Anthem Inc. Virginia Jobs

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Anthem, Inc. Medicare Star Analyst in Norfolk, Virginia


SHIFT: Day Job

SCHEDULE: Full-time

At Empire BlueCross BlueShield, a proud member of the Anthem, Inc. family of companies, serving our communities for over 85 years. We’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care. This is an exceptional opportunity to do innovative work that means more to you and those we serve.

Empire’s commitment to inclusion and diversity makes us a stronger organization. Our culture is essential to attracting talent that understands and connects with our consumers. It creates spaces where different perspectives and experiences are valued; it lets us develop innovative thinking and unifies our associates behind our mission—to materially and measurably improve the whole health of all New Yorkers and make healthcare simpler.

Empire’s Whole Health proposition is committed to protecting an individual’s complete health and wellness. Our inclusivity is the foundation to serve and support our diverse New York communities.

Preferred Location: New York, NY

Will consider other locations in EST for the most qualified applicant

Medicare Star Analyst

The Medicare Star Analyst supports achievement of Star goals through analysis of opportunities to improve member experience across the care continuum, improve care and service delivery, and close clinical gaps-in-care. The analyst is responsible for analyzing structured data from multiple sources, coordinating and facilitating performance monitoring and reporting, and researching and synthesizing opportunities for improvement to business stakeholders.

Primary duties may include, but are not limited to:

  • Generates reports and analyses to support internal stakeholder needs including quality management, network management, sales, account management, and other key functions. Analyses may incorporate multiple data sources, including, but not limited to: clinical gaps-in-care, member surveys, network and provider performance, operational data, etc.

  • Performs business data analysis and reporting in response to requests from internal and external stakeholders, providers and/or regulatory agencies.

  • Serves as a technical and Star subject matter expert and liaison between functional areas to support data requests and analyses and ensure uniform and consistent information and information flow.

  • Acts as a liaison with the assigned technical analyst completing the report, the requesting department and/or stakeholder, and clarifies requirements and business objectives to ensure that it meets the stakeholder’s needs.

  • Assists in leading cross-functional teams for collaboration on measure improvement. Organizes and documents meeting minutes and action items during Star-related meetings.

  • Uses internally available software and self-service analytical tools.

  • May be responsible for enhancements and testing.


Required Qualifications:

  • Requires a BA/BS degree in a related field,3-5 years of CMS Star, clinical quality, healthcare quality improvement, or healthcare analytics experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Qualifications:

  • Experience and knowledge of Medicare Star preferred.

  • Masters preferred

    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. Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.

    REQNUMBER: PS54699-Norfolk-Norfolk