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REMOTE - Business Information Consultant

Location:

  • National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint

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Description

Work Location : Remote

Responsible for serving as an expert in data analysis, SQL, data intake/transformation and formulating recommendations. Analyzes member and measure level HEDIS 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 reporting purposes. 

Applicable to Colorado Applicants Only  

Annual Salary Range*: $82,880 to $108,780  Is this the base of the Business info. Consultant.

Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. 

 * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting.  The Company may ultimately pay more or less than the posted range. This range is only applicable for jobs to be performed in Colorado. This range may be modified in the future.  No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

 
Primary duties may include, but are not limited to:
•    Supporting production project deliverables to produce and submit HEDIS Reporting for Commercial, FEP, and HIX plans to NCQA & state entities by deadlines set by NCQA. 
•    Supporting production deliverables to produce and submit monthly HEDIS reports for Commercial, FEP, and HIX plans.  
•    Responsible for supporting benchmarking efforts on all types of reports produced with the dept. to ensure accurate rates are reported. 
•    Support the work to complete the HEDIS roadmap, working with manger on preparing for the on-site audit, and creating sample and chase information for Quality staff for the annual HEDIS production project.  
•    Supporting production 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.
•    Creates and maintains databases to track business performance.
•    Analyzes data and summarizes performance using summary statistical procedures.
•    Develops and analyzes business performance reports (e.g. for claims data, provider data, utilization data) and provides notations of performance deviations and anomalies.
•    May require taking business issue and devising best way to develop appropriate diagnostic and/or tracking data that will translate business requirements into usable decision support tools.
•    Provides analytic consultation to other business areas, leadership or external customers.
•    Data analysis and reporting encompasses a high level of complexity. 

Qualifications

  • 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 (SQL, SAS, Teradata, TOAD).  

  • Data analysis experience within healthcare is required.

  • Ability to manipulate large sets of data.

  • Strong analytical, organizational, presentation, and problem solving skills.

  • This job is more focused on higher level technical expertise, more customer facing, higher level of collaboration, work is higher volume and/or higher risk, and modeling as compared to the Bus Info Analyst Sr job.

Preferred Qualifications

  • HEDIS experience is required. Knowledge of HEDIS value sets and specifications experience preferred.  
  • Cotiviti Software experience preferred.
  • Provider data Experience is preferred.

Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Be part of an Extraordinary Team

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.

We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

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.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Elevance Health approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.ElevanceHealthinc.com. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.

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