Health Information Consult Sr #126161 – Any Anthem location or telecommute job – Anthem, Inc. – United States

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Health Information Consult Sr #126161 – Any Anthem location or telecommute

Anthem, Inc.

1,893 reviews

United States


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. Responsible for identifying opportunities to improve health care affordability through analysis of data, intake of provider inquiries and issue research and resolution, and transforming business intelligence into action plans and tangible tools to improve overall awareness and operational productivity. Knowledge of Anthem’s Enhanced Personal Health Care/Shared Saving Savings Program desired, specifically key awareness of methodologies related to total cost of care of attributed members and evaluation and scrutiny of quality and utilization metrics. Primary duties may include, but are not limited to: The direct coordination of data and reporting inquiries to document, track and resolve. Collaboration with the data warehouses and with respective analysts to retrieve actionable insight in establishing business rules and monitoring adherence to program specifications. 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 five 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 is prioritized.

Experience in managed care and data analysis is preferred.

Practical business experience is preferred. This job focuses more on higher level customers and developing action plans as compared to the Health Information Consultant job. Please note, we currently have one opening for this position which may be located at any Anthem site location – telecommute is available Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2014 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at EOE. M/F/Disability/Veteran.

1,893 reviews

It’s a powerful combination. It’s the foundation upon which we’re creating greater care for our members, greater value for our customers,…

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