Anthem, Inc. Business Analyst III or II (Job Family) in Roanoke, Virginia
SHIFT: Day Job
Your Talent. Our Vision. At Amerigroup, a proud member of the Anthem, Inc. family of companies focused on serving Medicaid, Medicare and uninsured individuals, it’s a powerful combination. It’s the foundation upon which 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.
Job Description - Business Analyst III & II
Responsible for serving as the liaison between the business and IT in translating complex business needs into application software. Responsible for translating basic business needs into application software requirements.
Primary duties may include, but are not limited to:
Analyzes business needs to determine optimal means of meeting those needs.
Determines specific business application software requirements to address specific business needs.
Works with programming staff to ensure requirements will be incorporated into system design and testing.
Acts as liaison with users of the software to address questions/issues.
May provide direction and guidance to team members and serves as an expert for the team.
Periodic contract reviews to ensure adherence to non-standard recovery language and to identify strategic updates due to high impact to recovery pipeline
coordinating and executing overpayment recovery hold and bulk overturn requests across multiple areas and providing updates to internal leadership
Monitors data mining pipeline to ensure normal workflow is being adhered to.
Required Qualifications – Business Analyst III
Requires a BA/BS and minimum of 5 years business analysis experience, that includes knowledge of systems capabilities and business operations; or any combination of education and experienced, which would provide an equivalent background.
Required Qualifications – Business Analyst II
Requires a BA/BS and minimum of 3 years related business analysis experience, or any combination of education and experience, which would provide an equivalent background.
Preferred Qualifications for Business Analyst III & II
Familiarity with Anthem contracting tools preferred
Requires strong oral, written, and interpersonal communication skills.
Requires strong problem-solving skills, facilitation skills, organizational, and analytical skills.
Strong project management skills needed to coordinate resolution of work flow breaks across multiple teams and owners
If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a 'sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed.
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 careers.antheminc.com. 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.