Anthem Business Analyst I - PS11040 (Any Anthem location or remote; preferred:. Thousand Oaks, CA) in Boston, Massachusetts
Business Analyst I - PS11040 (Any Anthem location or remote; preferred:. Thousand Oaks, CA)
Location: Thousand Oaks, California, United States
Field: Business Support
Requisition #: PS11040
Post Date: Aug 10, 2018
Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater 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.
This is an entry-level in a career progression under Pricing Configuration Management. Responsible for accurate, timely maintenance of complex provider pricing including expertise on business requirements for multiple business regions.
Primary duties may include, but are not limited to:
Assists the department in problem identification, analysis, and resolution for multiple system provider pricing issues.
Participates in system testing and analysis in support of new functionality, new system processes, and business rules changes.
Validates the data housed on provider pricing systems and ensure adherence to business and system requirements of customers as it pertains to provider contract(s).
Researches and resolves complex exceptions to assure accurate reimbursement based on provider contract and area fee schedules.
Serves as liaison between business partners, business support and IT.
Requires a HS diploma or GED, 5 years of related health care experience that includes work flow design, data analysis, and/or systems automation and testing; or any combination of education and experience, which would provide an equivalent background.
Requires WGS pricing and/or claims experience.
EPDS, SPS, WGSP, Macro, Microsoft Office Suite experience preferred.
We currently have one opening for this position which may be located in any Anthem site location or remote; however, preferred location: Thousand Oaks, CA
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 and apply, please visit us at antheminc.com/careers. An Equal Opportunity Employer/Disability/Veteran