical software is required.
Ability to manipulate large sets of data.
Strong analytical, organizational, presentation, and problem solving skills.
This job is more focused on higher level technical expertise, mentoring staff in lower job levels, more customer facing, higher level of collaboration, work is higher volume and/or higher risk, and modeling as compared to the Bus Info Analyst Sr job.
Managed care is preferred.
Candidate to be experienced working in both MS Access and SQL Server /Tera Data( required).
Knowledge of HEDIS is a plus.
Data analysis of healthcare claims data is strongly preferred.
Experience with HEDIS reporting software, experience in writing and executing SQL queries to analyze and validate data and experience in focused analytic consultation and customer collaboration.
Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2016 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran.
Job Reporting & Data Analysis
Equal Employment Opportunity Statement Anthem, Inc. will recruit, hire, train and promote persons in all job titles without regard to age, color, disability, gender (including gender identity), marital status, national origin, race, religion, sex, sexual orientation, veteran status, or other status protected by applicable law. In addition, all personnel actions such as compensation, promotion, demotion, benefits, transfers, staff reductions, terminations, reinstatement and rehire, company-sponsored training, education and tuition assistance, and social and recreational programs will be administered in accordance with the principles of equal employment opportunity.
Title: Business Info Consultant PS2061
Location: virginia-Newport News
Requisition ID: PS2061