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Anthem, Inc. Business Analyst II in Hamilton, New Jersey

Description

SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.

This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health care companies and a Fortune Top 50 Company.

Business Analyst II

Summary: Responsible for serving as the liaison between the business and clinical needs to interpret requirements.

Primary duties may include, but are not limited to:

  • Analyzes complex clinical requirements to operationalize the business needs.

  • Develops project plans and identifies and coordinates resources, involving those outside the unit.

  • Works with pharmacy staff to ensure requirements will be incorporated into appropriate coding and testing.

  • Acts as a resource to team to address questions/issues.

  • May provide direction and guidance to team members and serves as an expert for the team.

  • Ability to analyze data or testing output to ensure claims will adjudicate as expected following clinical coding changes.

Qualifications

Qualifications

  • Requires a BS/BA degree, 3-5 years of pharmacy or managed care experience that includes knowledge of systems capabilities and business operations with related business analysis experience, or any combination of education and experience, which would provide an equivalent background.

  • Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. An Equal Opportunity Employer/Disability/Veteran.

REQNUMBER: PS43377

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