Bus Info Analyst Senior or Consultant-PS17856


Published
April 19, 2019
Location
Chicago, Illinois
Category
Job Type
Job Level
Analyst or Senior Analyst
Sponsorship available?
No

Description

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.
Office Location: Chicago, IL
Business Info Analyst Senior

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:

1. Creates and maintains databases to track business performance.
2. Analyzes data and summarizes performance using summary statistical procedures.
3. Develops and analyzes business performance reports (e.g. for claims data, provider data, utilization data) and provides notations of performance deviations and anomalies.
4. Creates and publishes periodic reports, as well as any necessary ad hoc reports.
5. 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.
6. May make recommendations based upon data analysis.

Business Info Consultant:

Provides analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider network satisfaction. Typically works with one provider type, e.g. physician, ancillary, or medical group. Provides advice and analytic support to Medical Directors, contract negotiators and management on cost of care issues to help reduce costs without compromising quality of care.

Primary duties may include, but are not limited to:

1. Performs varied data analyses which may include: developing moderately complex ROI models and performs healthcare cost analysis to identify strategies to control costs; projecting cost increases in medical services by using analytic techniques for PMPM trending via multiple variable analysis; preparing pre-negotiation analyses to support development of defensible pricing strategies; performing modeling to compare various contract scenarios based on member utilization patterns and 'what if' logic; measuring and evaluating the cost impact of various negotiation proposals; researching the financial profitability/stability and competitive environment of providers to determine impact of proposed rates; and projecting different cost of savings targets based upon various analytics.
2. Identifies cost of care savings opportunities by analyzing practice patterns in relation to office visits, referral practices, and specialty care procedures and recommends policy changes and claim's system changes to pursue cost savings.
3. Reviews results post-implementation to ensure projected cost savings are realized and recommends modifications as applicable.
4. Recommends standardized practices to optimize cost of care.
5. Educates provider contractors on contracting analytics from a financial impact perspective.
6. May recommend alternative contract language and may go on-site to provider premises during contract negotiations.
7. Participates on project team involved with enterprise wide initiatives

Business Info Analyst Sr:

• Requires a BS/BA degree in related field.
• 3-5 years data analysis or related experience.
• 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 Bus Info Analyst II job.

Business Info Consultant:

• Requires BS/BA degree in Mathematics, Statistics, or related field.
• 5-7 years’ experience in broad-based analytical, managed care payer or provider environment; experience in statistical analysis and healthcare modeling.
• Any combination of education and experience, which would provide an equivalent background.

Qualifications for All Levels:
• SAS, SQL and Excel required.
• Tableau preferred.
• Healthcare experience required.
• Claims experience required.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2017 Diversity Inc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran

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