Health Information Consult Sr-40680 - (US-OR-Any City )

Minimum Education: Tech School
Job Type: Full Time
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May be located at any WLP location. Primary focused will be on the improvement and development of WellPoint's provider related data assets, both at the trasactional and analytic levels. Strong business relationships will be required with operational and data warehouse teams at the regional, business unit and enterprise levels. Previous knowledge of health care provider data (physicians, facilities and other types) is a necessity, as well as detailed expertise in analytic and operational data systems that leverage these data in a highly complex, nationwide organization. Will provide SME input into the development of targeted data marts and analytic solutions. Responsible for identifying opportunities to improve health care affordability through analysis of data and transforming business intelligence into action plans. Provides strategic recommendations for improving health care affordability to executives and professional clients. Primary duties may include, but are not limited to: Collaborates with the data warehouse analysts in establishing business rules and monitoring adherence. Provides business expertise regarding the appropriate use of data elements and cooperates with reporting personnel from other areas to establish and maintain these common business rules. Translates data trends into strategic recommendations for program development and action plans. Tracks and prioritizes projects through coordination and negotiation with internal and external clients 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 detailed understanding of relevant business processes, goals and strategy in order to provide analysis and interpretation. Develops and communicates action plans to address areas for improvement identified through data analysis and business expertise. Assists in planning initiatives to address areas for improvement. Collaborates with business user to define media, frequency and audience for distribution of information. Mentors (formally and informally) less experienced associates and identifies training needs and initiates education to address skill and knowledge gaps.

Skills:
Requires a BS/BA degree; at least five years related experience in analysis and reporting; or any combination of education and experience, which would provide an equivalent background. Excellent knowledge and understanding of data warehouse data structures and data flows is required. Excellent oral and written communication, analytical and planning skills required. Knowledge of WellPoint standard Business Information tools and programming/query languages preferred. Experience in managed care and data analysis is preferred. Practical business experience is preferred. This job focuses more on higher level customers and developing action plans as compared to the Health Information Consultant job. Healthcare experience is required. Provider experience is a plus. Knowledge of Business Objects, SAS or SQL is preferred.

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