• Job Description

  Req#: JR103877

  Anticipated End Date:

  2024-03-02

  Position Title:

  Business Analyst II

  Job Description:

  Business Analyst II

  Location: Miami, FL or Tampa, FL strongly preferred.

  Also willing to consider candidates located within proximity to Elevance Health's major offices located in Wilmington, DE; Atlanta, GA; Midland, GA; West Des Moines, IA; Indianapolis, IN; Louisville, KY; Metairie, LA; South Portland, ME; Gilbert, MN; St. Louis, MO; Cary, NC; Winston-Salem, NC; Manchester, NH; Cincinnati, OH; Columbus, OH; Mason, OH; Seven Hills, OH; Nashville, TN; Grand Prairie, TX; Houston, TX; Norfolk, VA; Richmond, VA; Roanoke, VA; or Charleston, WV.

  Reasonable proximity (1-hour commute or a 50-mile radius) to one of the Elevance Health offices listed above is required. Office location addresses are listed at the end of this posting. *

  Schedule: This position will take part in Elevance Health's hybrid workforce strategy which includes virtual work and 1-2 days in office per week. Elevance Health supports a hybrid workplace model with pulse point sites used for collaboration, community, and connection.

  The Business Analyst II is responsible for identifying Medicare or Medicaid improper payments based on claims processing guidelines as well as analyzing data and auditing all types of claims. Research, resolve, and provide areas of improvement.

  How you will make an impact

  Primary duties may include, but are not limited to:

  • Analyzes business needs to determine optimal means of meeting those needs.

  • Determines specific business application software requirements to address specific business needs.

  • Works with programming staff to ensure requirements will be incorporated into system design/reporting and testing.

  • Acts as liaison with users of the software to address questions/issues.

  • Identify and manage third-party liability (TPL) or coordination of benefits (COB) cases reported by CMS, providers, or members.

  • Perform outreach and recovery efforts to Third Party Administrators.

  Minimum Requirements:

  • Requires a BA/BS and a minimum of 3 years related business analysis experience, or any combination of education and experience, which would provide an equivalent background.

  Preferred Skills, Capabilities, and Experiences:

  • Medicare and Medicare claims processing experience.

  • Strong analytical, technical, and creative problem-solving skills.

  • Demonstrated ability to analyze, understand, and communicate complex issues and trends.

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

  • Possess strong oral, written, and interpersonal communication skills.

  • Expertise within the MS Office Suite including Excel, Word, Outlook, and Access preferred.

  *Elevance Health office locations available for this position:

  • DE-WILMINGTON, 123 S JUSTISON ST, STE 200

  • FL-MIAMI, 9250 W FLAGLER ST, STE 600

  • FL-TAMPA, 5411 SKY CENTER DR

  • GA-ATLANTA, 740 W PEACHTREE ST NW

  • GA-MIDLAND, 6087 TECHNOLOGY PKWY

  • IA-W DES MOINES, 4800 WESTOWN PKWY, STE200

  • IN-INDIANAPOLIS, 220 VIRGINIA AVE

  • KY-LOUISVILLE, 13550 TRITON PARK BLVD

  • LA-METAIRIE, 3850 N CAUSEWAY BLVD, STE 1770

  • ME-SOUTH PORTLAND, 2 GANNETT DR

  • MN-GILBERT, 730 S BROADWAY

  • MO-ST LOUIS, 1831 CHESTNUT ST

  • NC-CARY, 11000 WESTON PKWY, STE 200

  • NC-WINSTON-SALEM, 5650 UNIVERSITY PKWY

  • NH-MANCHESTER, 1155 ELM ST, STE 300

  • OH-CINCINNATI, 3075 VANDERCAR WAY

  • OH-COLUMBUS, 8940 LYRA DR, STE 300

  • OH-MASON, 4241 IRWIN SIMPSON RD

  • OH-SEVEN HILLS, 6000 LOMBARDO CENTER, STE 200

  • TN-NASHVILLE, 22 CENTURY BLVD, STE 310

  • TX-GRAND PRAIRIE, 2505 N HWY 360, STE 300

  • TX-HOUSTON, 5959 CORPORATE DR, STE 3500

  • VA-NORFOLK, 5800 NORTHAMPTON BLVD

  • VA-RICHMOND, 2103 STAPLES MILL RD,

  • VA-ROANOKE, 602 S JEFFERSON ST

  • WV-CHARLESTON, 200 ASSOCIATION DR, STE 200

  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 all levels of the organization who are passionate about making an impact on our members and the communities we serve.

  How We Work

  At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

  We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

  Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

  The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

  Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.

• About the company

  Elevance Health, Inc. is an American health insurance provider.

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