Hybrid Business Information Consultant – Health System Reimbursement

at Elevance Health

• Job title: Business Information Consultant – Health System Reimbursement
• Job type: Full Time
• Experience level: Mid level, Senior
• Salary: Not specified
• Degree requirement: Bachelor's Degree
• Tech skills: SQL
• Location requirements: Hybrid, Atlanta, United States

About the role

• Business Information Consultant responsible for data analysis and reporting for health system reimbursement. Aiding in decision-making and optimizing business needs at Elevance Health.

Responsibilities

• Establishes, improves, and optimizes the consolidating processes for forecast and month-end results.
• Consolidates and prepares executive summary reports for various business segments in the SBU for top management decision-making.
• Analyzes and designs solutions to address varied and highly complex business needs.
• Collaborates with businesses and technical areas to implement new or enhanced products.
• Coordinates with external audits as appropriate.
• Acts as the central contact with internal departments and external auditors.
• Creates and maintains databases to track business performance.
• Analyzes data and summarizes performance using summary statistical procedures.
• 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.
• Makes recommendations based upon data analysis.
• Provides analytic consultation to other business areas, leadership or external customers.

Requirements

• Requires a BS/BA degree in related field and a minimum of 5 years of experience; or any combination of education and experience which would provide an equivalent background.
• Proficient in modeling the financial impacts of changes in reimbursement structures and rates for health systems such as hospitals and physician practices highly preferred.
• Experience benchmarking hospital or physician rates against Medicare reimbursement highly preferred.
• Excel, SQL, and SAS experience highly preferred.
• Strong knowledge of products as well as our internal business models and data systems highly preferred.
• Excellent leadership, problem solving, organizational, planning, presentation and interpersonal skills highly preferred.
• Ability to work independently and draw up plans to address issues/concerns highly preferred.

Benefits

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