Anthem Business Info Consultant(HEDIS)-131949 in Boston, Massachusetts
Anthem, Inc. is one of the nation's leading health benefits companies and a Fortune Top 50 company. At Anthem, Inc., we are working together to transform health care with trusted and caring solutions. Bring your expertise to our innovative culture where you will have the opportunity to make a difference in people’s lives, and to take your career further than you can imagine.
This positionmust be located in the office or telecommute.
Responsible for understanding various processes and data streams which amasses information from a number of data sources into centralized databases. Requires ability to support changes to these processes as driven by business needs which entails working with IT support team to define business requirements, conduct user acceptance testing and production verification of these changes. In some cases, modification of internal processes requires technical expertise in DDL (data definition language) as well as experience in ETL processes, specifically SSIS. Also responsible for loading data, running processes and producing reports in HEDIS reporting software. 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. Access is required. SQL is a 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 required.
/Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine, and is a 2014 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran./
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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(HEDIS)-131949
Requisition ID: 131949