Health Information Manager

Anticipated End Date:

2025-04-14

Position Title:

Health Information Manager

Job Description:

Location:Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.

Elevance Health supports a hybrid workplace model (virtual and office) with PulsePoint sites used for collaboration, community, and connection, with the minimum in-office commitment being 1-3 days in an office per week.

Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

Responsible for identifying opportunities to deliver affordable quality care to members through analysis of data and transforming business intelligence into action plans. Provides strategic recommendations for improving health care affordability to executives and professional clients.

PRIMARY DUTIES:

• Collaborates with the data warehouse analysts in establishing business rules and monitoring adherence.
• Translates data trends into strategic recommendations for program development and action plans.
• Organizes and manages the staffing and work flow on major projects.
• 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.
• Develops and communicates action plans and 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.
• 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 executives.
• Providing consultation and making presentations are major parts of this job. Influences and negotiates with all levels of management.

Minimum Requirements:

Requires a BA/BS 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, and experience in managed care and data analysis; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities and Experience:

• Understanding of multiple data sources and formats is strongly preferred.
• 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.
• MA/MS degree in business, science, or health research preferred.
• Ensuring compliance with HEDIS requirements and supporting audits and reviews by maintaining accurate and comprehensive data documentation and analysis.
• Understanding of HEDIS measures and specifications, which are used to assess the performance on important dimensions of care and service in health plans. This includes familiarity with the technical specifications and reporting requirements.

Job Level:

Non-Management Exempt

Workshift:

1st Shift (United States of America)

Job Family:

RDA > Business/Health Info

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

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.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

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 elevancehealthjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.