Business Analyst III

Elevance Health • Lubbock, TX

1d • Hybrid

About The Position

Business Analyst III Hybrid: 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. The Business Analyst III is responsible for identifying, analyzing, and validating overpayment recovery opportunities, translating moderately complex and varied business needs into business cases or business requirements document (BRD) to create data mining queries that will contribute to cost of care savings. How you will make an impact: Migration of datamining concepts and ensuring new systems meet department needs. Auditing claims payment to identify overpayment scenarios. Determines specific business application software requirements to address complex business needs. Develops project plans and identifies and coordinates resources, involving those outside the unit. Works with programming staff to ensure requirements will be incorporated into system design and testing. Acts as a resource to users of the software to address questions/issues. May provide direction and guidance to team members and serves as an expert for the team.

Requirements

• Requires a BA/BS and minimum of 5 years business analysis experience; or any combination of education and experience which would provide an equivalent background.

Nice To Haves

• Knowledge of systems capabilities and business operations is strongly preferred.
• Ability to manage multiple projects in various stages to completion preferred.
• In-depth knowledge of WGS claims processing, reimbursement policies and procedures preferred.
• Strong analytical and problem-solving skills with research-oriented approach preferred.
• Proficiency in Microsoft Excel preferred.

Responsibilities

• Migration of datamining concepts and ensuring new systems meet department needs.
• Auditing claims payment to identify overpayment scenarios.
• Determines specific business application software requirements to address complex business needs.
• Develops project plans and identifies and coordinates resources, involving those outside the unit.
• Works with programming staff to ensure requirements will be incorporated into system design and testing.
• Acts as a resource to users of the software to address questions/issues.
• May provide direction and guidance to team members and serves as an expert for the team.

Benefits

• 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).

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees