Elevance Health
Business Information Analyst Senior
Elevance Health, Durham, North Carolina, United States, 27703
Business Information Analyst Senior
The
Business Information Analyst Senior
is responsible for analyzing, reporting, and developing recommendations on data related to complex and varied business metrics. Typically provides technical assistance to lower level staff. We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid-enrolled infants, children, youth, young adults, and families served by the child welfare system so that they receive seamless, integrated, and coordinated health care. How you will make an impact: Creates and maintains databases to track business performance. Analyzes data and summarizes performance using summary statistical procedures. Analyzes healthcare data to evaluate the effectiveness of care management programs, including quality outcomes, member engagement, utilization, and cost impact. Uses internal and external tools for reporting tools to track program performance against contractual requirements, regulatory standards, and internal KPIs. Provides insights on opportunities to improve program design and delivery, including care coordination and disease management initiatives. Creates and publishes periodic reports, as well as any necessary ad hoc reports. May require taking business issue and devising best way to develop appropriate diagnostic and/or tracking data that will translate business requirements into usable decision support tools. May make recommendations based upon data analysis. Partners with care management, quality, provider network, and clinical operations teams to recommend strategies that optimize member outcomes and resource allocation. Minimum requirements: Requires a BS/BA degree in related field and a minimum of 3 years data analysis or related experience; or any combination of education and experience which would provide an equivalent background. Preferred skills, experiences and competencies: Strong background in managed care, Medicaid, or Medicare programs. Experience evaluating care management, disease management, or population health programs. Proficiency with SQL and statistical software (SAS, R, or Python) to manipulate large healthcare datasets. Familiarity with quality and outcomes measures such as HEDIS, STAR ratings, NCQA, CMS quality metrics, or state-specific reporting requirements. Ability to manipulate large sets of data is strongly preferred. Strong analytical, organizational and problem solving skills are strongly preferred. Experience with data visualization tools (Tableau, Power BI, Qlik) strongly preferred. If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a `sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed. Job level: Non-Management Exempt Workshift: 1st Shift (United States of America) Job family: RDA > Business/Health Info Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.
The
Business Information Analyst Senior
is responsible for analyzing, reporting, and developing recommendations on data related to complex and varied business metrics. Typically provides technical assistance to lower level staff. We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid-enrolled infants, children, youth, young adults, and families served by the child welfare system so that they receive seamless, integrated, and coordinated health care. How you will make an impact: Creates and maintains databases to track business performance. Analyzes data and summarizes performance using summary statistical procedures. Analyzes healthcare data to evaluate the effectiveness of care management programs, including quality outcomes, member engagement, utilization, and cost impact. Uses internal and external tools for reporting tools to track program performance against contractual requirements, regulatory standards, and internal KPIs. Provides insights on opportunities to improve program design and delivery, including care coordination and disease management initiatives. Creates and publishes periodic reports, as well as any necessary ad hoc reports. May require taking business issue and devising best way to develop appropriate diagnostic and/or tracking data that will translate business requirements into usable decision support tools. May make recommendations based upon data analysis. Partners with care management, quality, provider network, and clinical operations teams to recommend strategies that optimize member outcomes and resource allocation. Minimum requirements: Requires a BS/BA degree in related field and a minimum of 3 years data analysis or related experience; or any combination of education and experience which would provide an equivalent background. Preferred skills, experiences and competencies: Strong background in managed care, Medicaid, or Medicare programs. Experience evaluating care management, disease management, or population health programs. Proficiency with SQL and statistical software (SAS, R, or Python) to manipulate large healthcare datasets. Familiarity with quality and outcomes measures such as HEDIS, STAR ratings, NCQA, CMS quality metrics, or state-specific reporting requirements. Ability to manipulate large sets of data is strongly preferred. Strong analytical, organizational and problem solving skills are strongly preferred. Experience with data visualization tools (Tableau, Power BI, Qlik) strongly preferred. If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a `sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed. Job level: Non-Management Exempt Workshift: 1st Shift (United States of America) Job family: RDA > Business/Health Info Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.