Health Information Consultant/ Sr Job Family HMC (31290)

WellPoint is the nation's leading health benefits company serving the needs of approximately 28 million medical members nationwide.

 Locations: Atlanta GA, Indianapolis, IN, Richmond,VA, Nashville TN, Chicago IL

 

 

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: Collaborates with the data warehouse analysts in the establishment and adherence to business rules. 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 business user 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 communicates action plans to client. May assist in the planning of initiatives to address areas for improvement. Presenting and collaborating technical and clinical information to executive-level audience. Performs other duties as assigned. BA/BS, or equivalent combination of education and experience, and at least 3 years related experience in analysis and reporting required. 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. This position requires client reporting skills. Requires excellent communication, analytical, and organizational skills required.