Anthem, Inc. Business Info Analyst Sr in Hingham, Massachusetts
SHIFT: Day Job
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.
Title: Business Info Analyst Sr
Work location: Open - Work at home (must live within 40 miles of an Anthem office)
Status: Full-time, Salary, Bonus Potential
The Business Info Analyst Sr is responsible for analyzing, reporting and developing recommendations on data related to complex and varied business metrics. Typically provides technical assistance to lower level staff. This specific position supports the continued DSNP growth for Medicare and GBD. This position will support the focused alignment from CMS and states and better care coordination, necessitates close monitoring of our duals populations and related enhancements to support integrated processes and appropriate management/care coordination of these members. It plays an integral part in helping to drive process differentiation in downstream departments, accurate inclusion of new and changed plans year over year in our duals logic and appropriate oversight and to support duals enhancements as they are relying on the duals reporting/testing/coding for analysis and process improve
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.
Support for the constant oversight of accuracy and validity of data up/down stream and the one person who holds this all together. Without this position to support the routine manage of Duals data, the risk for error, broken processes, and missed red flags is significant and will impact downstream departments.
Act as a liaison between the business and IT, and communicate with customers about technical issues in non-technical terms.
Information about the Team:
Our team is part of the Government Business Division with a primary scope of work related to Medicaid Medicare Program (MMP) and Dual programs (members that are eligible for both Medicare and Medicaid plan). This role would primarily be focused on the Duals side, specifically Dual Special Needs Plans (DSNP). We maintain our own database and address both regulatory reporting and operational reporting needs. We work with business owners (both clinical and marketing) to provide insight into the data, as well as maintain the data integrity of our own internal database.
Requires a BS/BA degree in related field;
3-5 years data analysis or related experience
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.
Experience in SQL coding, Excel, SSRS, and SSIS is required.
Ability to manipulate large sets of data is required.
Strong Analytical Skills when working with large data sets (either in a table or excel file) is a must.
Advanced 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.
Experience in Facets, Oracle and Access is a plus.
Prefer someone with MMP/Duals experience and familiar with the Jira/SNOW process.
Familiar with testing data sets; creating or running sufficient scenarios in order to detect/identify issues.
Competent with interpreting technical documentation as well as writing requirements.
Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and has been named a 2019 Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.
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