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.
The Business Info Analyst Sr is 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.
Understand performance measurement, e.g. rejection threshold edits for market(s) and impact to market contractual metrics
Perform data analysis and data sampling to identify issues and spot trends as related to pends, rejects, and remits
Accurately translate state encounters requirement and document these into business requirements and test plans
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.
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.
May make recommendations based upon data analysis.
Requirements 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.
Experience with transaction data sets, knowledge of 837 and claims data,
Solid SQL experience,
Ability to manipulate large sets of data is also required.
Root cause analysis and remediation
Coordination with multiple stakeholders
Ability to lead and drive multiple projects
Fast paced deadlines to meet regulatory requirements
Strong analytical, organizational and problem solving skills.
Strong communication skills.
Experience reconciling financial reports and claims data.
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.
This position must sit in Norfolk, VA.
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.