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Business Information Analyst II/Senior - PS27438

Anthem Wilmington, DE
  • Expired: September 28, 2019. Applications are no longer accepted.

Business Information Analyst II/Senior - PS27438
Location: United States
New
Requisition #: PS27438
Post Date: 12 hours ago
YourTalent. 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.
Pharmacy Business Information Analyst II/Senior
(hiring level based onexperience)
The Business Information Analyst II/Senior position is responsible for defining and developing coding logic/rules that
identify clinical gaps in care and defining clinical health outcomes for such
gaps. Clinical rules will be established
in accordance to clinical guidelines/practice.
Primary duties may include, but
are not limited to:

  • Translatebusiness requirements from clinical pharmacy department into technicalrequirements to support clinical application development.
  • Developacceptance criteria for reporting software requirements.
  • UsesSQL/SAS to create, maintain, and manipulate databases to support clinical reporting.
  • Analyzesdata and summarizes performance using summary statistical procedures.
  • Appliesbusiness knowledge and technical expertise to support clinical criteriadevelopment.
  • Createsand publishes periodic reports, as well as any necessary ad hoc reports.
  • Assurethe accuracy and validity of the source data and ensure compliance withHEDIS/PQA/URAC technical specification.
  • Developtest cases, conduct User Acceptance Testing (UAT), and participate in othersoftware development and operational tasks alongside IT partners to support thevalidation of IT developed clinical gaps in care rules are built in accordanceto specification.
Pharmacy BusinessInformation Analyst II/Senior
Job Code: 670010
Job Level: E11
AIP: 5%- 7.5%
Salary Range: Minimum $64,704 - MRP $80,880 (Zone 0)
  • Requiresa BS/BA degree in related field.
  • Experiencewith drafting clinical technical guidance.
  • Experiencewith pharmacy and medical claims data layout.
  • Workingknowledge with HEDIS and PQA measures.
  • Workingknowledge with drug classification systems (GPI, GSN).
  • 2-4years data visualization and analysis or related experience.
  • Anycombination of education and experience, which would provide an equivalentbackground.
  • Strongcommunication and interpersonal skills required
  • Experiencewith relational databases and knowledge of query tools (SQL) is required,knowledge of statistical software (SAS, R) is a plus.
  • Healthcarebackground preferred.
  • Experiencewith relational databases and knowledge of query tools preferred.This job is more focused on technical expertise and analysis as comparedto the Business Information Analyst I job.
Pharmacy BusinessInformation Analyst II/Senior
Job Code: 670011
Job Level: E12
AIP: 7.5%- 10%
Salary Range: Minimum $77,760 - MRP $97,200 (Zone 0)
  • Requires a BS/BA degree in related field.
  • Experience with drafting clinical technical guidance.
  • Experience with pharmacy and medical claims datalayout.
  • Working knowledge with HEDIS and PQA measures.
  • Working knowledge with drug classification systems(GPI, GSN).
  • 3-5 years data visualization and analysis or relatedexperience.
  • Any combination of education and experience, whichwould provide an equivalent background.
  • Strong communication and interpersonal skills required
  • Experience with relational databases and knowledge ofquery tools (SQL) is required, knowledge of statistical software (SAS, R)is a plus.
  • Healthcare background preferred.
  • Experience with relational databases and knowledge ofquery tools preferred.
  • Ability to manipulate large sets of data is alsorequired.
  • Strong analytical, organizational and problem solvingskills.
  • This job is focused on complex and varied metrics,making recommendations and providing assistance to staff
Anthem,Inc. is ranked as one of America's Most Admired Companies among health insurersby Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company forDiversity. To learn more about our company and apply, please visit us atcareers.antheminc.com An Equal Opportunity Employer/Disability/Veteran

Anthem

Address

Wilmington, DE
19806 USA