HEDIS Business Info Consultant - Anthem (California)
HEDIS Business Info Consultant PS16158
**New**
**Location:** **United States**
**Field:** Reporting & Data Analysis
**Requisition #:** PS16158
**Post Date:** About an hour 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.
Business Info Consultant
Location:
Responsible for serving as an expert in data analysis, SQL, data intake/transformation and formulating recommendations and providing guidance to other data analysts. Analyzes member and measure level HEDIS and HEIDIS-Like data and summarizes performance using available SQL tools and summary statistical procedures. Develops and analyzes business performance analyses and reports (e.g. for claims data, provider data, utilization data) and prepares data for HEDIS and HEDIS-like reporting purposes.
Primary duties may include, but are not limited to:
- Supporting project deliverables to review, test, and provide UAT findings and recommendations on measure testing and implementation for Medicaid HEDIS and HEDIS-like measure sets required for state and internal reporting submissions.
- Supporting production HEDIS and state submission deliverables Medicaid plans.
- Supporting production project deliverables to produce and submit Gaps in Care and other clinical reporting as required.
- Creates and publishes periodic reports, as well as any necessary ad hoc reports.
- Project lifestyle tracking and ability to clearly communicate and escalate issues to management.
Requires a BS/BA degree in related field; minimum of 5 years’ 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.
Strong analytical, organizational, presentation, and problem solving skills.
Skills:
- SQL
- SAS
- Teradata
- GBD experience, Medicaid preferred
- HEDIS knowledge
- HEDIS Value sets and specifications experience
- Provider data Experience
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.
