Business Consultant

Anticipated End Date:

2025-08-22

Position Title:

Business Consultant

Job Description:

Business Consultant

Hybrid 1: 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.

The Business Consultant is responsible for collaborating with our data science team to develop machine learning models and data mining queries with the purpose of identifying overpayment opportunities that will contribute to cost of care savings and total program savings.

How you will make an Impact:

• May lead teams of analysts assigned to complex projects.
• Determines specific business application software requirements to address complex and varied business needs.
• Analyzes and designs solutions to address complex and varied business needs.
• Consults with business partners concerning application and implementation of technology.
• Determines the continuous improvement opportunities of current predictive modeling algorithms.
• Determines how decision support systems will provide the data required to make effective business decisions. 
• Collaborate on automation to validate claims overpayment.
• Performs analyses of structured and unstructured data to solve multiple and/or complex business problems, utilizing advanced statistical techniques and mathematical analyses and broad knowledge of the organization and/or industry.  
• Collaborates with data science providing guidance on overpayment model development. 

Minimum Requirements:   

• Requires a BA/BS and minimum of 8 years business analysis experience, which should include analysis and project management; or any combination of education and experience which would provide an equivalent background. 

Preferred Skills, Capabilities, and Experiences:  

• Experience working with large datasets highly preferred.
• PC, spreadsheet, and database skills is highly preferred.
• Project Management experience highly preferred.
• Complex data mining analysis and coordinating the activities of a project team experience highly preferred. 
• Claims analysis experience highly preferred
• Strong understanding of excel scrubbing/formulas highly preferred.
• Coding skills combined with a business background; preferred.

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $92,064 to $157,824

Locations: California, Colorado, 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 contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company.  The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

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