Business Information Developer Consultant - HEDIS Analytics
Elevance Health

Job Info

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Be Part of an Extraordinary Team

Title: Business Information Developer Consultant - HEDIS Analytics

Location: Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. Hybrid; onsite 1-2 days/week, WFH 3-4 days/week

Build the Possibilities. Make an Extraordinary Impact.

The Business Information Developer Consultant is responsible for developing and executing more complex data mining analyses.

How you will make an impact:

Primary duties may include, but are not limited to:

• Determines how decision support systems will provide the data required to make effective business decisions.
• Performs modeling of information sources and flows.
• May coordinate the activities of a project team and monitors project schedules and costs for own projects.
• Develops strategic report applications from the Data Warehouse.
• Establishes and maintains excellent knowledge of data warehouse database design, data definitions, system capabilities, programming languages, and data integrity issues.
• Develops and supports complex data warehouse-related applications for business areas requiring design and implementation of database tables. The majority of time will be spent programming.
• Manages multiple contracts to ensure regulatory and state reporting and tracks, identifies issues, reviews, and analyzes data for contracts.
• Maintains HEDIS timelines used to support the Medicare project plan and manages all measures and population reports for all Medicare projects.
• Supports state and regulatory reporting and manages all software and audit support.

Minimum Requirements:

Requires a BS/BA degree and a minimum of 4 years related experience; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• HEDIS knowledge including HEDIS value sets and specifications experience strongly preferred.
• Experience with HEDIS Certified Software strongly preferred.
• Experience with Tableau strongly preferred.
• PC, spreadsheet, and database skills strongly preferred.
• Experience with relational databases and knowledge of query tools and statistical software including SQL and Excel strongly preferred.
• Experience manipulating large sets of data strongly preferred.
• Strong analytical, organizational, presentation, and problem-solving skills strongly preferred.
• Experience with government-based insurance programs preferred.
• Project management experience preferred.
• Medicare experience preferred.

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