Business Analyst III (US)
Company: Elevance Health
Location: Trenton
Posted on: January 25, 2023
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Job Description:
**Business Analyst III (US)**+ Job Family: Business Support+
Type: Full time+ Date Posted:Jan 03, 2023+ Req #:
JR42055**Location:**+ National +50 Miles away from nearest
PulsePoint, National +50 Miles away from nearest PulsePoint+ MO,
Jefferson City+ CO, Denver+ IN, Indianapolis+ NV, Las
Vegas**Description****Business Analyst III**Location: All locations
to be considered.This is an opportunity to join a growing team of
associates within DBG (Diversified Business Group). Our team is
responsible for identifying claims processing issues on WGS through
data mining and then creating business requirements documents (BRD)
to assist with creation of algorithms that will contribute to cost
of care savings and total program savings. These positions will
primarily perform WGS tasks in conjunction with the pre-pay
initiative project for Datamining and Overpayments (DMO).**How you
will make an Impact;**+ Analyzes and designs solutions to address
simple to complex varied business needs by utilizing specific
business application software requirements.+ Researches leads to
identify overpayment savings opportunities on claims processing in
WGS Mainframe.+ Obtains, interprets, and applies provider and
member contract language to the creation of BRDs that contribute to
the department's Cost of Care (CoC) savings goal.+ Determines
specific business requirements to address simple to complex
potential overpayment situations based on analysis of claims,
policies, and other supporting documentation.+ Consults with
business partners concerning processes, procedures, contracts,
processing rules and other system rules to create concepts to
identify overpayments.+ Develops and maintains collaborative
relationships with query developers, business owners and partners
as well as DBG consultants and analysts to ensure requirements will
be incorporated into system design and testing.+ Develops Business
Requirement Documentation (BRD) and completes UAT and coordinates
PNP (process and procedure) documentation, involving those in and
outside the business unit.+ Collaborates, provides guidance to team
members, and serves as a resource for the team.+ Acts as a Subject
Matter Expert (SME) on projects and in meetings with team and
business partners.+ Identifies process improvement opportunities
that result in increased savings.+ Manages and prioritizes own work
based on business needs.**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 Skills, Capabilities and
Experiences:**+ Commercial Business (WGS) knowledge, including
claims and adjustment processing.+ Knowledge in WGS pricing,
including reading and interpreting provider contracts and rate
sheets.+ Strong oral, written, and interpersonal communication
skills.+ Strong organizational skills.+ Possess analytical and
problem-solving skills with research-oriented approach.+ Ability to
manage multiple projects in various stages and complexity levels to
completion.+ Demonstrated meeting facilitation skills.For
candidates working in person or remotely in the below locations,
the salary* range for this specific position is $66,720 to
$115,092Locations:?Colorado; Nevada, Jersey City, NJ; New York
City, NY; Ithaca, NY and Westchester County, NYIn 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. Previously
known as Anthem, Inc., we have evolved into a company focused on
whole health and updated our name to better reflect the direction
the company is heading.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 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 2021, is ranked as one of the 2021 World's Most Admired
Companies among health insurers by Fortune magazine, and a Top 20
Fortune 500 Companies on Diversity and Inclusion. 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 ability@icareerhelp.com for assistance.EEO is the LawEqual
Opportunity Employer / Disability / VeteranPlease use the links
below to review statements of protection from discrimination under
Federal law for job applicants and employees.+ EEO Policy
Statement+ EEO is the Law Poster+ EEO Poster Supplement-English
Version+ Pay Transparency+ Privacy Notice for California
ResidentsElevance Health, Inc. is an E-verify EmployerNeed
Assistance?Email us (elevancehealth@icareerhelp.com) or call
1-877-204-7664
Keywords: Elevance Health, Trenton , Business Analyst III (US), Professions , Trenton, New Jersey
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