Anthem Inc. Indianapolis Jobs

Job Information

Anthem, Inc. Senior Cost of Care Analyst Consultant in Indianapolis, Indiana

Description

SHIFT: Day Job

SCHEDULE: Full-time

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

Senior Cost of Care Analyst Consultant

The preferred location for this position is Georgia, Indiana and Virginia

but all other locations will be considered

The Senior Cost of Care Analyst Consultant is responsible for coordinating and consolidating various impact analyses for management reporting. Primary duties may include, but are not limited to:

  • Review monthly Cotiviti invoice reporting and drill down to find all occurrences where Anthem was billed outside of contract.

  • Sizing Cost of Care opportunities and measuring actual performance of claims edits.

  • Establishes, improves, and optimizes the consolidating processes for forecast and month-end results.

  • Consolidates and prepares executive summary reports for various business segments in the SBU for top management decision-making.

  • Analyzes and designs solutions to address varied and highly complex business needs.

  • May collaborate with businesses and technical areas to implement new or enhanced products.

  • May require strong knowledge of products as well as our internal business models and data systems.

  • May coordinate with external audits as appropriate. Acts as the central contact with internal departments and external auditors.

    Department Specific Responsibilities and Skillset

  • Strong data-retrieval skills from claims systems and data warehouses.

  • Ability to view and understand claims adjudication.

  • Strong Excel/Database skills and management reporting capabilities.

  • Strong knowledge of Provider Reimbursement.

  • Ability to work with external vendors.

Qualifications

Minimum Requirements

  • Requires a BS/BA degree in Statistics, Economics, or Business Administration.

  • Minimum of 12 years of relevant experience; or any combination of education and experience which would provide an equivalent background.

    Preferred Qualifications

  • Experience providing leadership in evaluating financial performance of complex organizations strongly preferred.

  • Excellent leadership, problem solving, organizational, planning, presentation and interpersonal skills strongly preferred.

  • Ability to work independently and draw up plans to address issues/concerns strongly preferred.

  • This job is focused on identifying solutions to business problems and needs, very knowledgeable across products, more customer facing in recommending solutions, expert in data analysis, extremely independent, more interpretation of what is required by the business as compared to the Business Information Consultant job.

    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. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s 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: PS60443-Indiana

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