Healthcare Reimbursement Analyst - SQL / Encounters ()

/ 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.

Location: This position is a Work@Home position and can be anywhere in the United States, but you must be available to work regular East Coast business hours.
The Business Information Analyst ll is responsible for collecting, analyzing, and reporting on data related to multiple operations within the Kentucky Medicaid Plan. Primary duties may include, but are not limited to:
Creates and maintains databases to track business performance
Conducts proactive auditing and analysis of pricing and benefit configuration using summary statistical procedures, prioritizing based on impact
Supports encounter management processes with data-driven research
Creates and publishes periodic reports as well as any necessary ad hoc reports and makes recommendations as needed
Develops and analyzes business performance reports (e.g. for claims data, provider data, utilization data)
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.
The Business Info Analyst ll requires:
BS/BA degree in related field, 2-4 years related operational and/or data analysis experience; experience in database structures, and standard query and reporting tools; or any combination of education and experience, which provides an equivalent background
Analytical and problem solving skills.
Proficient in statistical use of Microsoft Excel and Access or other general reporting tools, including SQL-based queries
Core FACETS Configuration methodologies, including claim, provider, pricing and benefit.
Preferred:
Experience with relational databases and knowledge of query tools and statistical software is required.
Ability to manipulate large sets of data.
/ Anthem, Inc. is ranked as one of America?s Most Admired Companies among health insurers by Fortune magazine and is a 2015 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran. /
Job Reporting & Data Analysis
Title: Healthcare Reimbursement Analyst - SQL / Encounters (122111)
Location: MA-Andover
Requisition ID: 122111 e3e07ccc125043e1be39ac9d6139aea8
Company Description:

We recently changed our name from WellPoint to Anthem, Inc., the name people know us by best.  As our companies continue to take a more active role in helping people access the right health care and programs, going by a name that people know and trust is important.


Anthem, Inc. is one of the nation's leading health benefits insurer and a Fortune Top 50 company.  At Anthem, Inc., we are working to transform health care with trusted and caring solutions and meaningfully advance affordability and better health outcomes for our health plan members. Nearly 69 million people are served by our affiliated companies including more than 37 million enrolled in our family of health plans. 



  • One in nine Americans receives coverage for their medical care through Anthem's affiliated plans.

  • We offer a broad range of medical and specialty products.


Bring your expertise to our innovative, achievement-driven culture, and you will discover lasting rewards and the opportunity to help drive the future of health care.


Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2014 DiversityInc magazine Top 50 Company for Diversity.  To learn more about our co




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