Business Analyst III

Anticipated End Date:

2025-10-03

Position Title:

Business Analyst III

Job Description:

Business Analyst III

Location: 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.

A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.

The Business Analyst III is responsible for serving as the liaison between the business and IT in translating complex business needs into application software. Business Analyst III with expertise in Electronic Data Interchange (EDI) to drive key project deliverables. The role involves implementing and maintaining 834 and proprietary eligibility, COB, and group files for various health plans.

How you will make an impact: 

• Analyzes complex end user needs to determine optimal means of meeting those needs.
• Determines specific business application software requirements to address complex business needs.
• Develops project plans and identifies and coordinates resources, involving those outside the unit. Works with programming staff to ensure requirements will be incorporated into system design and testing.
• Acts as a resource to users of the software to address questions/issues.
• May provide direction and guidance to team members and serves as an expert for the team.
• Lead the design and implementation of innovative end-to-end frameworks for processing eligibility exchanges, ensuring they meet both business needs and industry standards.
• Lead 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.

Minimum Requirements

• Requires a BA/BS and minimum of 5 years business analysis experience; or any combination of education and experience which would provide an equivalent background.

Preferred Experience, Skills, and Capabilities

• Knowledge of systems capabilities and business operations is strongly preferred.
• Knowledge of systems capabilities and business operations is strongly preferred.
• The ability to be a self-starter with the ability to work independently and with minimal oversight preferred.
• Able to quickly develop a comprehensive understanding of the business rules,  core platforms, and applications for the data used in EDI exchanges preferred.
• Develop comprehensive documentation outlining business rules, process flows, and technical specifications preferred.
• Conduct end-to-end testing with strong prior experience in developing and performing test scenarios preferred.
• Experience with CAS, AS400, highly preferred.
• Intermediate to advanced Excel skills preferred.
• Beginner to intermediate SQL skills 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.

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $74,760 to $112,140.

Locations: Maryland, Nevada, New York.

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k c