Business Info Analyst II or Sr (Financial Data Analyst) - 128310SK
Location:
Henderson , Nevada
Posted:
October 17, 2017
Reference:
824734153
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 andtogether 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 INFO ANALYST II

Job Summary:

Responsible for the day to day operational support for Medicaid encounter data processing and related functions including the receipt, submission, analysis and correction of such data. Responsible for the analysis of market and organizational needs and for translating those needs into sound detail business requirements. This role coordinates with the information technology and Health Plan teams to support short and long term operational/strategic business activities; developing, enhancing and maintaining operational information and models that have an impact on business & governance decisions. Partner with information technology staff to ensure requirements are incorporated into system design. Perform research and analysis of complex data to effectively monitor and control encounter related member or provider services costs.

Primary duties may include, but are not limited to:

1. Creates and maintains databases to track business performance.

2. Analyzes data and summarizes performance using summary statistical procedures.

3. Develops and analyzes business performance reports (e.g. for claims data, provider data, utilization data) and provides notations of performance deviations and anomalies.

4. Creates and publishes periodic reports, makes necessary recommendations, and develops ad hoc reports as needed.

5. Examines the business issues and devises the best way to develop appropriate diagnostic and/or tracking data that will translate business requirements into usable decision support tools.

6. Own and develop relationship with partners and external stakeholders to understand the function needed and report on progress.

7. Ensure plans are made and processes are created to evaluate the impact of the changes made, including taking responsibility for overseeing and reporting on this evaluation.

BUSINESS INFO ANALYST SR

Job Summary:

Responsible for the day to day operational support for Medicaid encounter data processing and related functions including the receipt, submission, analysis and correction of such data. Responsible for the analysis of market and organizational needs and for translating those needs into sound detail business requirements. This role coordinates with the information technology and Health Plan teams to support short and long term operational/strategic business activities; developing, enhancing and maintaining operational information and models that have an impact on business & governance decisions. Partner with information technology staff to ensure requirements are incorporated into system design. Perform research and analysis of complex data to effectively monitor and control encounter related member or provider services costs.

Primary duties may include, but are not limited to:

1. Creates and maintains databases to track business performance.

2. Analyzes data and summarizes performance using summary statistical procedures.

3. Develops and analyzes business performance reports (e.g. for claims data, provider data, utilization data) and provides notations of performance deviations and anomalies.

4. Creates and publishes periodic reports, as well as any necessary ad hoc reports.

5. 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.

6. May make recommendations based upon data analysis.

BUSINESS INFO ANALYST II

• Requires a BS/BA degree in related field.
• 2-4 years related operational and/or data analysis experience.
• Experience in database structures, and standard query and reporting tools.
• Any combination of education and experience, which would provide an equivalent background.
• This job is more focused on technical expertise and analysis as compared to the Bus Info Analyst I job.
• Knowledge of 837 and other standard EDI transactions preferred.
• Knowledge of the Trizetto MDE Encounter Processing system preferred.
• Excellent problem solving, analytical, organizational, planning, project management and presentation skills required.
• Microsoft Office Excel experience and strong PC skills required.
• Database and SQL experience required.
• Excellent oral, written and interpersonal communication and relationship building skills essential.
• Encounters, Medicaid and claims experience preferred.

BUSINESS INFO ANALYST SR

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.

Ability to manipulate large sets of data is also required.

Strong analytical, organizational and problem solving skills.

Knowledge of 837 and other standard EDI transactions preferred.

Knowledge of the Trizetto MDE Encounter Processing system preferred.

Excellent problem solving, analytical, organizational, planning, project management and presentation skills required.

Microsoft Office Excel experience and strong PC skills required.

Database and SQL experience required.

Excellent oral, written and interpersonal communication and relationship building skills essential.

Encounters, Medicaid and claims experience preferred.

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 2016 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. /

Job Reporting & Data Analysis

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 Info Analyst II or Sr (Financial Data Analyst) - 128310SK

Location: nevada-Henderson

Requisition ID: 128310

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