Job Description

Business Information Developer Consultant - HEDIS Analytics Location: This position will work a hybrid model (remote and in office one to two days per week). Ideal candidates will live within 50 miles of one of our Pulse Point locations in Norfolk, VA, Mason, OH, Cincinnati, OH, Ashburn, VA, Wilmington, DE, Indianapolis, IN, Chicago, IL, Atlanta, GA, Richmond, VA, Wallingford, CT or Louisville, KY. The Business Information Developer Consultant - HEDIS Analytics is responsible for developing and executing more complex data mining analyses and for the delivery of annual and monthly HEDIS results while ensuring that projects include the required data for state and regulatory reporting. The role will be a contact for HEDIS software updates and internal team deliverables and will also manage the data integration for multiple markets into the HEDIS software. How you will make an impact: Determines how decision support systems will provide the data required to make effective business decisions. Performs modeling of information sources and flows. Coordinates 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. Manages multiple contracts to ensure regulatory and state reporting. Tracks, identifies issues, reviews, and analyzes data for contracts. Supports state and regulatory reporting. Manages all software and audit support. Manages PCMS project and supports the production of Scorecards. Ensures that data from production runs get loaded to data warehouse. Manages all measures and population reports for all Medicare projects. Maintains HEDIS timelines used to support the Medicare project plan. 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. 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. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. 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 [email protected] for assistance.

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