Business Information Developer Consultant - HEDIS Analytics at Elevance Health

Posted in Other 13 days ago.

Location: Miami, Florida





Job Description:

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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