Business Information Developer Consultant Senior - Carelon Commercialization Data Mining & COB

Anticipated End Date:

2025-10-06

Position Title:

Business Information Developer Consultant Senior - Carelon Commercialization Data Mining & COB

Job Description:

Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. 

Business Information Developer Consultant Senior - Carelon Commercialization Data Mining & COB

Locations:

• KY-LOUISVILLE, 3195 TERRA CROSSINGS BLVD STE 203-204 & 300
• CT-WALLINGFORD, 108 LEIGUS RD
• GA-ATLANTA, 740 W PEACHTREE ST NW
• IN-INDIANAPOLIS, 220 VIRGINIA AVE

Hybrid: This role requires associates to be in-office 1 day 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.

The Business Information Developer Consultant Senior - Carelon Commercialization Data Mining & COB is viewed as an expert in the development and execution of data mining analyses.

How you will make an impact:

• Undertakes complex assignments requiring additional specialized technical knowledge.
• Develops very complex and varied strategic report applications from a Data Warehouse.
• Establishes and communicates common goal and direction for team.
• Establishes and maintains advanced knowledge of data warehouse database design, data definitions, system capabilities, and data integrity issues.
• Acts as a source of direction, training and guidance for less experienced staff.
• Monitors project schedules and costs for own and other projects.
• Develops and supports very complex Data Warehouse-related applications for business areas requiring design and implementation of database tables.
• Conducts training on use of applications developed.
• This job is focused on spending time thinking about programming and how it would be used to design solutions.

Minimum Requirements:

Requires a BS/BA degree; minimum of 6 years experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• Experience with healthcare data management, specifically Data Mining and Coordination of Benefits (COB).
• Strong proficiency in data mining, analytics, and visualization to uncover insights that improve outcomes.
• Proven ability to work across teams and communicate complex findings to both technical and non-technical audiences.
• Background in managing large data projects or leading data-focused teams.
• Exposure to advanced analytics, machine learning, or fraud/waste/abuse detection.
• Expert level PC, spreadsheet, and database skills, as well as experience in standard Business Information tools and programming/query languages is strongly preferred.

If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions.  Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed.

Job Level:

Non-Management Exempt

Workshift:

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.

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