13 Aug
Business Information Analyst Sr - Central Region Ops Analytics - PS38055
California, Applevalley 00000 Applevalley USA

Vacancy expired!

Description SHIFT: Day JobSCHEDULE: Full-timeYour Talent. Our Vision. At Anthem, Inc., it is a powerful combination, and the foundation upon which we are 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 Information Analyst Sr - Central Region Ops Analytics – PS38055

Location: Remote Description:

Responsible for analyzing, reporting and developing recommendations on data related to complex and varied business metrics. Typically provides technical assistance to lower level staff. As a senior member of the analytics team, the candidate should have a strong track record of combining advanced analytics skills, with the ability to deliver solutions in response to business challenges.Responsibilities:

· 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.

· Monitor and evaluate patterns, costs and trends as they relate to clinical conditions and member utilization of medical services.

· 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.

· Develop and communicate recommendations based upon data analysis.Requirements:

· Requires a BS/BA degree in related field; 3-5 years data analysis or related 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.

· Advanced level experience in SQL /SAS or related software; minimum 3-5 years

· Experience and understanding of various physician and facility reimbursement methodologies (e.g., % Medicare, per diem, DRG, APC)

· Advanced knowledge of provider reimbursement, procedure codes (CPT-4, HCPCs), diagnosis codes (ICD-10), and health insurance business

· Ability to manipulate large sets of data is also required.

· Strong analytical, organizational and problem solving skills.

· This job is focused on complex and varied metrics, making recommendations and providing assistance to staff as compared to the Bus Info Analyst II job.Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 Diversity Inc. magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at Careers.antheminc.comAn Equal Opportunity Employer/Disability/VeteranREQNUMBER: PS38055

Vacancy expired!


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