Business Consultant

Anticipated End Date:

2025-08-06

Position Title:

Business Consultant

Job Description:

Business Consultant

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.

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 Consultant is responsible for translating moderately complex and varied business needs into application software requirements. Possesses full technical knowledge of most phases of systems and business analysis and is able to consider the business implications of the application of technology to current and future business environments. The role involves implementing and maintaining 834 and proprietary eligibility, COB, and group files for various health plans with an expertise in Electronic Data Interchange (EDI) to drive key project deliverables.

How you will make it an impact:

• 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.

• 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 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 Experience, Skills, and Capabilities:

• Knowledge of systems capabilities and business operations is strongly preferred.

• Demonstrated ability to take initiative and work independently is strongly preferred.

• Able to quickly develop a comprehensive understanding of the business rules,  core platforms, and applications for the data used in EDI exchanged 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 locations, the salary* range for this specific position is $92,064 to $138,096.

Locations: New York, Maryland, Nevada

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