Business Consultant

Anticipated End Date:

2025-12-24

Position Title:

Business Consultant

Job Description:

Business Consultant

Location: 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.

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.

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. Consults with management teams on solutions to global business issues and organizational improvements. Leads a team that analyzes data, existing and potential workflows, processes, supporting systems and procedures, turning findings into projects, driving them from ideation to implementation. This position has a strong understanding of systems and enterprise-wide strategic focus. 

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.
• Identifies areas at risk and make recommendations on how to minimize the risk. 
• Project manages process improvement opportunities that result in increased savings.
• Consults with business partners concerning processes, procedures, contracts, processing rules and other system rules.
• Collaborate on automation to validate claims overpayment.
• Performs analyses of structured and unstructured data to solve multiple and/or complex business problems, utilizing automation/AI tools and broad knowledge of the organization and/or industry.  

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 and Abilities:

• WGS claims experience highly preferred.
• Knowledge of systems capabilities and business operations is strongly preferred.
• Excellent verbal and written communication, effective virtual presentation and facilitation skills, research and data analysis experience, advanced skill level with MS Excel – pivot tables, formulas, v-lookup, critical thinking, strong decision-making skills, collaboration skills, and ability to prioritize work. 
• Ability to manage multiple projects in various stages to completion and create and deliver executive leadership presentations.
• Experience working with large datasets highly preferred.
• PMP certification is highly preferred.
• Complex data mining analysis and coordinating the activities of a project team. 

Job Level:

Non-Management Exempt

Workshift:

1st Shift (United States of America)

Job Family:

BSP > Business Support

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 a