Business Analyst Iii Jobs

• Req #: JR74848
• Date Posted:Jun 09, 2023
• Type: Full time
• Job Family: Business Support

Location:

• National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint
• Indiana, Indianapolis

Description

• Business Analyst III *

Location: This position will work on a hybrid model (remote and office), 0-3 times per month. The ideal candidate will live within 50 miles of one of our PulsePoint locations.
Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending.
The Business Analyst III is responsible for serving as the liaison between the business and IT in translating complex business needs into application software.
How You Will Make An Impact

• Ability to manage and prioritize work assignments and projects based on business needs.
• Effectively research leads and identify ideas for additional overpayment opportunities.
• Ability to investigate, research and adhere to medical coding guidelines.
• Maintain awareness of variances in medical policies that may be applicable to concept execution and design.
• Acts as a resource to users of the software to address questions/issues.
• Act as a resource for business partners and external clients to address any issues, concerns, discrepancies, questions, and ability to provide support or SME for the team.
• Ability to follow procedures and be able to document client-specific processes and procedures.
• Works with programming staff to ensure requirements will be incorporated into system design and testing.
• Develops project plans and identifies and coordinates resources, involving those outside the unit.
• Contribute to team growth with innovation and agility.
• Work frequently with business partners and external clients to develop, maintain, improve, and enhance business requirements.
• Determines specific business application software requirements to address complex business needs.
• Participate as a liaison between the business, business partners and external clients.
• Analyzes complex end user needs to determine optimal means of meeting those needs.
• Uphold high standards with sensitive data handling and client confidentiality.
• Adhere to team and role expectations.
• Translate multifaceted business needs and requirements into specific applications that are complex in nature.
• May provide direction and guidance to team members and serves as an expert for the team.
• Conduct concept validation with the ability to analyze large data sets to be able to trend and research anomalies.
• Facilitate meetings and coordinate appropriately with business partners and external clients.

Minimum 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.

Preferred Qualifications, Skills, And Experiences

• Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed.
• Claims Experience to include any combination of the following: claims processing, adjustments, recovery, disputes, Government or Commercial business.
• Advanced skill level with MS Excel, pivot tables, formulas, V-lookup, etc.
• Knowledge of systems capabilities and business operations is strongly preferred.
• If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a 'sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions.
• Must possess strong analytical and problem-solving skills with a research-oriented approach; strong written, verbal, and interpersonal communication skills are required.
• Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties principles, role-specific training, monitoring of daily job functions, and sensitive data handling instructions.

For candidates working in person or remotely in the below locations, the salary* range for this specific position is $68,080 to $122,544.
Locations: California; Colorado; Nevada; Washington State; Jersey City, NJ; New York City, NY; Ithaca, NY and Westchester County, NY
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws .

• The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Be part of an Extraordinary Team
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?
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.
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. If you are not vaccinated, your offer will be rescinded unless you provide – and Elevance Health approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health has been named as a Fortune Great Place To Work in 2022, has been ranked for five years running as one of the 2023 World’s Most Admired Companies by Fortune magazine, and is a growing Top 20 Fortune 500 Company. To learn more about our company and apply, please visit us at careers.ElevanceHealth.com. 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 [email protected] for assistance.
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