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Health Information Consult Senior - HMC (any HMC/WellPoint location) - 32913
| Details |
Country: USA
Location: Georgia-Atlanta atlanta, GA 30301
Total applied: 42 Job Category:Medical/Health
Location:atlanta, GA 30301
Status:Full Time, Employee
Career Level:Experienced (Non-Manager)
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Health Information Consult Senior - HMC (any HMC/WellPoint location) - 32913
WellPoint is the nation's leading health benefits company serving the needs of approximately 28 million medical members nationwide. A wholly owned subsidiary of WellPoint, Inc., HMC is recognized as one of the top disease management companies in America. We help members navigate the various complexities of health care ? from costly and often debilitating medical conditions that increase health care costs to wellness programs that help prevent them. Bring your expertise to our innovative, performance-focused culture, and you will discover lasting rewards and the opportunity to take your career further than you can imagine. Health Information Consultant Senior*this position can be filled in any HMC/WellPoint location nationwide. The Health Information Consultant Senior will be responsible for identifying opportunities to improve member health through analysis of data and transforming business intelligence into action plans and providing strategic recommendations for improving member health to professional clients. Essential duties to include, but are not limited to: Develops client-specific reports and other analyses that showcase program value. Responsible for prospective and retrospective health economic research activities for Anthem National Account Clients. Supports research activities for HMC client outcomes in areas including research designs, methodologies, analytical techniques, and reporting. Researches and analyzes broadly defined business scenarios, trends, and patterns and develops recommendations for management. Understands contractual obligations related to reporting; in collaboration with manager ensures that reporting needs are met for assigned client(s). Provides business knowledge regarding the appropriate use of data elements and cooperates with reporting personnel from other areas to establish and maintain these common business rules. Tracks and prioritizes projects through coordination and negotiation with client to improve the efficiency of information/project plan generation. Evaluates and triages potential projects and studies based on the value, cost benefit analysis and the urgency of the request. Performs strategic data analysis (data mining) and research as appropriate to support business needs (e.g., disease management, provider profiling, etc.). Develops good understanding of relevant business processes, goals and strategy in order to provide analysis and interpretation. Collaborates with manager, client and others to define media, frequency and audience for distribution of information. Develops action plans to address areas for improvement identified through data analysis and business expertise and works with other staff to communicate action plans to client. May assist in the planning of initiatives to address areas for improvement. Performs other duties as assigned The ideal candidate will have:BA/BS, or equivalent combination of education and experience, and at least 3 years related experience in research, analysis and reporting required. Advanced degrees preferred. Good knowledge and understanding of data warehouse data structures and data flows, and knowledge of programming languages and statistical programs, such as SQL, DSS, SAS, OLAP, and other data mining tools required. Requires excellent communication, analytical, and organizational skills required. General experience in the health care field and especially claims data analysis experience strongly preferred. WellPoint is ranked No. 1 among health insurers on Fortune Magazine’s annual list of America’s Most Admired Companies and has been named as one of the Top 50 Companies for Diversity by DiversityInc Magazine. To learn more about our company please visit us at www.choosehmc.com
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