Product Business Consultant

Company: Anthem, Inc
Location: Walnut Creek
Posted on: May 3, 2021

Job Description:

Description SHIFT: Day JobSCHEDULE: Full-time Your Talent. Our Vision. At Anthem, Inc., its a powerful combination, and the foundation upon which were 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 care companies and a Fortune Top 50 Company. We are looking for a motivated and energetic product analyst/consultant to assist us in developing understanding of COB product to meet the Anthems current and future needs. The Product Consultant responsibilities include working closely with different departments within the company, analyzing product data to make product recommendations, interviewing COB business to receive end customer feedback, and compiling product data. You should be able to study products on the market in order to create a better product. A Product Consultant works with both developers and business users to prioritize competing business needs. This position will be directly in support of the Coordination of Benefits (COB) Product line within the PI department. For reference, COB is the process by which a health insurance company determines if it should be the primary or secondary payer for medical claims, when a patient has coverage from more than one health insurance policy. This Product Consultant will be responsible for the work plan for a single technical development team. The Product Consultant will need to stay coordinated with the Product Managers vision of epics, capabilities, features for each fiscal year. Will partner with their respective development team to maximize the delivery for their part of that vision. This position will be within the Program Integrity (PI) group. The PI department is responsible for proper payments to legitimate providers for reasonable services provided to eligible members. This position will be on a team of Business Representatives working directly with the IT development teams that enable the business to drive efficiency and compliance. Focus will be on including technologies that are more cutting-edge and capabilities including more technologically advanced concepts including use of Artificial Intelligence, Data Science, as well as best in class industry capabilities in both technology and Health Care domain. This position does require strong data analytical capabilities in order to perform the analysis, and then propose a recommendation based on that analysis. The responsibility including providing expertise to lower level consultants on the analysis of business needs to determine optimal means of meeting those needs. COB Product Business Consultant Responsible for translating moderately complex and varied business needs into application software requirements. Possesses full technical knowledge of most phases of systems and business analysis and is able to consider the business implications of the application of technology to current and future business environments. Primary duties may include, but are not limited to: + Develop an understanding of COB business workflow and product line to meet the current and future needs. + Work with cross functional Business and IT team in crystalizing requirement and translate it for development /engineering team. + Analyze metrics to continually improve products performance. + Responsible for writing Epics, Capabilities, Features, and Stories + Responsible for developing cadence to help the team grow iterative and incrementally. + Actively participate in PO sync meeting. + Provide System Demo to business stakeholder. + Actively involved in Backlog and content readiness. + Proactively perform Pre- & Post PI evet responsibility coordinate input e.g, business context, key milestones and solution context. + May lead teams of analysts assigned to complex projects. + Determines specific business application software requirements to address complex and varied business needs. + Analyzes and designs solutions to address complex and varied business needs. + Consults with business partners concerning application and implementation of technology. Preferred Experience + Healthcare certification such AHIP certifications. + Experience in blockchain. + Experience in healthcare transaction set such X12 EDI 270 ,271, 834 ,837 etc + FACETS and other Claim administration system. + Hands on experience with Visio, JIRA, Confluence, Product tools such as (Ah-ha, Product view, JIRA Align, etc). + Experience with PI planning event and Agile Release Train (ART) Requires a BS/BA degree, 8 - 10 years of business analysis experience, which should include analysis, project management, working knowledge of mainframe computer, hardware and operating systems; or any combination of education and experience, which would provide an equivalent background. Ability to travel maybe required. 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. is ranked as one of Americas Most Admired Companies among health insurers by Fortune magazine and has been named a 2020 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. REQNUMBER: PS46337-California

Keywords: Anthem, Inc, Walnut Creek , Product Business Consultant, Other , Walnut Creek, California