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Business Analyst III (InRule A...

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Job Summary

Company
Anthem
Location
Deerfield, IL
Industries
Other/Not Classified
Job Type
Full Time
Employee
Career Level
Experienced (Non-Manager)
Job Reference Code
4298_PS4401

Business Analyst III (InRule Author) - AIM - Deerfield, IL - PS4401

About the Job

Description
This position will work out of AIM's Deerfield, IL office location.
Your Talent. Our Vision. At AIM Specialty Health (AIM), a proud member of the Anthem, Inc. family of companies, it's a powerful combination, and the foundation upon which we're creating access to greater 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.
Bring your expertise to our innovative culture where you will have the opportunity to make a difference in people's lives, and to take your career further than you can imagine.

Business Analyst III ( InRule Author) is responsible for serving as the liaison between the business and IT in translating complex business needs into application software.

Primary duties may include, but are not limited to:

Analyzes complex end user needs to determine optimal means of meeting those needs. Determines specific business application software requirements to address complex business needs. Develops project plans and identifies and coordinates resources, involving those outside the unit. Works with programming staff to ensure requirements will be incorporated into system design and testing. Acts as a resource to users of the software to address questions/issues. May provide direction and guidance to team members and serves as an expert for the team.

  • Develop strong working relationships with development and business teams
  • Design, build, maintain, refine and improve business rules in a BRMS, based on requirements provided by business
  • Orchestrating the execution of the business rules in a BRMS
  • Analyze rulesets for completeness and consistency
  • Work in coordination with development to help create/enhance technical design
  • Partner with business and developers to define service contracts
  • Provide testing teams builds of sufficient quality, and with appropriate documentation and information, to enable testing of the rules
  • Debug the business rules to resolve defects logged during QA and UAT testing cycles
  • Support production incidents and work to resolve the issues in a timely manner
  • Update rule reports on the company intranet
  • Collaborate with the enterprise and application architects to deliver enterprise capabilities
Qualifications
  • Bachelor's Degree strongly preferred
  • Healthcare experience is a plus
  • Experience working in Product Development
  • Experience using a BRMS or rule authoring tool, InRule experience is a plus
  • Strong skills in developing business rules using Rules, Decision Tables, Decision Trees and Rule Flows.
  • Excellent time management skills, including the ability to multitask across several large initiatives or projects
About AIM Specialty Health
AIM Specialty Health (AIM) is a leading specialty benefit management company with more than 20 years of experience and a growing presence in the management of radiology, cardiology, oncology, sleep medicine, and specialty pharmacy benefits. Our mission is to make healthcare services more clinically appropriate, safer and more affordable. As such, we promote the most appropriate use of specialty care services through the application of widely accepted clinical guidelines delivered via an innovative platform of technologies and services. With over 32 million members covered across 50 states, AIM ensures delivery of the right test at the right time in the right place.
We maintain offices in Chicago, Deerfield, Schaumburg and Westchester, IL as well as Glendale, CA.
AIM's services include:
  • Prospective clinical review of outpatient advanced imaging procedures such as CT, MRI, Nuclear Cardiology and PET Scans
  • Clinical review for cardiology and specialty pharmacology products and services.
  • Oncology Management programs leveraging AIM's proven specialty benefit platform to drive consistent and effective cancer care through services review along with management of close to 70 oncologic drugs.
  • Specialty Drugs programs to provide review for over 142 specialty drugs offering providers an automated drug review process through our provider friendly web portal.
  • Sleep Management, designed to align the diagnosis and treatment of sleep apnea against clinical guidelines, enhance member access to high value providers and ensure treatment compliance for the dispensing of supplies.
Our programs combine clinical excellence, its innovative technology and a commitment to customer service, ensuring the company's on-going leadership in the rapidly evolving healthcare environment.
AIM is certified by the National Committee for Quality Assurance (NCQA) and has received Full Accreditation for Health Utilization Management from the Utilization Review Accreditation Commission (URAC.)
Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine, and is a 2014 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company please visit us at antheminc.com/careers.
EOE.M/F/Disability/Veteran
 

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