Anthem Metrics Senior Advisor-Remote (PS11193) in Hingham, Massachusetts
Metrics Senior Advisor-Remote (PS11193)
Location: United States
Field: Reporting & Data Analysis
Requisition #: PS11193
Post Date: 3 days ago
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.
Metrics Senior Advisor-may be located at any Anthem location or work from a home office
Works as part of a financial performance reporting team to support the Program Integrity division in combatting Healthcare Fraud, Waste, and Abuse; ensuring that proper payments are being made to legitimate providers for reasonable services provided to eligible members.
Creates World Class monthly financial reporting packages, including Tableau Dashboards, which track performance vs. target. Assist in the creation of budgets and financial forecasts for supported functional areas, and act as a financial consultant to assist in achieving these goals. Supports Anthem expansion initiatives (through the Transformation program), and provides coaching to initiative owners. Communicates financial results to supported areas, management, and other stakeholders.
Understands, predicts and implements measures to control healthcare costs and to make healthcare more affordable for Anthem’s members. Understands, and is able to describe data nuances, caveats, and sources, and help drive data credibility process improvement.
Primary duties may include, but are not limited to:
Provides financial reporting and technical support for the Program Integrity division in achieving financial targets
Interacts frequently with business partners, assisting in identifying financial savings opportunities, including mining data sources
Supports Anthem Transformation efforts via Financial Coaching for Initiative Owners
Create and enhance monthly financial reporting packages, including Tableau Dashboards and reporting suites
Assists in the identification of potential savings opportunities through complex analytics via partnering with the Cost of Care analytics team, developing action plans, benefits and risk assessments, and overseeing and partnering with the Actuarial team to develop and ensure accurate savings quantification.
In addition to tracking and reporting, also plans, leads and oversees Cost of Care planning meetings
Team player with a positive, “can do” attitude
Strong financial/analytics acumen required.
Proven track record of financial estimation and results reporting
Requires BA/BS degree in business or math related field and 8-10 years of data collection/analysis experience; - Or any combination of education and experience, which would provide an equivalent background. MS preferred
Advanced degree; MBA, MPH, MHA, or MA preferred
Expertise with Tableau strongly preferred
Best in Class communication skills required
Experience presenting financial analysis to senior leadership strongly preferred
Health insurance experience is required, managed care experience is preferred
Prior experience with Program Integrity, Cost of Care reporting, provider networks, claims, finance, and operations strongly preferred
EDWard competency and programming expertise and including SAS, SQL, etc, strongly preferred
Incumbent should also have a solid understanding of metric and statistical calculations and data consulting/presentation experience; knowledge of OLAP reporting tools required. Incumbent should be able to work independently and make recommendations based on statistical analysis.
Advanced Certification in process improvement and process control competencies, such as Lean, Six Sigma Black Belt/Master Black Belt or ITIL Advanced Certification preferred.
Ability to clearly and concisely communicate and present analytical data to all levels of management.
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 please visit us at antheminc.com/careers. AnEqualOpportunityEmployer/Disability/Veteran