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Business Analyst II or III

Company: Anthem, Inc
Location: Hialeah
Posted on: May 2, 2021

Job Description:

Description SHIFT: Day JobSCHEDULE: Full-time Your Talent. Our Vision. At Anthem, Inc., its a powerful combination, and the foundation upon which were 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. The Business Analyst II or III is responsible for serving as the liaison between the business and IT in translating complex business needs into application software. Primary duties may include, but are not limited to: + Ability to query EDW and IngenioRx Pharmacy Claims using Microsoft Excel and Access to identify areas of opportunity to enhance care gap closure rates and track quality and cost savings opportunities. + Determines specific business application software requirements to address complex business needs and implement solutions, including Electronic Medical Record projects, Team Tracking Tools, Quality and Cost Tools. + Develops project plans and identifies and coordinates resources, involving those inside and outside the business unit. + Creates and works with programming staff to ensure requirements will be incorporated into system design and testing for population health management tools. + Acts as a resource to users of the software to address questions/issues and solution defects for provider tools including: Population Health Management Health Provider Tool, Medication Adherence Reporting, Cost of Care Tool Maintenance and Updating. + May provide direction and guidance to team members and serves as an expert for the team related to healthcare analytics. Qualifications *The position level will be determined by skills and experience of selected candidate. Business Analyst II: Requires a BS/BA degree, 3-5 years related business analysis experience, or any combination of education and experience, which would provide an equivalent background Business Analyst III: Requires a BS/BA degree, 5-7 years of business analysis experience that includes knowledge of systems capabilities and business operations; or any combination of education and experienced, which would provide an equivalent background. Preferred Skills and Knowledge Testing + Requirements Verification + Analytical Thinking and Problem Solving skills + Experience in Business Functional Testing for pharmacy Benefits and Clinical domains preferred + Solution Assessment, Test Plans and UAT Technical and Desktop + JIRA Experience Preferred + Electronic Medical Record Experience Preferred + E-prescribing Experience Preferred + Comfortable using MS SharePoint and Office, especially Excel (Macro creation)/Access, and Visio + SQL proficiency preferred Organizational/Business + PBM Experience Preferred + User Acceptance Testing experience for Clinical Programs Preferred + Prior experience with Health Plans a plus (Commercial/Medicaid/Medicare) + EDI/Rx Transactions a plus + Medical Claims Experience a plus 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. is ranked as one of Americas 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: PS48538-Florida

Keywords: Anthem, Inc, Hialeah , Business Analyst II or III, Professions , Hialeah, Florida

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