Hybrid Business Analyst III – Payment Integrity Datamining

at Elevance Health

• Job title: Business Analyst III – Payment Integrity Datamining
• Job type: Full Time
• Experience level: Mid level, Senior
• Salary: Not specified
• Degree requirement: Bachelor's Degree
• Location requirements: Hybrid, Richmond, United States

About the role

• Business Analyst serving as liaison translating business needs into software for Elevance Health. Analyzing needs, developing requirements, coordinating resources, and testing processes.

Responsibilities

• Serves as the liaison between the business and IT in translating complex business needs into application software.
• 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.
• Generate and refine creative recovery strategies that enhance our organization’s resilience through ideation of concepts.
• Work closely with subject matter experts to develop and prioritize business requirements.
• Conduct thorough testing of processes and tools to ensure they meet high-quality standards.

Requirements

• Requires a BA/BS and minimum of 5 years business analysis experience; or any combination of education and experience which would provide an equivalent background.
• Comprehensive understanding of healthcare payer systems, claims processes, and coding practices preferred.
• Demonstrated proficiency in analyzing complex data and creating clear, detailed documentation strongly preferred.
• Exceptional ability to communicate effectively with a variety of stakeholders, ensuring alignment and collaboration preferred.
• Proven track record of adapting to changing environments, effectively managing multiple tasks, and taking initiative preferred.
• Commitment to fostering a team environment characterized by transparency, adaptability, and a willingness to give and receive feedback desired.

Benefits

• merit increases
• paid holidays
• Paid Time Off
• incentive bonus programs
• medical, dental, vision benefits
• short and long term disability benefits
• 401(k) +match
• stock purchase plan
• life insurance
• wellness programs
• financial education resources