Bus Info Analyst II, or Senior-64422
WellPoint - New York, NY

This job posting is no longer available on WellPoint. Find similar jobs:Bus Info Analyst jobs - WellPoint jobs

Prefer candidate located in NYC or CT, but will consider any WLP location. Payment Innovation Overview. Dependent on experience will hire either a Business Info Analyst II, or Business Info Analyst Senior.
        WellPoint’s Payment Innovation team is focused on reforming our current healthcare delivery system. Despite having the most costly health system in the world, according to a study published by the Commonwealth Fund, the U.S. healthcare system ranks last or next-to-last on five dimensions of a high performance health system: quality, access, efficiency, equity, and healthy lives. As stewards of our customers’ healthcare dollar, Anthem’s goal is to drive improvements in the system that changes this picture through arrangements with our providers that: – rationalize reimbursement and re-align the connection between price, cost and value with a focus on the total cost of care – imbed payment for value in all reimbursement methodologies, not just pay-for-performance or risk-based arrangements – move away from the current, unsustainable, model that encourages and rewards growth and spending over health planning and investments based on proven efficacy and improved health outcomes. – create the right incentives to foster – and enable – hospitals, health system, physicians and other providers make the right health planning decisions based on community need and evidence based standards of quality and appropriate care. Anthem is committed to migrating from provider payment arrangements that are largely volume based to arrangements that are largely value based. This commitment is evidenced by our large and successful portfolio of payment innovation arrangements, including Anthem Quality Insights Pay for Performance Hospital and Physician programs, Bundle Payments, Accountable Care Organizations, Patient Centered Medical Homes, Chronic Care Models, and our recently announced Patient Centered Primary Care national program (see the Wall Street Journal’s January 27, 2012 article titled An Rx? Pay More to Family Doctors). These positions plays a critical role in supporting one or more of these payment innovation arrangements. Business Info Analyst Sr or Business Info Consultant Responsible for analyzing, reporting and developing recommendations on data related to Payment Innovation accountable care models (e.g. Bundled Payments, ACOs, PCMHs, Patient Centered Primary Care, AICU). Primary duties may include, but are not limited to: analyzes data and summarizes performance for exploratory work relating to Payment Innovation Enterprise program development. Tracks, and reports on, overall results of accountable care models, both relative to internal program benchmarks and to non-program populations. Creates and maintains databases to track business performance. Analyzes data and summarizes performance using summary statistical procedures. Develops and analyzes business performance reports (e.g. for claims data, provider data, utilization data, quality data) and provides notations of performance deviations and anomalies. Creates and publishes periodic reports, makes necessary recommendations, and develops ad hoc reports as needed. May require taking business issue and devising best way to develop appropriate diagnostic and/or tracking data that will translate business requirements into usable decision support tools. May make recommendations based upon data analysis. Additionally, the Business Info Consultant is responsible for: serving as an expert in data analysis, reporting and formulating recommendations with regard to Payment Innovation accountable care models; developing and supporting support complex analytics for exploratory work relating to Payment Innovation Enterprise program development; overseeing progress of Payment Innovation programs and track overall results; providing guidance to other data analysts; offering analytic consultation to other business areas, leadership or external customers. Prefer candidate located in NYC or CT, but will consider any WLP location. Payment Innovation Overview. Dependent on experience will hire either a Business Info Analyst II, or Business Info Analyst Senior. WellPoint’s Payment Innovation team is focused on reforming our current healthcare delivery system. Despite having the most costly health system in the world, according to a study published by the Commonwealth Fund, the U.S. healthcare system ranks last or next-to-last on five dimensions of a high performance health system: quality, access, efficiency, equity, and healthy lives. As stewards of our customers’ healthcare dollar, Anthem’s goal is to drive improvements in the system that changes this picture through arrangements with our providers that: – rationalize reimbursement and re-align the connection between price, cost and value with a focus on the total cost of care – imbed payment for value in all reimbursement methodologies, not just pay-for-performance or risk-based arrangements – move away from the current, unsustainable, model that encourages and rewards growth and spending over health planning and investments based on proven efficacy and improved health outcomes. – create the right incentives to foster – and enable – hospitals, health system, physicians and other providers make the right health planning decisions based on community need and evidence based standards of quality and appropriate care. Anthem is committed to migrating from provider payment arrangements that are largely volume based to arrangements that are largely value based. This commitment is evidenced by our large and successful portfolio of payment innovation arrangements, including Anthem Quality Insights Pay for Performance Hospital and Physician programs, Bundle Payments, Accountable Care Organizations, Patient Centered Medical Homes, Chronic Care Models, and our recently announced Patient Centered Primary Care national program (see the Wall Street Journal’s January 27, 2012 article titled An Rx? Pay More to Family Doctors). These positions plays a critical role in supporting one or more of these payment innovation arrangements. Business Info Analyst Sr or Business Info Consultant Responsible for analyzing, reporting and developing recommendations on data related to Payment Innovation accountable care models (e.g. Bundled Payments, ACOs, PCMHs, Patient Centered Primary Care, AICU). Primary duties may include, but are not limited to: analyzes data and summarizes performance for exploratory work relating to Payment Innovation Enterprise program development. Tracks, and reports on, overall results of accountable care models, both relative to internal program benchmarks and to non-program populations. Creates and maintains databases to track business performance. Analyzes data and summarizes performance using summary statistical procedures. Develops and analyzes business performance reports (e.g. for claims data, provider data, utilization data, quality data) and provides notations of performance deviations and anomalies. Creates and publishes periodic reports, makes necessary recommendations, and develops ad hoc reports as needed. May require taking business issue and devising best way to develop appropriate diagnostic and/or tracking data that will translate business requirements into usable decision support tools. May make recommendations based upon data analysis. Additionally, the Business Info Consultant is responsible for: serving as an expert in data analysis, reporting and formulating recommendations with regard to Payment Innovation accountable care models; developing and supporting support complex analytics for exploratory work relating to Payment Innovation Enterprise program development; overseeing progress of Payment Innovation programs and track overall results; providing guidance to other data analysts; offering analytic consultation to other business areas, leadership or external customers.

        About this company
        600 reviews
        We recently changed our name from WellPoint to Anthem, Inc., the name people know us by best. As our companies continue to take a more...