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Anthem Bus Info Consultant (Payment Integrity Product Management) (PS25567) in Westchester, Illinois

Bus Info Consultant (Payment Integrity Product Management) (PS25567)

Location: United States

Requisition #: PS25567

Post Date: Aug 12, 2019

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.

Location: Any Anthem Location or Work at Home

Position will be representing the Payment Integrity (PI) group responsible for ensuring proper payments are made to legitimate providers for reasonable services provided to eligible members. Position will be responsible for driving product development and implementation of new IT capabilities and surrounding business processes for new and improved solutions. This role will directly partner with Senior Payment Integrity (PI) and IT leadership to strategically assess, design and implement both business processes and IT capabilities. This position will directly partner with multiple Software development groups to develop and maintain custom IT solutions that enable the business to drive efficiency and compliance. We use an Agile Software Development Lifecycle (SDLC) approach leveraging the Scaled Agile Framework (SAFe).

Primary duties may include, but are not limited to:

  • Act as a business liaison between Sr Leaders within Payment Integrity for strategic capabilities, and the IT Leadership in order to operationalize new technologies.

  • Collaborate with business owners to analyze current operational procedures, trends and identify opportunities to improve.

  • Write Business Cases for capital investment for new projects.

  • Support business development of new capabilities and functions by championing the capabilities through various key business partners/functions. Develop and maintain successful working relationship with business partners, development teams, Payment Integrity Leadership and Vendor Partners.

  • Manage ad-hoc project and operational issues that are identified through development and ongoing operations.

  • 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.

  • Analyze data and summarize performance using summary statistical procedures.

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

  • Provide analytic consultation to other business areas, leadership or external customers.

  • Career Progression in direct/indirect leadership responsibilities

  • Experience in Product Management preferred

  • Experience in Payment Integrity preferred

  • Experience in Application Portfolio Management preferred

  • Organizational, analytical, facilitation, consultation, negotiation, persuasion and project management skills required

  • Conducts business analysis and recommends technical alternative solutions to management as to course of action that best meets the department's goals.

  • Experience maintaining business and system requirements of multi-functional complex system

  • 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.

  • 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.

An Equal Opportunity Employer/Disability/Veteran

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 careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.

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