Anthem Staff VP QM Data Mgmt - PS15086 in Columbia, Missouri

Staff VP QM Data Mgmt - PS15086

Location: United States

Field: Reporting & Data Analysis

Requisition #: PS15086

Post Date: Nov 28, 2018

Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and 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.

This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.

Location: Any major Anthem location

Job Summary:

Responsible for leading HEDIS Quality/Data Management activities for commercial and government business quality programs.

Primary duties may include, but are not limited to:

  1. Responsible for the strategy and implementation of quality data management solutions based on evolving industry requirements tied to NCQA, value based purchasing, CAHPS and other required quality outcomes mandated results.

  2. Leads the overall architecture, design, development, and maintenance of data warehousing and data mart systems which house the HEDIS and quality data.

  3. Leads definition of a quality reporting and analytics strategy, including definition of critical metrics, collaboration with business partners on data collection, and highlighting key messages for senior management.

  4. Leads the development and implementation of HEDIS and quality data management reports, as well as the creation and execution of HEDIS profiles for physician practice.

  5. Oversees audit of every process and technical component of quality measures and conducts HEDIs Quality/data management training for health plans on a regular basis.

  6. Works closely with business leaders to identify and maximize opportunities to utilize quality data to improve business results.

  7. Develops and maintains relationships with IT experts and specialists to expand the capabilities of reporting and analytics.

  8. Manages the tracking and reporting of performance guarantee measures.

  9. Hires, trains, coaches, counsels, and evaluates performance of direct reports.

  • Requires a BA/BS degree.

  • 7+ years of progressive experience defining and implementing enterprise reporting solutions.

  • 5-7 years management experience; experience with analytics packages.

  • Any combination of education and experience, which would provide an equivalent background.

  • BA/BS degree in Statistics, Economics or Mathematics preferred.

  • Experience with NCQA approved HEDIS software vendors including VERSCEND and INOVALON.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at An Equal Opportunity Employer/Disability/Veteran