• Anthem
  • $103,330.00 -127,920.00/year*
  • Buffalo , NY
  • Information Technology
  • Full-Time
  • 130 Rapin Pl


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HEDIS Bus Info Consultant - Western Region Preferred (PS25895)
**Location:** **United States**
**New**
**Requisition #:** PS25895
**Post Date:** 6 days ago
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
Responsible for understanding various processes and data streams which amasses information from a number of data sources into centralized databasesand reporting software.
Requires ability to support changes to these processes as driven by business needs which entails working with customers and internal 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.
Responsible for HEDIS annual project support for a set of contracts including IDSS submission, auditor responses, benchmarking rates, and support for medical record project.
Primary duties may include, but are not limited to:Serve as primary point of contact for a region or state healthplan(s),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.
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.
Associated topics: business, business analysis, business intelligence, business systems, business systems analyst, client, consultant, customer, marketing, senior consultant

* The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.

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