Business Information Analyst Senior

Anticipated End Date:

2025-09-19

Position Title:

Business Information Analyst Senior

Job Description:

Business Information Analyst Senior

Locations: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

PLEASE NOTE: This position is not eligible for current or future VISA sponsorship.

The Business Information Analyst Senoir is responsible for analyzing, reporting and developing recommendations on data related to complex and varied business metrics. Typically provides technical assistance to lower level staff. We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid-enrolled infants, children, youth, young adults, and families served by the child welfare system so that they receive seamless, integrated, and coordinated health care.

How you will make an Impact:

• 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.

• Conduct in-depth provider network analysis, including adequacy, access, and performance monitoring

• Creates and publishes periodic reports, as well as any necessary ad hoc reports.

• Develop reporting to assess provider network strength, identify gaps in coverage, and recommend strategies for improvement.

• Partner with provider relations and network management teams to deliver insights that drive recruitment, retention, and optimization of provider networks.

• ​Evaluate utilization patterns and provider performance to ensure compliance with Medicaid standards and contractual obligations.

Minimum Requirements:

Requires a BS/BA degree in related field and a minimum of 3 years data analysis or related experience; or any combination of education and experience which would provide an equivalent background.  

Preferred Skills, Experiences and Competencies:

• Strong experience working with healthcare data, specifically claims, provider, and utilization data.

• Proven ability to analyze provider networks, including network adequacy, cost, quality, and performance measures.

• Familiarity with Medicaid or managed care provider network structures and reporting requirements.

• Experience with tools used for provider network analysis (e.g., GeoAccess, Tableau, SQL-based network adequacy modeling).

• Ability to manipulate large sets of data is strongly preferred.

• Strong analytical, organizational and problem solving skills are strongly preferred.

• Experience with data visualization tools (Tableau, Power BI, Qlik) strongly preferred

• Exposure to Quest Analytics or other Provider Network Management solutions.

Job Level:

Non-Management Exempt

Workshift:

1st Shift (United States of America)

Job Family:

RDA > Business/Health Info

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