Anthem Business Info Consultant HEDIS PS15352 in Beaumont, California

Business Info Consultant HEDIS PS15352

Location: United States

Field: Reporting & Data Analysis

Requisition #: PS15352

Post Date: Dec 05, 2018

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 location or telecommute, but Norfolk, VA is preferred.

Responsible for loading data, running processes and producing reports in HEDIS reporting software. Responsible for understanding various processes and data streams which amasses information from a number of data sources into centralized databases.

Primary duties may include, but are not limited to:

Creates and maintains databases to track business performance.

Analyzes data and summarizes performance using summary statistical procedures.

Develops and analyzes business performance reports (e.g. for claims data, provider data, utilization data) and provides notations of performance deviations and anomalies.

Creates and publishes periodic reports, as well as any necessary 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.

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.

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. SQL is preferred. 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.

Additional preferred skills:

HEDIS experience, HEDIS software

Good communicator, responsive to both immediate team/mgr. and customer needs

Willingness to embrace the other duties as assigned.

Querying source and data warehouse, claims experience/knowledge

GBD experience

Eye for quality and detail- and the ability to raise issues with team and leadership timely and with clarity

Ability to develop new reports and research requests (The ability to isolate the research question and recommend a clear path to an end product and/or resolution)

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at An Equal Opportunity Employer/Disability/Veteran.