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Anthem, Inc. Business Information Consultant - VP Medicare Product Management in Woodland Hills, California

Description

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.

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 Information Consultant - VP Medicare Product Management - PS47992

Primary Location: Virginia, W. Virginia, Texas, California, New York, Illinois; other Anthem office locations will be considered in addition to remote.

Responsible for working with management to assist with requirements gathering for reporting and report validation.

Primary duties may include, but are not limited to:

  • Serves as the primary contact/support for report validation including prior period and outlier analysis

  • Drives standardization efforts across all MMP markets for regulatory and clinical operational reporting

  • Leads efforts to develop and standardize reporting requirements across all MMP markets.

  • Serves as a MMP reporting subject-matter expert for the enterprise and for the markets.

  • Serves as liaison between the market clinical operations teams and the MMP reporting team

  • Identifies potential issues, project charge, and scope.

  • Leads efforts to identify best practices. Identifies impacted parties, business partners, and resources required.

  • Develops and designs processes and systems that support business needs.

  • Designs methods for integrating function and process.

Qualifications:

  • Requires a BS/BA degree in related field; minimum of 5 years’ experience; project related experience that includes experience in successfully developing and managing projects with fairly significant operating budget and knowledge of process redesign; or any combination of education and experience, which would provide an equivalent background

  • Intermediate to advanced proficiency in Microsoft office products – with an emphasis on Excel, preferably advanced

  • SQL Knowledge / understanding as well as experience with SQL coding

  • Ability to successfully present information in a consolidated, concise and thoughtful manner to medium to large groups.

  • Ability to multi-task, juggle competing and dynamic priorities.

  • Ability to quickly assess, analyze and synthesize data coming from multiple locations and sources into one comprehensive process.

  • Self-starter.

  • Strong Analytical Skills when working with large data sets (either in a table or excel file)

Preferred:

  • Advanced Excel knowledge

  • Project management or business analysis related experience in Medicaid/Medicare operations (ie. Claims resolution, customer service, membership, provider relations, clinical operations, etc...)

  • In-depth understanding and experience of Medicaid and / or Medicare operations.

  • Competent with interpreting technical documentation as well as writing requirements.

    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. An Equal Opportunity Employer/Disability/Veteran.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and has been named a 2019 Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. 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.

REQNUMBER: PS47992-California

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