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Business Information Analyst Senior - PS24465

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Reporting & Data Analysis
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PS24465 Requisition #
 
 
 
 

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 Information Analyst Senior 


This position can be located at any Anthem office   

  

The Business Information Analyst Senior 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.
  • 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.
  • Conducts data mining activities using available tools and performs comprehensive analysis and evaluation of the collected data in order to detect fraudulent, abusive or wasteful activities or patterns.
  • . Examines claims for compliance with relevant billing and processing guidelines and to identify opportunities for fraud and abuse prevention and control.
  • Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern.

 

 

 

 

 


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  • Requires a BS/BA degree in related field and/or current certification as a Certified Professional Coder (AAPC or AHIMA)
  • 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 Business Information Analyst II job.
 
 
 

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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The Health Care Analytics (HCA) team focuses on transforming the way data is used within the health care industry. They provide strategic analysis that impacts business decisions, improves efficiency and drives innovation.

As we expand our technology and analytics capabilities, we are searching for associates that have a passion for analytics and the drive to pave the way in a growing industry.

Career opportunities are available in the following areas:

  • Strategy and planning: Ensures strategic alignment between HCA projects and the organization's broader goals. Also integrates analytics strategy into the execution process, including program management, project controls, communications and vendor oversight.
  • Operations: This department houses the HCA shared-services functions including project financial controls and estimations, demand management, user acceptance testing, and coordination and release management.
  • Customer management analytics: Provides accurate, timely and reliable delivery of client reports, which include data analyses, insights and other information that demonstrates Anthem’s value as a business partner.
  • Financial management analytics: Works closely with HCA leaders and other Anthem management to provide support to the finance and accounting teams through financial reporting systems.
  • Member management analytics: This team is responsible for the risk adjustment program and analytics, the member management program, predictive analytics and member management analytic products management.
  • Provider management analytics: Manages Anthem’s unit cost trend, provider contract modeling, network profiling, payment innovation analytic solutions, and other analytics that enable provider collaboration strategies.
  • Research, development and transformational analytics: Works with senior leaders to manage implementations, new product development and provides acquisition support.

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