Pharmacy Or PBM Business Information Consultant - Multiple Locations - Ps19836

Anthem, Inc. Las Vegas , NV 89134

Posted 1 week ago

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.

The position will work from one of the following Anthem locations:

Atlanta, GA

Chicago, IL

Las Vegas, NV

Louisville, KY

Mason, OH

Minneapolis, MN

Morristown, NJ

St Louis, MO

Virginia Beach, VA

Wallingford, CT

The Business Info Consultant develops insights through clinical data analytics of clinical program performance against health outcomes data and real world evidence. Summarizes and presents activity and outcomes reports to key stakeholders. Improves on pharmacy measure performances through the development, design, and evaluation of clinically appropriate programs that encourage medically appropriate and cost effective health care. Define and create clinical metrics and targeting strategies to improve member outcome in collaboration with product owner. Creates compelling interactive dashboards for internal and external customers to identify, design, recommend and execute solutions to deliver actionable information. Provides statistical oversight on clinical study design and program evaluations, ensuring sound statistical methodologies in study design, sample size estimation, statistical analysis planning, statistical modeling, data handling, analysis and reporting. Uses SQL/SAS, develop clinical reporting packages that incorporates pharmacy, medical, and membership data elements that pertains to improving healthcare quality. Develops provider business intelligence reports in the areas of advanced analytics, forecasting, data extrapolation, and predictive modeling. Implements standard dashboards and delivery mechanisms enabling data-driven insights for internal and external clients. Develops appealing data visualizations leveraging multiple internal and external data sources (quantitative and qualitative), and drawing insightful conclusions for decisions makers. Executes a plan for ongoing evaluation and product monitoring reports for program performance through automated procedures.

Primary duties may include, but are not limited to:

  • Develops and analyzes business performance reports using healthcare data (e.g. claims, provider, and membership) 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.

  • Requires a BS/BA degree; MA/MS preferred in related field (Computer Science, Statistics, Biostatistics, Public Health, Pharmacoeconomics); 5-10 years data analysis or related experience (SAS/SQL; data visualization; data analysis); or any combination of education and experience, which would provide an equivalent background.

Preferred Qualifications

  • SAS Certification in Base Programming, Advanced Programming, Data Scientist, Advanced Analytics Professional.

  • 3 years of experience in data visualization authoring/creation tool (i.e. Tableau, Power BI, Domo, Qlik, Datorama or similar visualization program).

  • Proven skills in articulating and communicating data-driven insights and strategies both verbally and in writing to colleagues and senior leadership.

  • Experience with multiple database platforms (Hadoop, SQL, etc) and knowledge of query tools and statistical software is required.

  • Experience performing complex data aggregation, cleansing and quality audits.

  • Ability to manipulate large sets of data is also required. Able to automate data querying/reporting processes.

  • Strong statistical modeling experience (regression, segmentation, CHAID)

  • Strong analytical, organizational and problem solving skills.

  • Ability to communicate in a succinct and precise manner for management contacts.

  • Ability to communicate in technical detail to development and vendor resources.

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.


icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Pharmacy PBM Financial Consultant Sr Multiple Locations Ps19148

Anthem, Inc.

Posted 3 weeks ago

VIEW JOBS 3/30/2019 12:00:00 AM 2019-06-28T00:00 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: Multiple Locations The Financial Consultant Sr. is responsible for providing financial analysis and preparing analysis of results for lines of business. Primary duties may include, but are not limited to: * Works with management to provide decision support analysis. * Conducts and documents complex financial and business related analyses and research fields including financial and expense performance, rate of return, depreciation, working capital and investment. * Focuses on business improvement initiatives and leads and directs projects. * Provides guidance to less experienced financial consultants. * Requires a BS/BA in accounting or finance; at least 5 years budgeting, forecasting and accounting financial reporting experience; or any combination of education and experience, which would provide an equivalent background. MBA, CPA, CMA, FSA, and/or CFA preferred * Good interpersonal skills and the ability to communicate with team in different offices on a normal basis * Proficient with MS Excel and MS Access required * Pharmacy or PBM experience strongly preferred * Experience leading presentations of financial data with leadership who maintain varying levels of financial based knowledge preferred * Experience working P&L financial data to prepare modeling, reports, analysis, projections and recommendations based on this analysis preferred * Strong knowledge of PBM finance, PBM revenue, PBM pricing and PBM formulary rebates 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. Anthem, Inc. Las Vegas NV

Pharmacy Or PBM Business Information Consultant - Multiple Locations - Ps19836

Anthem, Inc.