Business Information Consultant

Job summary
The Business Info Consultant (HEDIS) position at Elevance Health involves being an expert in data analysis and providing recommendations to internal and external business partners. Responsibilities include analyzing HEDIS and HEDIS-Like data, developing and analyzing business performance reports, and troubleshooting data discrepancies. Requirements for the role include a minimum of 5 years of experience in a related field and a degree in a related field.
Job seniority: mid-to-senior level
Responsibilities
• Serving as an expert in data analysis, SQL, data intake/transformation, and formulation of recommendations for internal and external business partners. • Analyzing member/measure level HEDIS and HEDIS-Like data and summarizing performance using SQL tools and statistical procedures. • Developing and analyzing business performance reports for claims data, provider data, and utilization data. • Preparing data for HEDIS and HEDIS-like reporting purposes to present to Executive Leadership and internal/external client stakeholders. • Creating and maintaining databases to track HEDIS business performance. • Meeting with provider groups to troubleshoot data exchange issues. • Reconciling supplemental data files for internal and external stakeholders. • Creating and publishing periodic reports, as well as ad hoc reports. • Manipulating large files and data sets to identify and isolate patterns and trends. • Troubleshooting data discrepancies and SDS data flow issues. • Conducting training on the use of applications developed. • Providing analytic consultation to other business areas, leadership, or external customers. • Supporting project deliverables for measure testing and implementation for Commercial and Exchange HEDIS and HEDIS-like measure sets.
Requirements
• A minimum of 5 years of experience in a related field. • A degree in a related field. • Experience with relational databases and knowledge of query tools and statistical software is strongly preferred. • Experience managing multiple complex projects with tight deadlines. • Minimum 1 year UAT testing experience. • Minimum 1 year using SQL to write queries. • Minimum 1 year experience managing/manipulating large datasets using Teradata. • Strong analytical, organizational, presentation, and problem-solving skills strongly preferred. • Commercial, +/- Exchange and Government experience preferred. • HEDIS Value sets and Specifications experience/NCQA knowledge.
Key Skills Needed
• Data analysis • SQL • Statistical software • Project management • UAT testing • Teradata • Analytical skills • Organizational skills • Presentation skills • Problem-solving skills