Anthem HEDIS Business Info Consultant PS3210 in Wichita Falls, Texas

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.

Business Info Consultant

Responsible for serving as an expert in data analysis, SQL, data intake/transformation and formulating recommendations and providing guidance to other data analysts. Analyzes 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 production project deliverables to intake, transform and load HEDIS supplemental data for Commercial, HIX, Medicare & Medicaid plans by deadlines set by NCQA and our auditors. Supporting production supplemental data deliverables to support the production and submission of monthly HEDIS reports for Commercial, HIX, Medicare and Medicaid plans. Supporting production project deliverables to produce and submit Gaps in Care and other clinical reporting as required. Responsible for supporting data impact analysis on all supplemental data sources received and processed through to the HEDIS repositories.
Support the work to complete the HEDIS roadmap Section 5's pertaining to supplemental data sources. Creates and publishes periodic reports, as well as any necessary ad hoc reports.

Requires a BS/BA degree in related field; minimum of 5- 7 years or more 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.
Data analysis and reporting encompasses a much higher level of complexity that requires strong analytical, organizational, and problem solving skills. Healthcare experience is required and managed care is preferred. Data analysis experience within healthcare is required. Experience with HEDIS reporting or other health plan clinical measure quality reporting is required. Excel is required, SQL is required. Knowledge of EDWard and transactional source systems is preferred.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2016 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at EOE. M/F/Disability/Veteran.

Job Reporting & Data Analysis

Equal Employment Opportunity Statement Anthem, Inc. will recruit, hire, train and promote persons in all job titles without regard to age, color, disability, gender (including gender identity), marital status, national origin, race, religion, sex, sexual orientation, veteran status, or other status protected by applicable law. In addition, all personnel actions such as compensation, promotion, demotion, benefits, transfers, staff reductions, terminations, reinstatement and rehire, company-sponsored training, education and tuition assistance, and social and recreational programs will be administered in accordance with the principles of equal employment opportunity.

Title: HEDIS Business Info Consultant PS3210

Location: texas-Wichita Falls

Requisition ID: PS3210