Business Information Consultant– Health System Reimbursement at Elevance Health

Atlanta, Georgia, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

BS/BA degree in related field and minimum of 5 years of experience; or any combination of education and experience which would provide an equivalent background
Ability to report to one of the Pulse Point locations (Atlanta, GA; Richmond, VA; Indianapolis, IN; Wallingford, CT; or Mason, OH) or within commuting distance from an office (hybrid: in-office 1 day per week)

Responsibilities

Establishes, improves, and optimizes 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
Serves as an expert in data analysis, reporting, and formulating recommendations; provides guidance to other data analysts

Skills

data analysis

reporting

forecasting

month-end processes

executive summary reports

business performance analysis

SQL

claims data

statistical procedures

database management

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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