Anthem Provider Network Development Analyst Ld-Remote (136013) in San Francisco, California

/Your Talent. Our Vision./At Anthem, Inc.,it’s a powerful combination, and the foundation upon which we’re creating greater care for our members, greater value for our customers, and greater health for our communities. Join us and together we willdrive 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 benefits companies and a Fortune Top 50 Company.

Provider Network Development Analyst Ld

Responsible for leading large projects within the Provider set up (including contracting, pricing, and demographic transaction); process synchronization; and accuracy of claims data bases. Serves as the business procedure expert, supporting Pricing Operations team leads and manager with system project coordination, problem resolution, and process improvement.

Primary duties may include, but are not limited to:

  • Develops and leads project plans, and communications project status for provider data systems enhancements/changes.

  • Reviews for validation and approval of all system enhancements/releases relating to provider data. Coordinates and communicates process updates.

  • Coordinates department system and business process changes.

  • Builds support for business change throughout the business unit.

  • Translates business needs into application software requirements involving significant expenditure or cost savings and impacting a wide range of functions.

  • Analyzes and designs solutions to address varied and complex business needs.

  • Leads efforts to identify best practices, identifies impacted parties, business partners, and resources required.

  • Develops and designs processes and systems that support business needs.

  • Designs methods for integrating function and process

Qualifications:

  • Requires a BA/BS degree

  • 9 years experience which must include provider experience in contracting, provider relations, provider servicing, or any combination of education and relevant experience.

  • Experience with data analysis, and data management

  • Requires travel – 15% within the US with some overnight stay

  • Proficiency in MS Office products – must be intermediate/advanced in Excel

  • Experience on large critical projects acting as a lead and utilizing agile methodology is preferred

  • Experience with Contracting, Pricing, and Demographic operations

  • Experience with process re-design

  • Experience with business requirements gathering

  • Experience with data analytics

  • Experience with SharePoint is strongly preferred

/Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2014 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran./

Job Provider Network Management

Equal Employment Opportunity Statement Anthem, Inc. will recruit, hire, train and promote persons in all job titles without regard to age, color, disability, gender (including gender identity), marital status, national origin, race, religion, sex, sexual orientation, veteran status, or other status protected by applicable law. In addition, all personnel actions such as compensation, promotion, demotion, benefits, transfers, staff reductions, terminations, reinstatement and rehire, company-sponsored training, education and tuition assistance, and social and recreational programs will be administered in accordance with the principles of equal employment opportunity.

Title: Provider Network Development Analyst Ld-Remote (136013)

Location: california-San Francisco

Requisition ID: 136013