Anthem, Inc. Health Data Analytic (Health Information Consult/Sr) in Costa Mesa, California
SHIFT: Day Job
Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater 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.
Title: Health Data Analytics ( aka Health Information Consultant/Sr) This position can be hired either at the Health Info Consultant or Health Info Consultant Sr level at Hiring Manager discretion based on experience.
Location: Work at office or from home (within the eastern time zone of the United States) Must live within 40 miles of an Anthem location
Responsible for identifying opportunities to improve health care affordability through analysis of data and transforming business intelligence into action plans. Provides strategic recommendations for improving health care affordability to executives and professional clients.
The role is responsible for identifying opportunities to improve health care utilization, access, affordability and provider networks through robust analysis of medical data, claims data, Medicare data and publicly available data to drive business intelligence and decision making for leadership
Primary duties may include, but are not limited to:
Collaborates with the data warehouse analysts in establishing business rules and monitoring adherence.
Provides business expertise regarding the appropriate use of data elements and cooperates with reporting personnel from other areas to establish and maintain these common business rules.
Translates data trends into strategic recommendations for program development and action plans.
Tracks and prioritizes projects through coordination and negotiation with internal and external clients to improve the efficiency of information/project plan generation.
Evaluates and triages potential projects and studies based on the value, cost benefit analysis and the urgency of the request.
Performs strategic data analysis (data mining) and research as appropriate to support business needs (e.g., disease management, provider profiling, etc.).
Develops detailed understanding of relevant business processes, goals and strategy in order to provide analysis and interpretation.
Develops and communicates action plans to address areas for improvement identified through data analysis and business expertise.
Assists in planning initiatives to address areas for improvement.
Collaborates with business user to define media, frequency and audience for distribution of information.
Mentors (formally and informally) less experienced associates and identifies training needs and initiates education to address skill and knowledge gaps.
Requires a BS/BA degree; at least 3-5 years related experience in analysis and reporting; or any combination of education and experience, which would provide an equivalent background. Excellent knowledge and understanding of data warehouse data structures and data flows is required. Excellent oral and written communication, analytical and planning skills required. Knowledge of standard Business Information tools and programming/query languages preferred. Experience in managed care and data analysis is preferred. Practical business experience is preferred. Knowledge of structured query language (SQL), excel, tableau, Access, Power Point. Knowledge of and experience with analyzing medical claims and electronic medical records types. Knowledge of medical processes and the data produced by them. Experience working with analytics systems developed by prominent health IT vendors.