This position will work a hybrid model (remote and office), 1-2 times per week in office. The Ideal candidate will live within 50 miles our Hanover MD or Norfolk VA, Elevance Health PulsePoint locations.
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 Analyst II is responsible for reviewing recovery requests from various departments and conducting provider outreach to determine if claims have been overpaid. This role is pivotal in translating basic business needs into application software requirements.
How you will make an impact:
Review and analyze requests for recoveries from different departments.
Conduct provider outreach to determine if there are instances of claims overpayment.
Determines specific business application software requirements to address specific business needs.
Works with programming staff to ensure business requirements will be incorporated into system design and testing.
Function as a liaison between software users and our development team to address any queries or issues.
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 Skills, Capabilities, and Experiences:
Comprehensive knowledge of Excel, Facets, Macess, and Microsoft Word.
Knowledge of system capabilities and business operations is strongly preferred.
For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $60,984 to $91,476
Locations: Maryland
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.
