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Anthem Business Consultant - Any Anthem office location or Remote - PS15861 in Upland, California

Business Consultant - Any Anthem office location or Remote - PS15861

Location: United States

Requisition #: PS15861

Post Date: May 14, 2019

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 atone of America's leading health benefits companies and a Fortune Top 50 Company.

Business Consultant - PS15861

Work Location: This position can work from any Anthem office location or work remotely / Work @ Home.

This position will support the Delegated Risk Program for Anthem’s Government Business Division. Possesses full technical knowledge of most phases of systems and business analysis and is able to consider the business implications of the application of technology to current and future business environments.

Primary duties may include, but are not limited to:

  • May lead teams of analysts assigned to complex projects.

  • Determines specific business application software requirements to address complex and varied business needs.

  • Analyzes and designs solutions to address complex and varied business needs.

  • Consults with business partners concerning application and implementation of technology.

  • Oversees requirements development and testing associated with build-out of new capabilities.

  • Creates, maintains, and manages dashboards to track and trend operational processes.

  • Creates and runs complex queries related to claims and encounters.

  • AdHoc development of query coding to various GBD systems

  • Intrinsic knowledge of Anthem Claims & Encounter systems

  • Experience in partnering with and briefing Senior Executive Staff to develop root cause analysis and resolution of program level disruptions

  • Requires a BS/BA degree

  • 8 - 10 years of business analysis experience, which should include analysis, project management, working knowledge of mainframe computer, hardware and operating systems; or any combination of education and experience, which would provide an equivalent background.

  • Requires knowledge of claims and encounters processing in GBD Facets – minimum 3 years.

  • Knowledge and understanding of value based payment / risk arrangements also strongly preferred.

  • Ability to write SQL queries required.

  • Ability to travel may be required.

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 and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.

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