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Health Information Consultant Sr. HMC- #40682-JW - (US-WI-Waukesha - 53189)
Minimum Education: Tech School Job Type: Full Time Email this job to yourself or to a friend | Job Match Test | Resume Guide
Click Here to Apply OnlineThe 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 specific reports and other analyses that showcase program value.
* 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.
* Mentors (formally and informally) less experienced associates and identifies training needs and initiates education to address skill and knowledge gaps.
* Provide analytic resources necessary to massage data, drill down, create reports, analyze results and monitor program effectiveness
* Assist, support and collaborate with Pay for Performance program managers and Network Management teams.
* Facilitate the governance process to support cross departmental initiatives.
* Serve as the liaison with internal organizations (e.g. Actuarial, IT, IM, e-Business) to develop and implement consistent information infrastructure and tools.
* Support standardized web application to facilitate performance reporting and data collection for providers, members and consumers.
* Responsible for critical business testing and data validation function.
* Develop and execute production reporting in support of recognition and reward functionality.
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Skills:
Location is Pewaukee, Wisconsin. The ideal candidate will have:* BA/BS, or equivalent combination of education and experience, and at least 5 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.* Requires excellent communication, analytical, and organizational skills required.* Healthcare experience strongly preferred.* Client management experience strongly preferred.WellPoint is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2008 DiversityInc magazine Top 50 Company for Diversity.
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