/ 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.
Location: Most Anthem Locations, With the Exception of CA, CT and NY
The Business Analyst III , Government Business Division - Qualityis responsible for serving as the liaison between the business and IT in translating complex business needs into application software. This can include supporting training and auditing processes.
Primary duties may include, but are not limited to:
Analyzes complex end user needs to determine optimal means of meeting those needs.
Determines specific business application software requirements to address complex business needs.
Develops project plans and identifies and coordinates resources, involving those outside the unit.
Works with programming staff to ensure requirements will be incorporated into system design and testing.
Experience maintaining business and system requirements of multi-functional complex system
Query development and data analysis skills strongly desired (using any database technology)
The ability to initiate or assist with testing of changes as it relates to projects assigned.
Provides oversight and resolves complex issues, resolving problems, and providing timely follow-up on identified issues.
Ensure policies and edits do not conflict with Federal and state mandates.
Conducts research of claims systems and system edits to identify adjudication issues and to audit claims adjudication for accuracy.
Ability to participate on project teams and add significant and measurable technical input to the projects
May provide direction and guidance to team members and serves as an expert for the team.
Performs other duties as assigned
BA/BS degree, 5-7 years related experience or any combination of education and experience, which would provide an equivalent background
Strong analytical skills, high attention to detail, and proven ability to be an innovative problem solver.
Organize and present ideas in a convincing and compelling manner.
Persuade and influence others with effective verbal and written communication.
Strong communication skills both written and verbal to represent the department in various meetings with various levels of management.
Experience in the following is preferred: Trizetto Facets, Access Database, Sybase Tables and Excel
Knowledge in the following is a plus: Claims Processing, Product & Benefits Setup
/ Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2017 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran. /
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Equal Employment Opportunity Statement
Anthem, Inc. will recruit, hire, train and promote persons in all job titles without regard to age, color, disability, gender (including gender identity), marital status, national origin, race, religion, sex, sexual orientation, veteran status, or other status protected by applicable law. In addition, all personnel actions such as compensation, promotion, demotion, benefits, transfers, staff reductions, terminations, reinstatement and rehire, company-sponsored training, education and tuition assistance, and social and recreational programs will be administered in accordance with the principles of equal employment opportunity.
Title: Business Analyst III - Government Business Division - Quality - Most Anthem Locations With The Exception of CA, CT and NY (137202)
Location: connecticut-New Haven
Requisition ID: 137202
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