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Anthem, Inc. Business Analyst II in Reston, Virginia


SHIFT: Day Job

SCHEDULE: Full-time

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.

The Business Analyst II gathers, analyzes, and documents Market Provider Reimbursement Methodology and Mandated (established at State and Federal Levels) Fee Schedule Government Business Division (Medicare & Medicaid Pricing) requirements.

Primary duties may include, but are not limited to the following:

  • Reviewing and/or Assessing Incoming Requirements Request and Regulatory Alerts for impact for Government Business Division (GBD) Pricing Configuration.

  • Creating and maintaining Requirements and Process Documents to support GBD Pricing Configuration Management (PCM).

  • Maintaining (and possible creation of) Fee Schedule Requirements to support GBD Pricing Configuration Solutions (PCS).

  • Becoming a Market Subject Matter Expert (SME).


Minimum Requirements:

  • Requires a BA/BS and minimum of 3 years related business analysis experience, or any combination of education and experience, which would provide an equivalent background

Preferred Qualifications:

  • Appeals experience, a plus.

  • SharePoint Site Administration, a plus.

  • Medicare and Medicaid Insurance Business Analysis experience preferred.

  • Strong analytical and communication skills.

  • Facets system experience.

  • MS Excel, MS Word, and MS PowerPoint proficiency.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.