Business Analyst II at Elevance Health

Latham, New York, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Behavioral HealthIndustries

Requirements

BA/BS degree and minimum of 3 years related business analysis experience, or any combination of education and experience which would provide an equivalent background
Expertise in Electronic Data Interchange (EDI), specifically implementing and maintaining 834 and proprietary eligibility, COB, and group files for various health plans
Ability to work in-office 1-2 days per week (hybrid/virtual policy; must reside within reasonable commuting distance from posting location(s), unless accommodation granted)
For Government Business Division roles: compliance with additional requirements such as stringent background checks, government clearances, segregation of duties, role-specific training, monitoring, and sensitive data handling

Responsibilities

Translate basic business needs into application software requirements
Analyze business needs to determine optimal means of meeting those needs
Determine specific business application software requirements to address specific business needs
Work with programming staff to ensure requirements are incorporated into system design and testing
Act as liaison with users of the software to address questions/issues
Facilitate the design and implementation of innovative end-to-end frameworks for processing eligibility exchanges, ensuring they meet business needs and industry standards
Facilitate discussions with plans and other stakeholders to identify and clarify requirements, review test cases, and ensure alignment on project objectives and deliverables, communicating effectively throughout the process

Skills

EDI

834

Eligibility Processing

COB

Business Analysis

Requirements Gathering

Healthcare IT

Elevance Health

Integrated health services and digital platform

About Elevance Health

Elevance Health focuses on enhancing the health of individuals throughout their lives by evolving from a traditional health benefits organization into a comprehensive health partner. The company serves over 118 million people, providing support at every stage of health through an integrated approach that addresses a wide range of health needs. Their services are backed by advanced capabilities and a digital health platform that streamlines access to care. Unlike many competitors, Elevance Health emphasizes a holistic view of health, aiming to redefine health and improve community well-being. The ultimate goal is to make health improvements accessible to everyone.

Indianapolis, IndianaHeadquarters

1944Year Founded

$309.4MTotal Funding

IPOCompany Stage

Enterprise Software, Social Impact, HealthcareIndustries

10,001+Employees

Benefits

Medical, dental, & vision insurance

401(k) + match

Paid holidays

Paid Time Off

Incentive bonus programs

Stock purchase plan

Life insurance

Wellness Programs

Financial education resources

Adoption & Surrogacy Assistance

Dependent-care Flexible Spending Account (DCFSA)

Parental Leave

Parental Transition Week

Critical Caregiving Leave

Risks

Departure of CFO John Gallina may create a gap in financial leadership.

Lawsuit against CMS over MA Star Ratings could lead to financial penalties.

CareBridge integration may face operational challenges, disrupting service delivery.

Differentiation

Elevance Health integrates whole health approach with digital health platform for comprehensive care.

Acquisition of CareBridge enhances home health services within Carelon division.

Strategic partnership with Clayton, Dubilier & Rice aims to innovate primary care delivery.

Upsides

AI integration in home health services can reduce hospital readmissions and improve outcomes.

Predictive analytics support early disease detection, aligning with Elevance's whole health approach.

Telehealth expansion offers opportunities to reach more patients remotely.

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