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Anthem, Inc. Bus Info Consultant in Dearborn, Michigan


SHIFT: Day Job

SCHEDULE: Full-time

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 care companies and a Fortune Top 50 Company.

Business Information Consultant – Program Integrity

At this time, Anthem will not sponsor a new applicant for employment authorization for this position.

Responsible for product support for Provider Education component within the Program Integrity Advanced Analytics Services Product Team.

The Business Information Consultant serves as a product manager/owner within the Program Integrity Advanced Analytics Services Team. The Product and Efficiency team focuses on combining optimized processes with best in class technology to bring the most value to Program Integrity. This all results in a lower health care cost and higher value to the member.

The Business Information Consultant works with all levels within the Program Integrity Business to provide product management/owner services and coordinate with IT delivery teams to implement the Provider Education program. The Bus Info Consultant is expected to analyze existing and potential workflows, processes, coordinate between stakeholders and teams. This position requires an individual who is highly motivated, a self-starter and who can communicate effectively.


  • Responsible for requirements definition, process improvement opportunity identification, solution design and implementation.

  • Authors or supports the creation of business cases, including problem definition, estimation, project justification and financial analysis.

  • Provides analytic consultation to other business areas, leadership or external customers.

  • Manages & prioritizes requirements; participates in and/or leads requirements elicitation and clarification sessions as needed.

  • Analyzes and designs solutions to address varied and highly complex business needs.

  • Writes Epics, user stories and personas. Develops process flows and mock-ups, creates documentation

  • Assists in troubleshooting system issues

  • Acts as the central contact with internal departments and external parties

  • Works independently

  • Draws up a plan to address issues/concerns

  • Leads and/or supports software and testing; coordinates testing with end users

  • Leads and/or supports product rollout, including training and release management

  • Provides project status updates as required

  • Works side by side with their manager

  • Creates and maintains databases to track business performance.

  • Develops and analyzes business performance reports (e.g. for claims data, provider data, utilization data) and provides notations of performance deviations and anomalies.

  • Creates and publishes periodic reports, as well as any necessary ad hoc reports.

  • May require taking business issue and devising best way to develop appropriate diagnostic and/or tracking data that will translate business requirements into usable decision support tools.

  • May make recommendations based upon data analysis.

  • Provides analytic consultation to other business areas, leadership or external customers.

  • Data analysis and reporting encompasses a much higher level of complexity.


• Requires a BS/BA degree in related field; minimum of 5 years’ experience; or any combination of education and experience, which would provide an equivalent background.

• Comfortable working in a fast-paced environment with rapidly evolving business needs.

• Strong analytical skills, high attention to detail, and proven ability to be an innovative problem solver.

• Skilled in PowerPoint and Excel, SQL and Jira a plus.

• Must have Agile experience. Proven experience in a SAFe environment is preferred.

• Highly articulate and able to present ideas in a compelling and thoughtful manner.

• Strong organizational skills and keen attention to detail.

• Query development and data analysis skills strongly desired.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and has been named a 2019 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.