Health Information Consult Sr- #18363 SV

WellPoint is the nation's leading health benefits company serving the needs of approximately 28 million medical members nationwide.



Responsible for identifying opportunities to improve member health through analysis of data and transforming business intelligence into action plans. Provides strategic recommendations for improving member health to executives and professional clients. Essential duties to include, but are not limited to: Collaborates with the data warehouse analysts in establishing business rules and monitoring adherence. Provides business expertise regarding the appropriate use of data elements and cooperates with reporting personnel from other areas to establish and maintain these common business rules. Tracks and prioritizes projects through coordination and negotiation with internal and external clients to improve the efficiency of information/project plan generation. Evaluates and triages potential projects and studies based on the value, cost benefit analysis and the urgency of the request. Performs strategic data analysis (data mining) and research as appropriate to support business needs (e.g., disease management, provider profiling, etc.). Develops detailed understanding of relevant business processes, goals and strategy in order to provide analysis and interpretation. Develops and communicates action plans to address areas for improvement identified through data analysis and business expertise. Assists in planning initiatives to address areas for improvement. Collaborates with business user to define media, frequency and audience for distribution of information. Mentors (formally and informally) less experienced associates and identifies training needs and initiates education to address skill and knowledge gaps. Performs other duties as assigned.

 



BA/BS, or equivalent combination of education and experience, and at least 5 years related experience in analysis and reporting required. Excellent knowledge and understanding of data warehouse data structures and data flows required.  Excellent oral, presentation, and written communication, clinical, analytical, and planning skills required. 

 

Knowledge data mining tools ie Business Objects preferred .

 

Desired RN or BSN.