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Elevance Health Business Analyst II in Woburn, Massachusetts

Business Analyst II

Location : This position is part of our Hybrid Workforce Model and requires a minimum of 1 – 2 days/week in office. Must reside within 50 miles/1 hr commute of a relevant PulsePoint location .

The Business Analyst ll is responsible for translating basic business needs into application software requirements.

How you will make an impact

Primary duties may include, but are not limited to:

  • Analyzes complex business processes, data, and stakeholder needs to determine optimal means of meeting those needs.

  • Determines specific business application software requirements to address specific business needs.

  • Works with programming staff to ensure requirements will be incorporated into system design and testing.

  • Acts as liaison with users of the software to address questions/issues.

  • Creates specific business application, database, and reporting to address complex business and operations needs.

  • Develops project plans and identifies and coordinates resources, involving those outside the unit.

  • Works with cross functional teams to ensure requirements will be incorporated into systems, reporting, and procedures.

  • Acts as a resource to Provider Solutions, Contract Management, and Health Economics to address questions/issues.

Minimum Requirements

  • BA/BS and minimum of 3 years related business analysis experience, or any combination of education and experience, which would provide an equivalent background.

Preferred Qualifications:

  • Understanding of Provider Contracts strongly preferred.

  • Solid understanding of, and experience working with, Chargemaster components.

  • Provider Relations background.

  • Knowledge of Provider Reimbursement, Medical Billing, ICD Codes, Claims, or any combination.

  • Knowledge of systems capabilities and business operations is strongly preferred.

  • 5-7 years of audit and/or business analysis experience that includes knowledge of systems capabilities and business operations.

  • Advanced skills in Excel, SharePoint, database, and reporting skills required.

  • Experience in interpreting contract language and writing policies and procedures preferred.

For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

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.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

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 an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

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 elevancehealthjobssupport@elevancehealth.com for assistance.

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