Anthem Inc. Veterans Jobs

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Anthem, Inc. Business Information Analyst II/Analyst Sr. in Hialeah Gardens, Florida

Description

SHIFT: Day Job

SCHEDULE: Full-time

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.

Business Info Analyst II

Responsible for analyzing, reporting and developing recommendations on data related to multiple, varied business metrics.

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, makes necessary recommendations, and develops ad hoc reports as needed.

  • 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.

    Business Info Analyst Sr.

    Responsible for analyzing, reporting and developing recommendations on data related to complex and varied business metrics. Typically provides technical assistance to lower level staff.

    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.

  • Validates risk score projections/financial accruals from RAPS/EDPS by weighting risk scores from V22 & V24 HCC models run.

  • Creates suspect list by comparing historical diagnosis data against MOR/MODD files to identify diagnosis gaps.

  • May make recommendations based upon data analysis

  • 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.

Qualifications

Applicable to Colorado Applicants Only

Annual Salary Range*: Bus Info Analyst II: $56,000.00 - $70,000.00 / Bus Info Analyst II: $67,000.00 - $84,000.00

Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

  • The hourly or salary range is the range Anthem in good faith believes is the range of possible compensation for this role at the time of this posting. The Company may ultimately pay more or less than the posted range. This range is only applicable for jobs to be performed in Colorado. This range may be modified in the future. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

    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; or 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.

    Business Info Analyst Sr.

    Requires a BS/BA degree in related field; 3-5 years data analysis or related experience; or 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. 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.

    Highly preferred technical skills:

    • Strong knowledge of Medicare and Medicaid Risk Adjustment, including technical requirements as well as challenges health plans and providers may have in meeting reporting requirements

    • Understanding of applicable CMS Medicare Part C & D reporting requirements including manuals, review guides and Code of Federal Regulations

    • C-Sharp

    • .Net/ASP

    • VB.Net

    • Oracle/MS SQL

    • Windows Presentation Foundation

    We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s 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.

    REQNUMBER: PS50631

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