Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.
A proud member of the Elevance Health family of companies, CarelonRx (formerly IngenioRx) leverages the power of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care.
The Business Analyst II is responsible for project and program oversight which entails creatively producing high-quality project requirements, thorough testing plans, and initiating stakeholder engagement. In addition, this role must monitor cross-functional IT team product development to ensure agreed-upon solutions deliver the intended business value on time, within scope, and within budget.
How you will make an impact:
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 and testing.
Acts as liaison with users of the software to address questions/issues.
Weekly, monthly, quarterly, and annual generation of Medicaid and Commercial reports, daily monitoring, and validation of program files to identify/report/ track/resolve rejects and/or defects in tandem with our business partners.
Ensure inbound integrated and external files are received on-time and routed to their appropriate locations.
Collaborate with business partners to preemptively minimize risks while increasing project and product performance.
Leads business and technical requirement discussions.
Creates complex queries to meet reporting needs of internal partners and health plans.
Performs stakeholder interviews to elicit and assess complex project/program, requirements.
Root cause analysis.
Performs UAT; assist IT with SIT as needed.
Process modeling for new implementations, business and technical requirement changes.
Minimum Requirements
Requires a BA/BS and minimum of 3 years related business analysis experience, or any combination of education and experience, which would provide an equivalent background.
Preferred Qualifications
Knowledge of systems capabilities and business operations is strongly preferred.
Advanced proficiency in listening and oral communication.
Advanced proficiency with SQL to query databases effectively, extract vital business data, and perform data manipulation preferred.
Advanced proficiency with API integration Proficient with Power BI and Tableau preferred.
Advanced with various process modeling tolls.
Advanced proficiency in writing, business documentation preferred.
Advanced proficiency with thinking abstractly; finding and leveraging patterns.
Adept understanding and analysis of existing Pega system and databases to identify areas for improvement or troubleshooting issues preferred.
Advanced proficiency with managing timelines, resources, and stakeholder expectations preferred.
For candidates working in person or remotely in the below locations, the salary* range for this specific position is $63,888 to $104,544.
Locations: California; Colorado; District of Columbia (Washington, DC), Maryland, New York; Washington State
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.
For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
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.
