Health Information Manager (Database & Quality Management)
Company: Elevance Health
Location: Costa Mesa
Posted on: March 10, 2023
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Job Description:
Health Information Manager (Database & Quality
Management)
Job Family: Data Warehousing and Business Information
Type: Full time
Date Posted:Feb 28, 2023
Req #: JR46026
Location:
CA, COSTA MESA
National +50 Miles away from nearest PulsePoint, National +50 Miles
away from nearest PulsePoint
Description
Location : Remote/Nationwide - The territory for this position is
the West Region market. Therefore, it is highly preferred that the
selected candidate resides in CA, TX, NV, AZ, CO, NM, or WA.
How will you make an impact:
The Health Information Manager is responsible for identifying
opportunities to deliver affordable quality care to members through
regional management and analysis of data and transforming business
intelligence into tactical action plans. Provides strategic
recommendations for improving health care affordability to
executives and professional clients. Primary duties may include but
are not limited to:
Establishes relationships and collaborates with the data warehouse
leaders and analysts and other subject matter experts in
establishing business rules and monitoring adherence.
Translates data trends into strategic recommendations for program
development and action plans.
Provides business expertise regarding the appropriate use of data
elements and cooperates with reporting personnel from other areas
to establish and maintain these common business rules.
Works with regional leadership to develop and communicate regional
data/analytics action plans; assists in planning initiatives to
address areas for improvement identified through data analysis and
business expertise. Collaborates with business user to define
media, frequency and audience for distribution of information.
Evaluates and triages potential projects and studies based on the
value, cost benefit analysis and the urgency of the request.
Manages projects through coordination and negotiation with internal
and external clients in a highly matrixed environment.
Performs strategic data analysis and research to support business
needs.
Provides oversight over regional business team analytical quality
and risk adjustment projects as needed.
Develops detailed understanding of relevant business processes,
goals and strategy.
Acts as a source of direction, training, and guidance for less
experienced staff.
Makes strategic recommendations to regional quality leadership.
Providing consultation and making presentations are major parts of
this job. Influences and negotiates with all levels of
management.
Minimum Requirements: BS/BA degree and a minimum of 5 years'
experience in analysis and reporting with a minimum of 2 years of
broad based practical business experience within a business unit;
or any combination of education and experience which would provide
an equivalent background. Experience in managed care and data
analysis is required.
Preferred Skills, Qualifications & Experiences:
Understanding of multiple data sources and formats is strongly
preferred.
Experience pulling reports and analyzing claims based data (e.g.,
medical coding)
Expert level spreadsheet and database skills is strongly preferred.
Excellent knowledge and understanding of standard Business
Information tools and programming/query languages strongly
preferred. Understanding and application of Excel functions and
macro tools to help solve complex problems is strongly
preferred.
Excellent analytical, organizational, planning, and oral and
written communication skills strongly preferred. Ability to
communicate effectively with multiple levels within the
organization strongly preferred. Advanced degree in business,
science, or health research preferred.
Medicare quality and Stars experience (e.g., HEDIS, Member/Patient
Experience, Access, etc.) preferred; Medicare Risk Adjustment
experience preferred.
For candidates working in person or remotely in the below
locations, the salary* range for this specific position is $91.732
to $173.808
Locations: California; Colorado; Nevada; Washington State; Jersey
City, NJ; New York City, NY; Ithaca, NY and Westchester County,
NY
In addition to your salary, Elevance Health offers benefits such
as, a comprehensive benefits package, incentive and recognition
programs, equity stock purchase and 401k contribution (all benefits
are subject to eligibility requirements). The salary offered for
this specific position is based on a number of legitimate,
non-discriminatory factors set by the company. The company is fully
committed to ensuring equal pay opportunities for equal work
regardless of gender, race, or any other category protected by
federal, state, and local pay equity laws .
Please be advised that Elevance Health only accepts resumes from
agencies that have a signed agreement with Elevance Health.
Accordingly, Elevance Health is not obligated to pay referral fees
to any agency that is not a party to an agreement with Elevance
Health. Thus, any unsolicited resumes, including those submitted to
hiring managers, are deemed to be the property of Elevance
Health.
Be part of an Extraordinary Team
Elevance Health is a health company dedicated to improving lives
and communities - and making healthcare simpler. Previously known
as Anthem, Inc., we have evolved into a company focused on whole
health and updated our name to better reflect the direction the
company is heading.
We are looking for leaders at all levels of the organization who
are passionate about making an impact on our members and the
communities we serve. You will thrive in a complex and
collaborative environment where you take action and ownership to
solve problems and lead change. Do you want to be part of a larger
purpose and an evolving, high-performance culture that empowers you
to make an impact?
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.
The health of our associates and communities is a top priority for
Elevance Health. We require all new candidates to become vaccinated
against COVID-19. If you are not vaccinated, your offer will be
rescinded unless you provide - and Elevance Health approves - a
valid religious or medical explanation as to why you are not able
to get vaccinated that Elevance Health is able to reasonably
accommodate. Elevance Health will also follow all relevant federal,
state and local laws.
Elevance Health has been named as a Fortune Great Place To Work in
2021, is ranked as one of the 2021 World's Most Admired Companies
among health insurers by Fortune magazine, and a Top 20 Fortune 500
Companies on Diversity and Inclusion. To learn more about our
company and apply, please visit us at careers.ElevanceHealth.com.
Elevance Health is an Equal Employment Opportunity employer and all
qualified applicants will receive consideration for employment
without regard to age, citizenship status, color, creed,
disability, ethnicity, genetic information, gender (including
gender identity and gender expression), marital status, national
origin, race, religion, sex, sexual orientation, veteran status or
any other status or condition protected by applicable federal,
state, or local laws. Applicants who require accommodation to
participate in the job application process may contact
ability@icareerhelp.com for assistance.
EEO is the Law
Equal Opportunity Employer / Disability / Veteran
Please use the links below to review statements of protection from
discrimination under Federal law for job applicants and
employees.
EEO Policy Statement
Know Your Rights
Pay Transparency
Privacy Notice for California Residents
Elevance Health, Inc. is anE-verify Employer
(https://www.e-verify.gov/sites/default/files/everify/posters/EVerifyParticipationPoster.pdf)
Need Assistance?
Email us (elevancehealth@icareerhelp.com) or call
1-877-204-7664
Keywords: Elevance Health, Costa Mesa , Health Information Manager (Database & Quality Management), Healthcare , Costa Mesa, California
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