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Technical Product Analyst Coordination of Benefits – (Business Information Consultant)

Anthem, Inc

This is a Full-time position in The Lakes, NV posted February 18, 2021.

Description SHIFT Day Job SCHEDULE Full-time Your innovation. Our impact . At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater health for our communities, and greater experiences for our customers. Innovation is a top priority. Here, you’ll have an opportunity to work in a collaborative environment that brings together industry leaders and technology experts, so together we can drive the future of health care. This is an exceptional opportunity to create solutions and programs that can truly make a difference at one of America’s leading health benefits companies and a Fortune Top 50 Company. At this time, Anthem will not sponsor a new applicant for employment authorization for this position. Technical Product Analyst Coordination of Benefits A Technical Product Analyst work with both developers and business users to implement new products, as well as utilize data and user feedback to suggest improvements. This Product Analyst (PA) role is similar to the Systems Analyst (SA) role, where a person uses analysis and design techniques to solve business problems using information technology. SAs may serve as change agents to identify improvements needed, design systems, implement the changes, and train and motivate others to use the system. This position will be within the Program Integrity (PI) group’s Product and Efficiency Team (PE). The PI department is responsible for proper payments to legitimate providers for reasonable services provided to eligible members. This position will be on a team of Business Representatives working directly with the business and with the IT development teams that enable the business to drive efficiency and compliance. Focus will be on including technologies that are more cutting-edge and capabilities including more technologically advanced concepts including use of Artificial Intelligence, Data Science, as well as best in class industry capabilities in both technology and Health Care domain. This position will also perform some responsibilities within the Scaled Agile Framework (SAFe) model as a Product Analyst. This position will be directly in support of the Coordination of Benefits (COB) Product line within the PI department. For reference, COB is the process by which a health insurance company determines if it should be the primary or secondary payer for medical claims, when a patient has coverage from more than one health insurance policy. This position will be a member of the Product Team as a product analyst. Within the team, we are looking for a Product Analyst will need some technical skills (SQL and Data Analysis), since we will be working on projects to improve Data Warehouses, Consolidation of systems, and more interoperability between systems both internal systems and external systems specifically since COB coordinates across multiple health insurance companies. This position title has the word Consultant in it to mean that the person in this role is responsible to make recommendations and suggestions on how to solution and solve the problems, not just to perform the analysis. This position is not an order taker. This position does require strong data analytical capabilities in order to perform the analysis, and then propose a recommendation based on that analysis. Responsibilities Responsible for serving as an expert in data analysis, reporting and formulating recommendations and providing guidance to other data analysts. Primary duties may include, but are not limited to Perform Data Analysis across multiple systems. Examples of analysis might include things like Gap analysis to determine similarities and differences in the workflow of the systems. Analysis to identify opportunities to consolidate workflows, or systems across the business. Opportunities to create crosswalks to allow for aggregation or disaggregation of data to be able to best interpret the data at the different levels of organization within a Data Warehouse. Analyze data architecture that resides in multiple production system(s) in order to help create crosswalks across multiple systems when putting the data together into a consolidated data warehouse for organizational consolidated reporting and dashboards. Bridge the gap between business stakeholders including the business needs and the larger development team. Partner with the COB Product Owner to support building the Roadmap for the COB Product Line and writing JIRA Capabilities, Features, and Stories in an Agile SAFe framework. Strong Analysis skills to be able to understand the current state of the business workflows and how the system. Research and gather data, perform analysis on the data, and perform efficient problem solving. Interview business stakeholders at a Senior level in order to understand what kind of reporting and dashboards needs there might be in order to ensure the data is collected across the systems and then into the data warehouse to ensure the data is available for other reporting developers to produce the proper reports. Develops and analyzes business performance reports (e.g. for claims data, provider data, utilization data) and provides notations of performance deviations and anomalies. Creates and publishes periodic reports, as well as any necessary ad hoc reports. (a small portion of the time) May require taking business issue and devising best way to develop appropriate diagnostic andor tracking data that will translate business requirements into usable decision support tools. May make recommendations based upon data analysis. Provides analytic consultation to other business areas, leadership or external customers. Data analysis encompasses a much higher level of complexity. Qualifications Preferences Experience in Coordination of Benefits (COB) domain Experience as a Product Analyst, preferably in the Healthcare domain Experience in Atlassian products such as JIRA, Confluence, andor JIRA Align Experience in the following technologies SQL Server, Tableau, Hadoop, Oracle, etc Experience with the 270 and 271 EDI transactions is a plus. Requirements Requires a BSBA 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. 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, mentoring staff in lower job levels, more customer facing, higher level of collaboration, work is higher volume andor higher risk, and modeling as compared to the Bus Info Analyst Sr job Notes This job will be for both commercial and government policies. Due to government policies, the applicant and incumbent fall under a sensitive position’ work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks andor government clearances, segregation of duties principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed. Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 Diversity Inc. magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at

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