Anthem Provider Data Analyst Sr - Any Anthem Office Location or Remote - PS11080 in Richmondville, New York

Provider Data Analyst Sr - Any Anthem Office Location or Remote - PS11080


Location: United States

Field: Provider Network Management

Requisition #: PS11080

Post Date: 6 days ago

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 atone of America's leading health benefits companies and a Fortune Top 50 Company.

Provider Data Analyst Sr. - Any Anthem office location or Remote - PS10426

Work Location: This position can work from any Anthem office location or work remotely / Work @ Home.

This position supports more complex provider network analysis related functions and acts as a subject matter expert for network related deliverables. Serves as an internal resource and senior member of the team. Mentors Provider Data Analysts. Analyzes, researches, coordinates and reports on complex provider file data to support both internal and/or external request.

Primary duties may include, but are not limited to:

  • Provides guidance in the provision of provider data reports and analyses in support of internal client needs.

  • May represent the department in meetings.

  • Performs provider data analysis and reporting in response to external request from providers and/or regulatory agencies in which the analysis of data requires an evaluation of intangible variables.

  • Serves as a subject matter expert and liaison between the provider database organization, and other functional areas to support data requests and ensure uniform and consistent data and data flow.

  • Acts as a liaison and ensures report meets the client's needs and helps to clarify additional required information or data needs.

  • Reviews the work of Provider Data Analysts.

  • Performs provider data support, data/file analysis, network analysis, surveys, reporting (including creating and publishing), and other ad hoc data requests to support the assigned department.

  • Uses GeoNetworks and other software tools.

  • Responsible for enhancements and testing.

  • Requires a BA/BS degree in a related field.

  • 5-8 years of data file/reporting experience; experience using analytics and/or relational databases; experience using software such as GeoNetworks; or any combination of education and experience, which would provide an equivalent background.

All of the following are job requirements:

  • Proficiency with MS Excel.

  • Proficiency with Optum software.

  • Experience / working knowledge of provider networks.

  • Experience with Network Analysis Reports (GeoAccess, Disruptions, Average Discounts, CPT/DRG analyses).

  • Able to complete manual review of disruptions to ensure data integrity and improve accuracy of results.

  • Excellent verbal and written intra-departmental communications skills.

  • Experience working with Sales and Account Management teams in a consultative role.

The following are preferred but not required:

  • Working knowledge of Anthem Advantage Networks and other BC/BCBS Select Networks.

  • Experienced user of Microsoft Access and SQL programming.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at An Equal Opportunity Employer/Disability/Veteran.